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ATI MEDSURG PROCTORED EXAM / 2O22- 2023 UPDATE 100% CORRECT(3 DIFFERENT VERSIONS ) COMPLETE AND WELL ORGANISED

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ATI MEDSURG PROCTORED EXAM / 2O22- 2023 UPDATE 100% CORRECT(3 DIFFERENT VERSIONS ) COMPLETE AND WELL ORGANISED 1.A nurse is caring for a client who has a severe burn injury. The nurse should recognize which of the following client findings as an indication of hypovolemic shock? Potassium 5.2 mEq/L 2. A nurse is teaching a client who has asthma the use of a peak flow meter. After setting the meter to the zero baseline. What is the sequence of steps the nurse should instruct the client to take? (Move the steps into the box on the right, placing them in the selected order of performance use all the steps.) "Stand upright" "Fill your lungs with a deep breath." "Seal your lips around the mouthpiece." "Exhibit forcefully and quickly." "Record the highest of three consecutive readings." 3.A nurse is caring for a client who has hypotension, cool and clammy skin, tachycardia, and tachypnea. In which of the following positions should the nurse place the client? - Feet elevated 4. A nurse is planning care for a client who has a pulmonary embolism and a prescription for enoxaparin via subcutaneous injection. Which of the following interventions should the nurse include? a. Assess the client’s stools for occult blood 5. a nurse is caring for a client who has sealed radiation implant. which of the following actions should the nurse take? limit family member visits to 30 min per day 6. a nurse providing teaching for a client who has chronic kidney disease. which of the following client statements indicates an understanding of the teaching? a. I will spread my protein allowances over the entire day 7. A nurse is caring for a client who is 2 days postoperative following abdominal surgery and has a prescription for opioid analgesia. Which of the following actions should the nurse implement to help facilitate the client's recovery? Provide analgesic medication prior to physical activities. 8. A the medical record of a client who is 1 day postoperative following an appendectomy. Which of the following should the nurse report to the provider ? Hemoglobin 10 mg/dL 9. A nurse on an acute care unit is receiving a change-of-shift report for four clients. Which of the following clients should the nurse assess first? A client who had an acute kidney injury and has a potassium level of 6.5 mEq/L 10. A nurse in a long-term care facility caring for a bedridden. Which of the following findings should alert the nurse to a complication of the client’s immobility? - blurred vision 11. A nurse is caring for a client who is 2 days postoperative following a below-the-knee amputation and asks about the purpose of maintaining an elastic bandage around the residual limb of the extremity. Which of the following is an appropriate response by the nurse? a. “The elastic bandage will keep you from seeing the surgical site.” b. “The elastic bandage will prevent a postoperative wound infection.” c. “The elastic bandage will prevent excessive edema.”*** d. “The elastic bandage will keep the sutures from loosening.” 12. A nurse is preparing to administer fresh frozen plasma to a client. Which of the following actions should the nurse take? a. Hold the transfusion if the client is actively bleeding b. Transfuse the plasma over 4 hours c. Administer the transfusion through a 25-gauge saline lock d. Administer the plasma immediately after thawing 13. A nurse caring for a client in diabetic ketoacidosis (DKA) , Which of the following is the priority intervention by the nurse a. Initiate a continuous IV insulin infusion b. Begin bicarbonate continuous IV infusion c. Check potassium levels d. Administer 0.9% sodium chloride 14. 1. A critical care nurse is assessing a client who has a severe head injury. In response to painful stimuli, the client does not open her eyes, displays decerebrate posturing, and makes incomprehensible sounds. Which of the following Glascow Coma Scale scores should the nurse assign the client? B. 5 15. 1. A nurse is providing discharge teaching to a client who has an ileostomy. Which of the following client statements indicates an understanding of the teaching? c. “I will expect my stools to be loose.”** 16. A home health nurse is teaching a client how to care for a peripherally inserted central catheter in his right arm. Which of the following statements should the nurse include in the teaching? “Use a 10-milliliter syringe when flushing the catheter.”

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Agile Safe 5.1 SPC TEST WITH 100% CORRECT ANSWERS
UPDATED2021/2022


Business Agility requires what? ---ANSWER--- Technical Agility and Business-level
commitment to Product and Value Stream thinking.
Everyone uninvolved in delivering Business solutions use Lean & Agile practices.

Seven Core Competencies of Business Agility ---ANSWER--- 1. Enterprise Solution
Delivery
2. Agile Product Delivery
3. Team & Technical Agility
4. Lean Portfolio Mgmt.
5. Organizational Agility
6. Continuous Learning Culture
7. Lean-Agile Leadership

What is Enterprise Solution Delivery? ---ANSWER--- - One of the Core Competencies of
Business Agility
- How to apply Lean-Agile principles & practices to specification, development,
deployment, operation and evolution of the world's largest & most sophisticated systems
- Coordinate & align the full supply chain
- Continue to enhance value after release

Dimensions of Enterprise Solution Delivery ---ANSWER--- 1. Lean Systems and
Solution Engineering: applies Lean-Agile practices to align and coordinate all the
activities necessary to specify, architect, design, implement, test, deploy, evolve, and
ultimately decommission these systems
2. Coordinating Trains and Suppliers: coordinates and aligns the extended, and often
complex, set of value streams to a shared business and technology mission. It uses the
coordinated Vision, Backlogs, and Roadmaps with common Program Increments (PI)
and synchronization points
3. Continually Evolve Live Systems: ensures large systems and their development
pipeline support continuous delivery

Agile Product Delivery ---ANSWER--- A customer-centric approach to defining, building,
and releasing a continuous flow of valuable products and services to customers and
users. One of the 7 Core Competencies of Biz Agility.

,Team & Technical Agility ---ANSWER--- The critical skills and Lean-Agile principles that
high-performing Agile teams (or team of teams) use to create hi-quality solns for
customers. One of the 7 Core Competencies of Biz Agility. Roles: Agile Team, SM, PO.
Teams execute w Scrum & Kanban.

Lean Portfolio Mgmt ---ANSWER--- Aligns strategy & execution by applying Lean- and
systems-thinking approaches to strategy and investment funding Agile portfolio
operations, and governance. One of the 7 Core Competencies of Biz Agility.

Organizational Agility ---ANSWER--- How Lean-thinking people and Agile Teams
optimize their business, evolve strategy with clear & decisive new commitments, and
quickly adapt ad needed to capitalize on new opportunities. One of the 7 Core
Competencies of Biz Agility.

Continuous Learning Culture ---ANSWER--- A set of values and practices that
encourage individuals, & the Enterprise as a whole, to continually increase knowledge,
competence, performance and innovation. One of the 7 Core Competencies of Biz
Agility.

Lean-Agile Leadership ---ANSWER--- How Lean-Agile Leaders drive and sustain
organizational change and operational excellence by empowering individuals & teams
to reach their highest potential. One of the 7 Core Competencies of Biz Agility.

Built-in Quality ---ANSWER--- Built-In Quality practices ensure that each Solution
element, at every increment, meets appropriate quality standards throughout
development.

Agile Manifesto ---ANSWER--- * Individuals & Interactions OVER Processes & Tools; *
Working Software OVER comprehensive documentation; * Customer Collaboration
OVER contract negotiation; Responding to Change OVER following a plan.

Continuous Delivery Pipeline (CDP) ---ANSWER--- Continuous Exploration ->
Continuous Integration -> Continuous Deployment -> Release on Demand. CE -> CI ->
CD -> RoD.

Measure & Grow ---ANSWER--- The way portfolios evaluate their progress towards Biz
Agility and determine their next steps.

SAFe Core Values ---ANSWER--- Alignment, Built-in Quality, Transparency, Program
Execution. The four Core Values represent the fundamental beliefs that are key to
SAFe's effectiveness. These guiding principles help dictate behavior and action for
everyone who participates in a SAFe portfolio.

Alignment ---ANSWER--- Constant communication, constantly check for understanding.

, Built-In Quality ---ANSWER--- Ensures that each Solution element, at every increment,
meets appropriate quality standards throughout development.

Transparency ---ANSWER--- visualize relevant work, admits mistakes, support others.

SAFe House of Lean ---ANSWER--- Illustrates the goal of delivering VALUE through the
pillars of Respect for people and culture, Flow, Innovation, and Relentless improvement.
LEADERSHIP provides the foundation on which everything else stands.

Respect for people and culture ---ANSWER--- House of Lean. Generative Culture;
People do all the work; Customer is whomever consumes your work; Build long-term
partnerships based on trust; To change the Culture, Change the Organization.

Flow ---ANSWER--- House of Lean. Optimize sustainable Value delivery; Build in
Quality; Understand, exploit & manage variability; Move from Projects to Products.

Innovation ---ANSWER--- House of Lean. Innovative people, provide time & space for
Innovation, Go see; Experimentation & Feedback; Innovation riptides; Pivot without
mercy or guilt.

Relentless improvement ---ANSWER--- House of Lean. Constant sense of danger;
Optimize the whole; problem-solving culture; Base improvements on facts; Reflect at
Key Milestones.

Value ---ANSWER--- House of Lean. Achieve the shortest sustainable lead time with
The best Quality & Value to People & Society; high Morale, Safety and Customer
Delight.

Leadership ---ANSWER--- House of Lean.Lead by example; Adopt growth mindset (why
do it this way?); Exemplify values & principles of Lean-Agile & SAFe; Develop people;
Lead the change; Foster psychological safety.

Lean-Agile Principles ---ANSWER--- SAFe is based on ten immutable, underlying Lean-
Agile principles which inspire and inform the roles and practices of SAFe: *Take an
economic view; *Apply systems thinking; *Assume variability; *Build incrementally with
fast, integrated learning cycles; *Base milestones on objective evaluation of working
systems; *Visualize & limit WIP, reduce batch sizes, manage Q lengths; *Apply
cadence, sync with x-domain planning; *Unlock intrinsic motivation of knowledge
workers; * Decentralize decision-making; *Organize around value.

Take an Economic view ---ANSWER--- Lean-Agile Prin. * Deliver Value early & often. &
incrementally; Solution economic trade-offs.: * Sequence jobs for maximum benefit; *
Do not consider Sunk Costs; * Make economic choices continuously (pivot relentlessly);
*Empower local decision making; * Quantify the Cost of Delay.

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