EXAM ATI FUNDAMENTALS PROCTORED EXAM
1. A nurse is describing the purposes of a health care record to a group of
nursing students. Which purposes will the nurse include in the teaching
session? (Select all that apply.)
a. Communication
b. Legal documentation
c. Reimbursement
d. Nursing process
e. Research
f. Education
ANS: A, B, C, E, F
A patient’s record is a valuable source of data for all members of the health
care team. Its purposes include interdisciplinary communication, legal
documentation, financial billing (reimbursement), education, research,
and auditing/monitoring. Nursing process is a way of thinking and
performing nursing care; it is not a purpose of a health care record.
2. A nurse is developing a plan to reduce data entry errors and maintain
confidentiality. Which guidelines should the nurse include? (Select all
that apply.)
a. Bypass the firewall.
b. Implement an automatic sign-off.
c. Create a password with just letters.
d. Use a programmed speed-dial key when faxing.
e. Impose disciplinary actions for inappropriate access.
f. Shred papers containing personal health information (PHI).
1
ANS: B, D, E, F
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, When faxing, use programmed speed-dial keys to eliminate the chance of a
dialing error and misdirected information. An automatic sign-off is a safety
mechanism that logs a user off the computer system after a specified period
of inactivity. Disciplinary action, including loss of employment, occurs when
nurses or other health care personnel inappropriately access patient
information. All papers containing PHI (e.g., Social Security number, date of
birth or age, patient’s name or address) must be destroyed immediately after
you use or fax them. Most agencies have shredders or locked receptacles for
shredding and incineration. Strong passwords use combinations of letters,
numbers, and symbols that are difficult to guess. A firewall is a combination
of hardware and software that protects private network resources (e.g., the
information system of the hospital) from outside hackers, network damage,
and theft or misuse of information and should not be bypassed.
MATCHING
A nurse is using focused charting. Match the chart entry to the correct letter of
the acronym.
a. Applied oxygen, stayed with patient, and instructed to slow breathing.
b. Patient states, “feel better,” respirations 16 with O2 saturations 96%.
c. Patient states, “can’t catch my breath and chest hurts.” Confused.
1.D
2.A
3.R
1. ANS:C2.ANS:A3.ANS:B
1.A nurse is teaching about the energy needed at rest to maintain life-
sustaining activities for a specific period of time. What is the nurse
discussing?
a. Resting energy expenditure (REE)
b. Basal metabolic rate (BMR)
c. Nutrient density
d. Nutrients
ANS: B
The basal metabolic rate (BMR) is the energy needed at rest to maintain life-
sustaining activities for a specific period of time. The resting energy
expenditure (REE), or resting metabolic rate, is the amount of energy an
individual needs to consume over a 24-hour period for the body to maintain all
2
of its internal working activities while at rest. Nutrients are the elements
necessary for body processes and function. Nutrient density is the proportion
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