ANM Clinical Operations & Patient Care Coordination 2

Question 1

A nurse manager notices the unit's average length of stay (ALOS) has increased by 0.8 days over the past quarter. Which initial action is most appropriate?

Accepted Answer

Conduct a root cause analysis reviewing discharge barriers

Answer

Root cause analysis identifies the specific factors driving increased ALOS before interventions are implemented.

Question 2

During a handoff communication, the oncoming nurse discovers critical lab values were not communicated. Which improvement strategy best addresses this system failure?

Accepted Answer

Implement a standardized SBAR handoff checklist that includes pending critical results

Answer

Standardized SBAR handoff tools with embedded critical result checkpoints create a systematic safety net rather than relying on individual memory.

Question 3

An ANM is coordinating discharge planning for a patient with complex home care needs. Which team member should be involved earliest in this process?

Accepted Answer

The social worker and case manager

Answer

Social workers and case managers assess community resources, insurance coverage, and psychosocial barriers earliest to prevent discharge delays.

Question 4

A patient is classified as requiring 4.5 hours of nursing care per patient day (HPPD). The unit has 20 patients and 18 nursing hours available. What is the staffing gap?

Accepted Answer

72 hours

Answer

Required hours = 20 patients × 4.5 HPPD = 90 hours; gap = 90 − 18 = 72 hours.

Question 5

Which patient safety initiative specifically targets the prevention of hospital-acquired pressure injuries (HAPIs)?

Accepted Answer

Braden Scale assessment and turning schedules

Answer

The Braden Scale identifies pressure injury risk and guides individualized prevention including repositioning schedules and skin care.

(ANM) Assistant Nurse Manager Certification Practice Test

(ANM) Assistant Nurse Manager Certification Practice Test

ANM Clinical Operations & Patient Care Coordination 2