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ATI RN · Contemporary Issues Trends and Management · Ethics and Issues in Contemporary Nursing

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The practice of public health nursing and the Henry Street Settlement are credited to:

A. Mary Breckenridge.
B. Mary Seacole.
C. Clara Barton.
D. Lillian Wald.

Expert Explanatory Rationale

Correct Answer: Lillian Wald.

Question 2 of 5

A nurse works on a unit where electronic health records (EHR) are being initiated and asks, "What is meant by 'meaningful use' standards that are in our education packet?" The best answer is that "meaningful use":

A. identifies a set of EHR proficiencies and benchmarks that EHR systems must meet to be certain that they are functioning to their maximum capacity and meeting this standard allows companies/organizations to qualify for funds to defray cost of the EHR from Medicare.
B. refers to training competencies that all users must achieve to be able to access and transfer patient data/information.
C. refers to a requirement that at least 50% plus one of all patients have data entered into the EHR.
D. the requirement that rigorous confidentiality security is in place to protect all patient information from sources which have no right to the data.

Expert Explanatory Rationale

Correct Answer: identifies a set of EHR proficiencies and benchmarks that EHR systems must meet to be certain that they are functioning to their maximum capacity and meeting this standard allows companies/organizations to qualify for funds to defray cost of the EHR from Medicare.

Question 3 of 5

The nurse prepares to apply sterile gloves needed for a procedure. After introducing self and verifying patient information, the nurse performs hand hygiene. The nurse should open the outer package and then perform the following steps in order: (items on left will be moved in correct order on the right) Open inner package, taking care not to touch inner surface. Put the glove on the nondominant hand using the sterile gloved hand. Put glove on dominant hand by grasping folded cuff edge, touching only inside of cuff. Adjust each glove carefully by sliding finders under the cuffs. The above question represents which type of alternate-format question written at which level of Bloom's taxonomy?

A. Drag-and-drop item, comprehension
B. Chart/exhibit item, analysis
C. Multiple-response, application
D. Hot-spot item, knowledge

Expert Explanatory Rationale

Correct Answer: Drag-and-drop item, comprehension

Question 4 of 5

A nursing student asks, "I wonder if the reason that the nursing shortage is so severe is that registered nurses are unhappy with their jobs." To research the answer, the National Survey of Registered Nurses was reviewed and found:

A. registered nurses change employers every year to prevent burnout and to keep the nursing shortage from increasing.
B. nursing faculty are aging or leaving academia due to increased work demands and generational difference from students.
C. practicing registered nurses are satisfied with their job and most remain with same employer they worked for the previous year.
D. registered nurses were the least satisfied with their job of all health care providers.

Expert Explanatory Rationale

Correct Answer: practicing registered nurses are satisfied with their job and most remain with same employer they worked for the previous year.

Question 5 of 5

The Karnofsky prognostication scale is most appropriately used to screen patients with which medical diagnoses?

A. Respiratory diseases
B. Cancers
C. Cardiac diseases
D. AIDS

Expert Explanatory Rationale

Correct Answer: AIDS

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