A.T.I Leadership: Expert-Verified Content from Certified Global Sources, Exams of Nursing

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ATI Leadership: Expert-Verified Content from Certified

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1. An employee in a provider's office suspects fraudulent activity. Which of the following actions should the employee take after contacting the Office of Inspector General (OIG) Hotline to report the fraudulent activity? (Select all that apply.) a. Stop filing the suspicious bills and claims. b. Pursue knowledgeable legal counsel. c. Follow up with the OIG to confirm receipt of the report. d. Disengage professionally with the suspected perpetrator. e. Report and return overpayments. - - correct- - abde
2. Which of the following pieces of legislation mandated the establishment of a joint Health Care Fraud and Abuse Control (HCFAC) program? a. False Claims Act b. Health Insurance Portability and Accountability Act (HIPAA) c. Patient Protection and Affordable Care Act d. Stark Law - - correct- - b
3. According to recent estimates, which of the following sources of health care waste has had the largest financial impact? a. Lack of care coordination b. Preventable conditions and avoidable care c. Administrative system inefficiencies d. Unwarranted use of medical resources or services - - correct- - d
4. A nurse overhears a provider refer a client who has Medicare to a durable medical equipment company owned by the provider's father-in-law. The nurse should identify that which of the following statutes has been violated?

a. False Claims Act b. Anti-Kickback Statute c. Stark Law d. Patient Protection and Affordable Care Act - - correct- - c

5. Which of the following agencies of the U.S. government has the authority to exclude individuals and entities from participating in federal health care programs? a. Medicare Recovery Audit Contractors (RACs) b. Health Care Fraud Prevention and Enforcement Action Team (HEAT) c. Office of Inspector General (OIG) d. Department of Justice (DOJ) - - correct- - c
6. Which of the following is an example of a best practice strategy to prevent fraud, waste, and abuse? a. Establish procedures for maintaining and distributing medication samples. b. Have providers submit claims directly to a health care benefit program. c. Document client encounters and services in the medical record at the end of the workday. d. Use upcoding sparingly when submitting claims. - - correct- - a
7. The Health Insurance Portability and Accountability Act (HIPAA) mandates that health care entities implement which of the following strategies to help reduce the Medicare fee-for-service error rate and prevent payment for potentially fraudulent activity? a. Balance billing b. Electronic health records c. Unbundling d. Whistle blower procedures - - correct- - b

11. A nurse is preparing to administer ciprofloxacin to a client when the client tells the nurse they are not going to take it. Which of the following responses should the nurse make? a. "When you signed your admission papers, you agreed to follow the treatment plan." b. "I will come back later and you can take it then." c. "This is the antibiotic your provider prescribed to treat your infection." d. "I will complete an incident report stating that you have refused to take your medication." - - correct- - c
12. A nurse is reinforcing teaching with a client about advance directives. Which of the following statements by the client indicates an understanding of the teaching? a. "My living will addresses whether or not I want to receive CPR." b. "Once I sign advance directives, I cannot change them." c. "If I am admitted to the hospital, the law requires me to have advance directives." d. "The law requires a family member to witness my signature on my advance directives." - correct- - a
13. A nurse receives a telephone call from a client's sibling requesting information about the client's status. Which of the following statements should the nurse make? a. "You will have to contact your sibling's doctor for information about their care." b. "All I can tell you is that they are resting comfortably at the moment." c. "I will check with your sibling to see if they have given permission for you to receive information about their status." d. "I am sorry, but it is not in my scope of practice to provide you information about your sibling." - - correct- - c
14. A nurse finds a used needle and syringe in a treatment area. In attempting to dispose of the needle safely, the nurse incurs an accidental needlestick. After the nurse identifies who used the

needle and syringe and for which client, which of the following actions is within the nurse's rights? a. Receiving information about the results of the client's tests for bloodborne pathogens. b. Asking the nurse caring for the client to disclose the client's infectious disease status. c. Requesting that the client's provider disclose risks. d. Accessing the client's medical history to determine risk. - - correct- - a

15. A nurse steps into an outdoor employee dining area and overhears two staff members talking about a client having an upsetting visit with their partner earlier in the day. Which of the following actions should the nurse take? a. Tell the staff members that they will report the situation to their supervisor immediately. b. Ask the staff members to lower the volume of their voices. c. Remind the staff members that discussing a client where others can overhear them is a HIPAA violation. d. Avoid taking action unless the nurse observes others listening to the staff members' conversation. - - correct- - c
16. A nurse is documenting information about a client at a computer terminal in the nurses' station when they must leave the area to respond to a client's call light. Which of the following actions should the nurse take? a. Ask the unit clerk to make sure no one else uses the computer. b. Turn the computer monitor so it is not visible to anyone else. c. Turn the monitor off so the computer will log out automatically. d. Log out of the computer before leaving the area. - - correct- - d
17. A nurse on a medical-surgical unit is reinforcing discharge instructions with a client when the client asks for a copy of their medical record. Which of the following statements should the nurse make?

21. A nurse is collecting data from a client who has cancer and is receiving morphine for pain management. Which of the following findings should the nurse identify as the priority? a. Orthostatic hypotension b. Respiratory rate 10/min c. Absence of bowel movement for 5 days d. Bladder distention - - correct- - b
22. A nurse is collecting data from four clients. Which of the following clients should the nurse collect data from first? a. A client who has COPD and a respiratory rate of 23/min b. A client who has gastric cancer and reports nausea and vomiting c. A client who has rheumatoid arthritis and has joint swelling d. A client who has a chest tube and asymmetrical chest movement - - correct- - d
23. A nurse is collecting data from a child at the scene of a school bus crash. The child has several bruises on their left leg and a sprained ankle. The nurse should assign the child to which of the following triage categories? a. Emergent b. Expected c. Urgent d. Nonurgent - - correct- - d
24. Following a natural disaster, a nurse is assisting with the care of incoming clients. The nurse finds a client who is assigned to the urgent care category. Which of the following actions should the nurse take? a. Recommend that a provider assess the client immediately. b. Tell the client's family that the client is not likely to survive.

c. Tell the client that they will receive treatment in approximately one hour. d. Recommend that the client's family take them to a local provider's office. - - correct- - c

25. A nurse is assisting with the development of a disaster drill for a long-term care facility. The nurse should include which of the following clients as an example of the urgent triage category? a. A client who has a large wound to their right thigh and pedal pulses + b. A client who has closed fractures to both arms c. A client who has full-thickness burns on 90% of their total body surface area d. A client who has a tension pneumothorax - - correct- - a
26. A nurse is reviewing mass casualty triage guidelines with a newly hired nurse. Which of the following statements by the newly hired nurse indicates an understanding of the information? a. "Clients in the urgent category should be treated first." b. "Clients in the expectant category do not receive treatment." c. "Clients who have agonal respirations should receive priority treatment." d. "Clients who have behavioral disorders are not seen for medical treatment." - - correct- - b
27. A nurse is assisting with mass casualty triage following an explosion at a local factory. The nurse should recommend transporting which of the following clients to the emergency department first? a. A client who has an open humerus fracture b. A client who is hemorrhaging from a partial leg amputation c. A client who has multisystem trauma d. A client who is unresponsive with fixed, dilated pupils - - correct- - b

c. Physical therapist d. Social worker - - correct- - a

32. A nurse is assisting in planning care for a client who has recent unexplained weight loss and a low serum albumin level. Which of the following members of the interprofessional care team should the nurse consult? a. Occupational therapist b. Registered dietitian c. Case manager d. Social worker - - correct- - b A nurse is caring for several clients who require diagnostic testing and is delegating tasks to an assistive personnel (AP). Which of the following tasks should the nurse direct the AP to perform first? A. Change the transparent dressing on a client who has a stage 2 pressure ulcer B. Bring a pitcher of fresh water to a client who has just had a lumbar puncture C. Transport a client to the radiology department for a routine chest X-ray D. Take an arterial blood gas specimen to the laboratory - - correct- - D A nurse is preparing to teach the health care team about the concept of critical pathways. Which of the following statements about the purpose of a critical pathway should the nurse plan to include. A. "A critical pathway is a plan of care specific to the nursing interventions necessary for client care." B.

"A critical pathway is a tool that legally binds the health care facility to provide services as outlined." C. "A critical pathway is a multidisciplinary tool that guides client care and bases outcomes on an externally imposed timeline." D. "A critical pathway is a plan that may be the same for several similar diagnoses." - - correct- - C A nurse enters a client's room and discovers a small fire in a trash can. Which of the following actions should the nurse take first? A. Place moist towels or blankets at the threshold of the door of the room with the fire. B. Close fire doors and doors to client rooms. C. Pull the fire alarm and notify the hospital operator. D. Move the client out of the room. - - correct- - D A nurse is caring for a client who received a sedative-hypnotic medication at bedtime. The client gets out of bed and falls, sustaining a laceration that requires suturing. Which of the following statements should be included as part of the nurse's documentation in the client's chart? A. "Client found sitting on floor with 3 cm laceration above left eyebrow. Oriented to name only. Provider notified." B. "Client found sitting on floor with blood running down face. Side rails had not been raised by assistive personnel when client was placed in bed." C. "Client fell due to confusion caused by sleeping medication." D. "Client got out of bed and fell, despite being told to call for assistance when ambulating." - correct- - A

"Your attorney will need to review the document before it can be enacted." D. "Once your living will is complete and on file, the choices you make are final." - - correct- - A A nurse is updating the plan of care for a client who has celiac disease. Which of the following dietary selections should the nurse recommend for the client? A. Whole-wheat tortilla with black beans B. Baked chicken and rice C. Turkey and cheese sandwich D. Pasta with marinara sauce - - correct- - B A school nurse is assessing a child who has multiple bruises on his trunk and extremities. The child reports falling out of a tree 2 days ago. The nurse's assessment findings show patterns of bruising that are not typically sustained during a fall from a tree. Which of the following actions should the nurse take? A. Report the findings to local police and social service agencies. B. Report the findings to the school district superintendent. C. Call the parents of the child and further assess the causative event. D. Reassess the child on a weekly basis for injuries. - - correct- - A

A nurse is performing a safety audit on all equipment used on the unit. Which of the following items should the nurse identify as a safety hazard? A. An electrical cord that is taped to the floor B. A protective cover that is placed over an unused outlet C. An electrical cord that is frayed toward the plug D. An electrical plug that has 3 prongs - - correct- - C A nurse enters a client's room and finds the client lying on the floor next to the bed. Which of the following actions should the nurse take first? A. Determine the cause of the incident. B. Check the client for injuries. C. Call for assistance to get the client back into bed. D. Complete an incident report. - - correct- - B A health care facility's leadership team is implementing a new computerized charting system. When preparing for the implementation date, which of the following actions should the nurse manager take first? A. Discuss with the charge nurses their responsibility in implementing the change. B. Post a sign-up sheet for in-service training sessions about the new system. C.

A.

Use cotton balls to clean the infected areas. B. Cleanse the wound with tap water. C. Dry the leg wound after cleaning. D. Microwave the cleaning solution before applying to the wound. E. Discard soiled bandages in a moisture-proof bag. - - correct- - B,E A charge nurse is teaching a group of clients in an assisted living facility about client rights. Which of the following pieces of information should the charge nurse include in the teaching? A. "You can request to review your personal medical records at any time." B. "A 20-day notice is required prior to you being transferred to long-term care." C. "An executor will be assigned to manage your financial affairs." D. "You will have a provider other than your primary physician assigned to your care." - - correct- - A A home health care nurse is conducting a home hazard assessment. For which of the following findings should the nurse intervene? A. The client's hot water heater temperature is set to 46.1°C (115°F). There are 8 steps to enter the client's home. C.

B.

The client's household lamps have 40-watt light bulbs installed. D. The bathroom has a handheld shower attachment for bathing. - - correct- - C A charge nurse on a medical-surgical unit is assigning client care to the upcoming shift. Which of the following tasks should the nurse delegate to an assistive personnel (AP)? (Select all that apply.) A. Performing colostomy care B. Measuring a client's intake and output C. Interpreting a client's laboratory values following surgery D. Providing postmortem care to a client E. Checking nasogastric tube patency - - correct- - B,D A nurse is walking with a client who falls after the facility-issued walker loses a wheel. Which of the following actions should the nurse take regarding the completed incident report? A. Submit the variance report to the risk manager. B. Place the variance report in the client's chart. Document the completion of the incident report in the client's medical record. D. Make a copy of the variance report for the provider. - - correct- - A

D.

"You should set the water heater temperature to 125°F." B. "You should grasp the cord when unplugging items." C. "You should use a gas stove for cooking." D. "You should install a handrail on at least one side of the stairs." - - correct- - D A charge nurse is preparing assignments for the upcoming shift. Which of the following tasks should the charge nurse delegate to an assistive personnel (AP)? A. Perform a simple dressing change. B. Interpreting a client's blood glucose reading C. Providing advice when speaking to a client's family member on the phone D. Determining the effectiveness of a client's urinary catheter - - correct- - A After entering a client's room, a nurse notices the client has fallen on the bathroom floor. Which of the following actions should the nurse perform first?

A.

Obtain support from another nurse B. Check the client for injuries C. File an incident report D. Notify the client's provider - - correct- - B A nurse is discussing with a newly licensed nurse about how to obtain informed consent from a client who is scheduled to undergo an epidural procedure. Which of the following ethical principles should the nurse include in the teaching? A. Beneficence B. Autonomy C. Paternalism D. Justice - - correct- - B A charge nurse is providing teaching to a new staff nurse about the management of a team consisting of a licensed practical nurse (LPN) and an assistive personnel (AP). Which of the following pieces of information should the charge nurse include in the teaching? A. The LPN can delegate the task of teaching a client about foot care to the AP. B. The LPN should be familiar with the task she plans to delegate. C.