ATI: Nursing Informatics and Technology: Informatics Test
.Which of the following support the integration of informatics into nursing practice to
support safety in client care? (Select all that apply) - ans1. Embedded medication alerts
2. Immediate access to digital X-rays.
3. Use of phones that connect directly
4. Integration of telehealth
A health care facility recently opened a research department to collect and analyze data
related to improved client outcomes. Which of the following examples represents
integration of technology to support creation of scholarly knowledge? - ansElectronic
collection of healing times of sacral wounds post-hyperbaric treatment, with and without
antibiotic administration
A nurse needs to determine the use of technology as an assistive device to facilitate
discharge teaching for a client. Which of the following represents an appropriate
application of technology in this situation? (Select all that apply.) - ans1. Using
translation software
2. Supplying the link to a website with a video demonstrating home care
3. Explaining the use of automatic email reminders
4. Accessing an iPad to review side effects
A nurse off duty receives a photo on her cell phone from a fellow nurse who is at work.
The photo shows a celebrity receiving physical therapy. Which of the following actions
should the nurse take first? - ansDelete the photo.
The Centers for Medicare and Medicaid Services electronically reports specific quality
outcomes measures based on data collected from hospitals. These data allow the
public to compare hospitals that - anshave a higher percentage of hospital-acquired
infections.
Which of the following electronic resources should a nurse use to obtain clinical practice
guidelines and interventions to reduce the risk of negative client outcomes while in a
hospital? - ansAgency for Healthcare Research and Quality (AHRQ)
Which of the following illustrates the integration of informatics into a health care system
to support cost containment? - ansInstalling bar codes on medications with alerts for low
supplies
Which of the following illustrates the use of technology to improve communication with a
client who is cognitively impaired? - ansUse an electronic drawing screen allowing the
client to create pictures during an assessment.
Which of the following legislative acts stipulate that clients be allowed to see and make
corrections to their health care records? - ansb. Health Information Porability and
Accountability Act (HIPPA)
,Which of the following uses of technology would constitute a violation of HIPAA? -
ansTexting a picture of a client's wound from one nurse to another related to wound
care protocol
A charge nurse is leading a staff education session about caring for a client who has
hypocalcemia.
Which of the following statements by a staff nurse indicates the need for further
teaching?
1. "I should monitor for hand spasms during blood pressure cuff inflation."
2. "Clients who have a vitamin D deficiency are at risk for hypocalcemia."
3. "Clients who have hypocalcemia are at risk for pathologic fractures."
4. "I should implement seizure precautions for a client who has hypocalcemia." - ans3.
"Clients who have hypocalcemia are at risk for pathologic fractures."
A client demonstrates anger when the nurse does not respond within 5 min of ringing for
the nurse. Which of the following is an appropriate response by the nurse?
1. "I'm sorry, but another client needed my attention."
2. "I arrived as soon as I could. What can I do for you?"
3. "It must be frustrating. I have a few minutes now."
4. "We had an emergency on the unit, but now I'm here." - ans3. "It must be frustrating. I
have a few minutes now."
**therapeutic by acknowledging client's feelings**
A client has an admission blood glucose reading of 260 mg/dL and no documented
history of diabetes mellitus. While the nurse reviews the client's medication history,
which of the following types of medications should alert the nurse to the possibility that
the client has developed an adverse effect of pharmacologic therapy? (Select all that
apply.)
- Diuretics
- Corticosteroids
- Oral anticoagulants
- Opioid analgesics
- Antipsychotics - ans- Diuretics
- Corticosteroids
- Antipsychotics
A client is reporting pain at the insertion site of his IV catheter. The nurse observes a
red line extending outward from the insertion site. Which of the following actions should
the nurse take first?
1. Place a warm compress over the site
2. Restart the IV line at a different site.
,3. Discontinue the infusion.
4. Document the findings. - ans3. Discontinue the infusion.
**greatest risk = further injury to the vein; first action is to discontinue**
A client is scheduled for surgery. The intraoperative nurse finds a necklace on the client
after anesthesia has been administered. Which of the following interventions should be
initiated?
1. Leave the necklace on the client.
2. Give the necklace to a family member.
3. Place the necklace in the client's chart.
4. Notify security for placement of the necklace. - ans4. Notify security for placement of
the necklace.
A client who has an indwelling catheter reports a need to urinate. Which of the following
interventions should the nurse perform?
1. Check to see whether the catheter is patent.
2. Reassure the client that it is not possible for her to urinate.
3. Recatheterize the bladder with a larger-gauge catheter.
4. Collect a urine specimen for analysis. - ans1. Check to see whether the catheter is
patent.
A client who has had a cerebrovascular accident has persistent problems with
dysphagia (difficulty
swallowing). The nurse caring for the client should initiate a referral with which of the
following members of the interprofessional care team?
1. Social worker
2. Certified nursing assistant
3. Occupational therapist
4. Speech-language pathologist - ans4. Speech-language pathologist
A client who is nonambulatory notifies the nurse to tell her that his trash can is on fire.
After confirming the fire, which of the following actions should the nurse take next?
1. Call emergency fire code.
2. Extinguish the fire.
3. Confine the fire.
4. Evacuate the client. - ans4. Evacuate the client.
**rescue client first**
A client who is postoperative following knee arthroplasty is concerned about the
adverse effects of the medication he is receiving for pain management. Which of the
, following members of the interprofessional care team may assist the client in
understanding the medication's effects? (Select all that apply.)
- Provider
- Certified nursing assistant
- Pharmacist
- Registered nurse
- Respiratory therapist - ans- Provider
- Pharmacist
- Registered nurse
A client who is postoperative is verbalizing pain as a 2 on a pain scale of 0 to 10. The
nurse understands that the preoperative teaching regarding pain control has been
effective when the client states which of the following?
1. "I think I should take my pain medication more often, since it is not controlling my
pain."
2. "Breathing faster will help me keep my mind off of the pain."
3. "It may help me to listen to music while I'm lying in bed."
4. "I don't want to walk today, because I'm experiencing some pain." - ans3. "It may help
me to listen to music while I'm lying in bed."
**nonpharmacological intervention to pain**
A goal for a client who has difficulty with self-feeding due to rheumatoid arthritis is to
use adaptive devices. The nurse caring for the client should initiate a referral with which
of the following members of the interprofessional care team?
1. Social worker
2. Certified nursing assistant
3. Registered dietitian
4. Occupational therapist - ans4. Occupational therapist
A home health nurse is discussing the dangers of carbon monoxide poisoning with a
client. Which of the following information should the nurse include in her counseling?
1. Carbon monoxide has a distinct odor.
2. Water heaters should be inspected every 5 years.
3. The lungs are damaged from carbon monoxide inhalation.
4. Carbon monoxide binds with hemoglobin in the body. - ans4. Carbon monoxide binds
with hemoglobin in the body.
A home health nurse is discussing the dangers of food poisoning with a client. Which of
the following information should the nurse including in her counseling? (Select all that
apply.)
.Which of the following support the integration of informatics into nursing practice to
support safety in client care? (Select all that apply) - ans1. Embedded medication alerts
2. Immediate access to digital X-rays.
3. Use of phones that connect directly
4. Integration of telehealth
A health care facility recently opened a research department to collect and analyze data
related to improved client outcomes. Which of the following examples represents
integration of technology to support creation of scholarly knowledge? - ansElectronic
collection of healing times of sacral wounds post-hyperbaric treatment, with and without
antibiotic administration
A nurse needs to determine the use of technology as an assistive device to facilitate
discharge teaching for a client. Which of the following represents an appropriate
application of technology in this situation? (Select all that apply.) - ans1. Using
translation software
2. Supplying the link to a website with a video demonstrating home care
3. Explaining the use of automatic email reminders
4. Accessing an iPad to review side effects
A nurse off duty receives a photo on her cell phone from a fellow nurse who is at work.
The photo shows a celebrity receiving physical therapy. Which of the following actions
should the nurse take first? - ansDelete the photo.
The Centers for Medicare and Medicaid Services electronically reports specific quality
outcomes measures based on data collected from hospitals. These data allow the
public to compare hospitals that - anshave a higher percentage of hospital-acquired
infections.
Which of the following electronic resources should a nurse use to obtain clinical practice
guidelines and interventions to reduce the risk of negative client outcomes while in a
hospital? - ansAgency for Healthcare Research and Quality (AHRQ)
Which of the following illustrates the integration of informatics into a health care system
to support cost containment? - ansInstalling bar codes on medications with alerts for low
supplies
Which of the following illustrates the use of technology to improve communication with a
client who is cognitively impaired? - ansUse an electronic drawing screen allowing the
client to create pictures during an assessment.
Which of the following legislative acts stipulate that clients be allowed to see and make
corrections to their health care records? - ansb. Health Information Porability and
Accountability Act (HIPPA)
,Which of the following uses of technology would constitute a violation of HIPAA? -
ansTexting a picture of a client's wound from one nurse to another related to wound
care protocol
A charge nurse is leading a staff education session about caring for a client who has
hypocalcemia.
Which of the following statements by a staff nurse indicates the need for further
teaching?
1. "I should monitor for hand spasms during blood pressure cuff inflation."
2. "Clients who have a vitamin D deficiency are at risk for hypocalcemia."
3. "Clients who have hypocalcemia are at risk for pathologic fractures."
4. "I should implement seizure precautions for a client who has hypocalcemia." - ans3.
"Clients who have hypocalcemia are at risk for pathologic fractures."
A client demonstrates anger when the nurse does not respond within 5 min of ringing for
the nurse. Which of the following is an appropriate response by the nurse?
1. "I'm sorry, but another client needed my attention."
2. "I arrived as soon as I could. What can I do for you?"
3. "It must be frustrating. I have a few minutes now."
4. "We had an emergency on the unit, but now I'm here." - ans3. "It must be frustrating. I
have a few minutes now."
**therapeutic by acknowledging client's feelings**
A client has an admission blood glucose reading of 260 mg/dL and no documented
history of diabetes mellitus. While the nurse reviews the client's medication history,
which of the following types of medications should alert the nurse to the possibility that
the client has developed an adverse effect of pharmacologic therapy? (Select all that
apply.)
- Diuretics
- Corticosteroids
- Oral anticoagulants
- Opioid analgesics
- Antipsychotics - ans- Diuretics
- Corticosteroids
- Antipsychotics
A client is reporting pain at the insertion site of his IV catheter. The nurse observes a
red line extending outward from the insertion site. Which of the following actions should
the nurse take first?
1. Place a warm compress over the site
2. Restart the IV line at a different site.
,3. Discontinue the infusion.
4. Document the findings. - ans3. Discontinue the infusion.
**greatest risk = further injury to the vein; first action is to discontinue**
A client is scheduled for surgery. The intraoperative nurse finds a necklace on the client
after anesthesia has been administered. Which of the following interventions should be
initiated?
1. Leave the necklace on the client.
2. Give the necklace to a family member.
3. Place the necklace in the client's chart.
4. Notify security for placement of the necklace. - ans4. Notify security for placement of
the necklace.
A client who has an indwelling catheter reports a need to urinate. Which of the following
interventions should the nurse perform?
1. Check to see whether the catheter is patent.
2. Reassure the client that it is not possible for her to urinate.
3. Recatheterize the bladder with a larger-gauge catheter.
4. Collect a urine specimen for analysis. - ans1. Check to see whether the catheter is
patent.
A client who has had a cerebrovascular accident has persistent problems with
dysphagia (difficulty
swallowing). The nurse caring for the client should initiate a referral with which of the
following members of the interprofessional care team?
1. Social worker
2. Certified nursing assistant
3. Occupational therapist
4. Speech-language pathologist - ans4. Speech-language pathologist
A client who is nonambulatory notifies the nurse to tell her that his trash can is on fire.
After confirming the fire, which of the following actions should the nurse take next?
1. Call emergency fire code.
2. Extinguish the fire.
3. Confine the fire.
4. Evacuate the client. - ans4. Evacuate the client.
**rescue client first**
A client who is postoperative following knee arthroplasty is concerned about the
adverse effects of the medication he is receiving for pain management. Which of the
, following members of the interprofessional care team may assist the client in
understanding the medication's effects? (Select all that apply.)
- Provider
- Certified nursing assistant
- Pharmacist
- Registered nurse
- Respiratory therapist - ans- Provider
- Pharmacist
- Registered nurse
A client who is postoperative is verbalizing pain as a 2 on a pain scale of 0 to 10. The
nurse understands that the preoperative teaching regarding pain control has been
effective when the client states which of the following?
1. "I think I should take my pain medication more often, since it is not controlling my
pain."
2. "Breathing faster will help me keep my mind off of the pain."
3. "It may help me to listen to music while I'm lying in bed."
4. "I don't want to walk today, because I'm experiencing some pain." - ans3. "It may help
me to listen to music while I'm lying in bed."
**nonpharmacological intervention to pain**
A goal for a client who has difficulty with self-feeding due to rheumatoid arthritis is to
use adaptive devices. The nurse caring for the client should initiate a referral with which
of the following members of the interprofessional care team?
1. Social worker
2. Certified nursing assistant
3. Registered dietitian
4. Occupational therapist - ans4. Occupational therapist
A home health nurse is discussing the dangers of carbon monoxide poisoning with a
client. Which of the following information should the nurse include in her counseling?
1. Carbon monoxide has a distinct odor.
2. Water heaters should be inspected every 5 years.
3. The lungs are damaged from carbon monoxide inhalation.
4. Carbon monoxide binds with hemoglobin in the body. - ans4. Carbon monoxide binds
with hemoglobin in the body.
A home health nurse is discussing the dangers of food poisoning with a client. Which of
the following information should the nurse including in her counseling? (Select all that
apply.)
