BUNDLE FOR LEADERSHIP ATI PROCTORED EXAM 2023/ ATI LEADERSHIP PROCTORED REAL EXAM
QUESTIONS AND DETAILED ANSWERS|BRAND NEW!!
what is a care bundle? - (ANSWER)a set of evidence-based practices (generally 3-5) that, when
performed collectively and reliably, have been proven to improve patient outcomes
when are bundles used? - (ANSWER)for patients undergoing treatments with inherent risks
sepsis bundle - (ANSWER)- early diagnosis of sepsis
- monitoring VS frequently
- administering ABX within the first hour
- fluid resuscitation
ventilator bundle - (ANSWER)- elevating HOB
- daily sedation vacation
- oral care q6 with chlorhexidine
- DVT prophylaxis
- PUD prophylaxis
examples of different types of bundles - (ANSWER)- VAP
- CAUTI
- sepsis
- CVC
why do hospitals create bundles? - (ANSWER)to improve quality and reduce preventable medical errors
steps to making a care bundle - (ANSWER)1. identify a common problem or need for improvement
2. research
3. analyze research with adequate evidence
,4. develop interventions
5. consider equity
6. discuss with staff to implement
7. implement bundles
how often are bundles used? - (ANSWER)everyday in hospitals
how do hospitals monitor effectiveness of bundles? - (ANSWER)- measure compliance on the floor
- regularly reinforcing, training, and monitoring performance feedback and controlling HAIs
- charting systems are used to manage compliance by utilizing pop-ups and checklists
how does compliance with bundles affect patient care? - (ANSWER)shows improved patient outcomes,
but the actual overall effect of care bundles on patient outcomes is uncertain
what care bundle has been proven to increase patient outcomes? - (ANSWER)VAPWhich organization
requires a person to be trained to operate personal lifting equipment - (ANSWER)OSHA
Where would the usage of a RTJ Gasket be found - (ANSWER)high pressure system
All of the following are examples of internal manway hardware except - (ANSWER)Slide fastener
The fitting that makes it easy to dissemble threaded pipe is - (ANSWER)Union
What type of wrench measures how much a fastener is being tightened - (ANSWER)Torque
What is the purpose of a gasket? - (ANSWER)to create a seal between 2 stationary parts
What is the first consideration when making a gasket - (ANSWER)material compatibility
,In order to get the bundle to line up with the shell side gasket the best tool to use to lift the bundle is a -
(ANSWER)drift pin
ring gaskets may be affected by all of the following except - (ANSWER)Number of bolts
Which way should the teeth face on a hacksaw blade - (ANSWER)Away from handle
Pressure of a 1" and 10" pipe when both are 20" tall - (ANSWER)The pressure is both the same
When making a threaded connection and it stops on 2nd thread.... - (ANSWER)Stop, something is wrong
When using a sealing ring on heat exchanger, what material is used to seal off in between the floating
tube sheet and test ring? - (ANSWER)Permatex
For duct bolted together there is usually some kind of - (ANSWER)gasket
If the end of a tube sheet of an exchanger has been smashed this is caused by all of the following except
- (ANSWER)The partition plate being to short
Which of the following should be removed when pressure testing the vessel - (ANSWER)relief valve
What components are attached to the baffle on an exchanger tube bundle - (ANSWER)Tie rods
All of the following are safety hazards associated with vessel confined space except - (ANSWER)improper
inspection
Valves used to relieve pressure in a pipeline - (ANSWER)safety valve
What tool can be used to generate force making tightening or loosening easier - (ANSWER)impact
, Washers are used to prevent fasteners from marrying? - (ANSWER)surface
Title blocks are found where - (ANSWER)Bottom right corner
The following threaded fitting requires a thread lubricant except - (ANSWER)rubber
Taps are used to cut what type of threads? - (ANSWER)internal threads
chain hoist are primarily used for what type of lifting - (ANSWER)vertical lifting
Oxyfuel torch what valve must be turned off first - (ANSWER)Acetylene
What does SWL stand for? - (ANSWER)Safe Working Load
On a variable can (spring can) support, when are the load straps removed - (ANSWER)Just prior to
energizing the system
When rigging a valve the spring should be placed around the - (ANSWER)body
Minimum required oxygen and fuel gas storage separation when not in use and stored in open areas -
(ANSWER)20'
When tightening up a manway or tower that has 1 1/4" x 8" stud bolts, what size wrench should you use
- (ANSWER)2"
What should a worker do before removing flange bolts on the exchanger channel head - (ANSWER)verify
blinds are in, bleeders are open, and loto is complete
What does NPT stand for? - (ANSWER)National Pipe Thread
QUESTIONS AND DETAILED ANSWERS|BRAND NEW!!
what is a care bundle? - (ANSWER)a set of evidence-based practices (generally 3-5) that, when
performed collectively and reliably, have been proven to improve patient outcomes
when are bundles used? - (ANSWER)for patients undergoing treatments with inherent risks
sepsis bundle - (ANSWER)- early diagnosis of sepsis
- monitoring VS frequently
- administering ABX within the first hour
- fluid resuscitation
ventilator bundle - (ANSWER)- elevating HOB
- daily sedation vacation
- oral care q6 with chlorhexidine
- DVT prophylaxis
- PUD prophylaxis
examples of different types of bundles - (ANSWER)- VAP
- CAUTI
- sepsis
- CVC
why do hospitals create bundles? - (ANSWER)to improve quality and reduce preventable medical errors
steps to making a care bundle - (ANSWER)1. identify a common problem or need for improvement
2. research
3. analyze research with adequate evidence
,4. develop interventions
5. consider equity
6. discuss with staff to implement
7. implement bundles
how often are bundles used? - (ANSWER)everyday in hospitals
how do hospitals monitor effectiveness of bundles? - (ANSWER)- measure compliance on the floor
- regularly reinforcing, training, and monitoring performance feedback and controlling HAIs
- charting systems are used to manage compliance by utilizing pop-ups and checklists
how does compliance with bundles affect patient care? - (ANSWER)shows improved patient outcomes,
but the actual overall effect of care bundles on patient outcomes is uncertain
what care bundle has been proven to increase patient outcomes? - (ANSWER)VAPWhich organization
requires a person to be trained to operate personal lifting equipment - (ANSWER)OSHA
Where would the usage of a RTJ Gasket be found - (ANSWER)high pressure system
All of the following are examples of internal manway hardware except - (ANSWER)Slide fastener
The fitting that makes it easy to dissemble threaded pipe is - (ANSWER)Union
What type of wrench measures how much a fastener is being tightened - (ANSWER)Torque
What is the purpose of a gasket? - (ANSWER)to create a seal between 2 stationary parts
What is the first consideration when making a gasket - (ANSWER)material compatibility
,In order to get the bundle to line up with the shell side gasket the best tool to use to lift the bundle is a -
(ANSWER)drift pin
ring gaskets may be affected by all of the following except - (ANSWER)Number of bolts
Which way should the teeth face on a hacksaw blade - (ANSWER)Away from handle
Pressure of a 1" and 10" pipe when both are 20" tall - (ANSWER)The pressure is both the same
When making a threaded connection and it stops on 2nd thread.... - (ANSWER)Stop, something is wrong
When using a sealing ring on heat exchanger, what material is used to seal off in between the floating
tube sheet and test ring? - (ANSWER)Permatex
For duct bolted together there is usually some kind of - (ANSWER)gasket
If the end of a tube sheet of an exchanger has been smashed this is caused by all of the following except
- (ANSWER)The partition plate being to short
Which of the following should be removed when pressure testing the vessel - (ANSWER)relief valve
What components are attached to the baffle on an exchanger tube bundle - (ANSWER)Tie rods
All of the following are safety hazards associated with vessel confined space except - (ANSWER)improper
inspection
Valves used to relieve pressure in a pipeline - (ANSWER)safety valve
What tool can be used to generate force making tightening or loosening easier - (ANSWER)impact
, Washers are used to prevent fasteners from marrying? - (ANSWER)surface
Title blocks are found where - (ANSWER)Bottom right corner
The following threaded fitting requires a thread lubricant except - (ANSWER)rubber
Taps are used to cut what type of threads? - (ANSWER)internal threads
chain hoist are primarily used for what type of lifting - (ANSWER)vertical lifting
Oxyfuel torch what valve must be turned off first - (ANSWER)Acetylene
What does SWL stand for? - (ANSWER)Safe Working Load
On a variable can (spring can) support, when are the load straps removed - (ANSWER)Just prior to
energizing the system
When rigging a valve the spring should be placed around the - (ANSWER)body
Minimum required oxygen and fuel gas storage separation when not in use and stored in open areas -
(ANSWER)20'
When tightening up a manway or tower that has 1 1/4" x 8" stud bolts, what size wrench should you use
- (ANSWER)2"
What should a worker do before removing flange bolts on the exchanger channel head - (ANSWER)verify
blinds are in, bleeders are open, and loto is complete
What does NPT stand for? - (ANSWER)National Pipe Thread
