ATI COMPREHENSIVE PREDICTOR EXAM
ATI COMPREHENSIVE PREDICTOR EXAM
1. A patient has a diagnosis of pneumonia. Which entry should the nurse
chart to
... [Show More] help with financial reimbursement? Used incentive spirometer to encourage coughing and deep breathing. Lung congested upon auscultation in lower lobes bilaterally. Pulse oximetry 86%. Oxygen per nasal cannula applied at 2 L/min per
a. standing order.
Cooperative, patient coughed and deep breathed using a pillow as a
b. splint. Stated, “felt better.” Finally, patient had no complaints.
Breathing without difficulty. Sitting up in bed watching TV. Had a
c. good day.
Status unchanged. Remains stable with no abnormal findings.
d. Checked every 2 hours.
ANS: A
Accurately documenting services provided, including the supplies and equipment used in a patient’s care, clarifies the type of treatment a patient received. This documentation also supports accurate and timely reimbursement to a health care agency and/or patient. None of the other options had equipment or supplies listed. Avoid using generalized, empty phrases such as “status unchanged” or “had good day.” Do not enter personal opinions—stating that the patient is cooperative is a personal opinion and should be avoided. “Finally, patient had no complaints” is a critical comment about the patient and if charted can be used as evidence of nonprofessional behavior or poor quality of care.
2. A nurse is teaching the staff about health care reimbursement. Which
information should the nurse include in the teaching session?
Home health, long-term care, and hospital nurses’ documentation can
a. affect reimbursement for health care.
A clinical information system must be installed by 2014 to obtain
b. health care reimbursement.
c. A “near miss” helps determine reimbursement issues for health care.
d. HIPAA is the basis for establishing reimbursement for health care.
ANS: A
Nurses’ documentation practices in home health, long-term care, and hospitals can determine reimbursement for health care. A “near miss” is an incident where [Show Less]