ATI RN
Multi Dimensional Care | Exam | Rasmusson
1. The quality and risk nurse in the local hospital is performing a hospital survey on sentinel events. Which statements would the nurse use to best describe a sentinel event?
- A. Operating room event involving the use of unsafe equipments
- B. Specific events that enable a hospital to maximize reimbursement
- C. An unexpected event involving death or serious physical or psychological injury
- D. An event that can cause serious injury to a client that should never happen in a hospital
Correct answer: An unexpected event involving death or serious physical or psychological injury
Rationale:
2. Which is an important consideration when conducting a community health assessment?
- A. Using standardized assessment tools
- B. Collecting both qualitative and quantitative data
- C. Engaging community stakeholders
- D. Analyzing health trends
Correct answer: C
Rationale: Engaging community stakeholders is crucial when conducting a community health assessment as it helps ensure that the assessment captures the diverse perspectives and needs of the community. Involving stakeholders promotes community buy-in, enhances the validity of the data collected, and increases the likelihood of implementing effective interventions based on the assessment findings.
3. Which principle does not follow neuromaturational theory?
- A. The sequence and rate of motor development are consistent among infants
- B. Movement emerges from an interaction and cooperation of many systems
- C. Movement progresses from primitive reflexes to voluntary control
- D. Low-level skills are prerequisites for certain high-level skills
Correct answer: B
Rationale: Neuromaturational theory emphasizes that motor development progresses in a predictable sequence and rate, starting from primitive reflexes to voluntary control. It also states that low-level skills are foundational for higher-level skills. However, the theory does not support the idea that movement solely emerges from an interaction and cooperation of many systems, as it focuses more on the hierarchical development of motor skills.
4. A nurse is reviewing the laboratory results of a client who has hypokalemia. Which of the following findings should the nurse expect?
- A. Serum potassium 5.4 mEq/L
- B. Flat T waves
- C. Elevated ST segments
- D. Bradycardia
Correct answer: B
Rationale: Flat T waves are a characteristic ECG finding in hypokalemia. Hypokalemia causes a decrease in serum potassium levels, leading to altered cardiac conduction. Flat T waves are associated with hypokalemia-induced cardiac dysrhythmias. Elevated ST segments are typically seen in conditions like myocardial infarction, not in hypokalemia. Bradycardia is not a typical manifestation of hypokalemia; instead, tachycardia may occur due to potassium imbalances affecting the heart's electrical activity.
5. A nurse is assessing a client who has a peripherally inserted central catheter (PICC). Which of the following findings should the nurse report to the provider?
- A. Redness at the insertion site.
- B. Swelling of the arm above the insertion site.
- C. A bruised area around the insertion site.
- D. A temperature of 37.2°C (99°F).
Correct answer: B
Rationale: Swelling of the arm above the insertion site is concerning as it can indicate complications like thrombosis, which require immediate attention. Redness at the insertion site is common and expected in the initial stages. A bruised area around the insertion site may result from the insertion procedure and is usually not alarming unless it worsens or becomes larger. A temperature of 37.2°C (99°F) is within the normal range and is not directly related to PICC complications.
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