ATI COMPREHENSIVE PREDICTOR EXAM
real exam 2023 with correct Ans
1.A patient has a diagnosis of pneumonia. Which entry should the nurse
chart to help
... [Show More] 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.
1. 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 no
property was damaged and no patient or personnel were injured, but given a slight
shift in time or position, damage or injury could have easily occurred. A clinical
information system (CIS) does not have to be installed by 2014 to obtain
reimbursement. CIS programs include monitoring systems; order entry systems;
and laboratory, radiology, and pharmacy systems. Diagnosis- related groups
(DRGs) are the basis for establishing reimbursement for patient care, not HIPAA.
Legislation to protect patient privacy regarding health information is the Health
Insurance Portability and Accountability Act (HIPAA).
2. A nurse is discussing the advantages of a nursing clinical information
system. Which advantage should the nurse describe?
a. Varied clinical databases
b. Reduced errors of omission
c. Increased hospital costs
d. More time to read charts
ANS: B
Advantages associated with the nursing information system include reduced
errors of omission; better access to information (not more time to read charts);
enhanced quality of documentation; reduced, not increased, hospital costs;
increased nurse job satisfaction; compliance with requirements of accrediting
agencies (e.g., TJC); and development of a common, not varied, clinical
database.
MULTIPLE RESPONSE
1. Which behaviors indicate the student nurse has a good understanding of
confidentiality and the Health Insurance Portability and Accountability Act
(HIPAA)? (Select all that apply.)
Writes the patient’s room number and date of birth on a paper for
a. school
Prints/copies material from the patient’s health record for a graded
b. care plan
Reviews assigned patient’s record and another unassigned patient’s
c. record
d. Gives a change-of-shift report to the oncoming nurse about the patient [Show Less]