Question

Question 1

2 / 2 pts

What is the major virus involved in the development of cervical cancer?

Herpes simplex virus type 6

Herpes simplex virus type 2

Human papillomavirus

Human immunodeficiency virus

Question 2

2 / 2 pts

Which statement accurately describes childhood asthma?

An obstructive airway disease characterized by reversible airflow obstruction, bronchial hyperreactivity, and inflammation

A pulmonary disease characterized by severe hypoxemia, decreased pulmonary compliance, and diffuse densities on chest x-ray imaging

A pulmonary disorder involving an abnormal expression of a protein, producing viscous mucus that lines the airways, pancreas, sweat ducts, and vas deferens

An obstructive airway disease characterized by atelectasis and increased pulmonary resistance as a result of a surfactant deficiency. Defense mechanism propels a mucous blanket that entraps particles moving toward the oropharynx

Question 3

0 / 2 pts

The ability of the pathogen to invade and multiply in the host is referred to as:

Infectivity

Toxigenicity

Pathogenicity

Virulence

Question 4

2 / 2 pts

Obesity creates a greater risk for dehydration in people because:

Adipose cells contain little water because fat is water repelling. 

The metabolic rate of obese adults is slower than the rate of lean adults.

The rate of urine output of obese adults is higher than the rate of output of lean adults.

The thirst receptors of the hypothalamus do not function effectively.

Question 5

2 / 2 pts

Continued therapy of pernicious anemia (PA) generally lasts how long?

6 to 8 weeks

8 to 12 months

Until the iron level is normal

The rest of one’s life

Question 6

2 / 2 pts

Which statement best describes cystic fibrosis?

Obstructive airway disease characterized by reversible airflow obstruction, bronchial hyperreactivity, and inflammation

Respiratory disease characterized by severe hypoxemia, decreased pulmonary compliance, and diffuse densities on chest x-ray imaging

Pulmonary disorder involving an abnormal expression of a protein-producing viscous mucus that obstructs the airways, pancreas, sweat ducts, and vas deferens

Pulmonary disorder characterized by atelectasis and increased pulmonary resistance as a result of a surfactant deficiency

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Question 7

2 / 2 pts

What pulmonary defense mechanism propels a mucous blanket that entraps particles moving toward the oropharynx?

Nasal turbinates

Alveolar macrophages

Cilia

Irritant receptors on the nares

Question 8

2 / 2 pts

As stated in the Frank-Starling law, a direct relationship exists between the _____ of the blood in the heart at the end of diastole and the _____ of contraction during the next systole. Defense mechanism propels a mucous blanket that entraps particles moving toward the oropharynx

Pressure; force

Volume; strength

Viscosity; force

Viscosity; strength

Question 9

2 / 2 pts

The tonic neck reflex observed in a newborn should no longer be obtainable by:

2 years

1 year

10 months

5 months

Question 10

2 / 2 pts

Carcinoma refers to abnormal cell proliferation originating from which tissue origin?

Blood vessels

Epithelial cells

Connective tissue

Glandular tissue

Question 11

2 / 2 pts

Which of the following describes how the body compensates for anemia?

Increasing rate and depth of breathing

Decreasing capillary vasoconstriction

Hemoglobin holding more firmly onto oxygen

Kidneys releasing more erythropoietin

Question 12

2 / 2 pts

What term is used to describe a hernial protrusion of a saclike cyst that contains meninges, spinal fluid, and a portion of the spinal cord through a defect in a posterior arch of a vertebra?

Encephalocele

Meningocele

Spina bifida occulta

Myelomeningocele

Question 13

2 / 2 pts

Chvostek and Trousseau signs indicate which electrolyte imbalance?

Hypokalemia

Hyperkalemia

Hypocalcemia

Hypercalcemia

Question 14

2 / 2 pts

After sexual transmission of HIV, a person can be infected yet seronegative for how many months?

1 to 2

6 to 14

18 to 20

24 to 36

Question 15

2 / 2 pts

Which hormone prompts increased anxiety, vigilance, and arousal during a stress response?

Norepinephrine

Epinephrine

Cortisol

Adrenocorticotropic hormone (ACTH)

Question 16

2 / 2 pts

Which blood cells are the chief phagocytes involved in the early inflammation process?

Neutrophils

Monocytes

Eosinophils

Erythrocytes

Question 17

2 / 2 pts

Where are alveolar macrophages found?

Skin

Breasts

Gastrointestinal tract

Lungs

Question 18

2 / 2 pts

Which normal physiologic change occurs in the aging pulmonary system?

Decreased flow resistance

Fewer alveoli

Stiffening of the chest wall

Improved elastic recoil

Question 19

0 / 2 pts

An infant diagnosed with a small patent ductus arteriosus (PDA) would likely exhibit which symptom?

Intermittent murmur

Lack of symptoms

Need for surgical repair

Triad of congenital defects

Question 20

2 / 2 pts

Hemophilia B is caused by a deficiency of which clotting factor?

V

VIII

IX

X

Question 21

2 / 2 pts

A hypersensitivity reaction that produces an allergic response is called:

Hemolytic shock

Anaphylaxis

Necrotizing vasculitis

Systemic erythematosus

Question 22

2 / 2 pts

Which statement is true regarding pain and cancer?

Pain is primarily a result of pressure caused by the tumor.

Pain indicates the metastasis of a cancer.

Pain is usually the initial symptom of cancer.

Pain is generally associated with late-stage cancer.

Question 23

2 / 2 pts

What is the anomaly in which the soft bony component of the skull and much of the brain is missing?

Anencephaly

Myelodysplasia

Cranial meningocele

Hydrocephaly

Question 24

0 / 2 pts

At birth, which statement is true?

Systemic resistance and pulmonary resistance fall.

Gas exchange shifts from the placenta to the lung.

Systemic resistance falls and pulmonary resistance rises.

Systemic resistance and pulmonary resistance rise.

Question 25

2 / 2 pts

What is the most commonly reported symptom of cancer treatment? Defense mechanism propels a mucous blanket that entraps particles moving toward the oropharynx

Nausea

Fatigue

Hair loss

Weight loss

Question 26

0 / 2 pts

The common property among the three types of medications used to treat depression is that they:

Increase neurotransmitter levels within the synapse.

Increase neurotransmitter levels in the presynapse.

Decrease neurotransmitter levels in the postsynapse.

Decrease neurotransmitter levels within the synapse.

Question 27

0 / 2 pts

Prolonged high environmental temperatures that produce dehydration, decreased plasma volumes, hypotension, decreased cardiac output, and tachycardia cause which disorder of temperature regulation?

Heat cramps

Heat stroke

Malignant hyperthermia

Heat exhaustion

Question 28

2 / 2 pts

Congenital aganglionic megacolon (Hirschsprung disease) involves inadequate motility of the colon caused by neural malformation of which nervous system?

Central

Parasympathetic

Sympathetic

Somatic

Question 29

2 / 2 pts

What type of fracture occurs at a site of a preexisting bone abnormality and is a result of a force that would not normally cause a fracture?

Idiopathic

Incomplete

Pathologic

Greenstick

Question 30

0 / 2 pts

What is the leading cause of infertility in women?

Pelvic inflammatory disease

Endometriosis

Salpingitis

Polycystic ovary syndrome

Question 31

2 / 2 pts

Alterations in which part of the brain are linked to hallucinations, delusions, and thought disorders associated with schizophrenia?

Parietal lobe

Limbic system

Temporal lobe

Hypothalamus

.

Question 32

0 / 2 pts

What is the function of the mucus secreted by the Bartholin glands?

Enhancement of the motility of sperm

Lubrication of the urinary meatus and vestibule

Maintenance of an acid-base balance to discourage proliferation of pathogenic bacteria

Enhancement of the size of the penis during intercourse

Question 33

0 / 2 pts

People with gout are at high risk for which co-morbid condition?

Renal calculi

Joint trauma

Anemia

Hearing loss

Question 34

0 / 2 pts

The tear in a ligament is referred to as a:

Fracture

Strain

Disunion

Sprain

Question 35

0 / 2 pts

Regarding type 2 diabetes, obesity is considered to be what type of risk?

Genetic

Empirical

Relative

Modifiable

Question 36

0 / 2 pts

Adoption studies have shown that the offspring of an alcoholic parent when raised by nonalcoholic parents have what amount of an increased risk of developing alcoholism?

Twofold

Threefold

Fourfold

Tenfold

Question 37

2 / 2 pts

What causes the crystallization within the synovial fluid of the joint affected by gouty arthritis?

Reduced excretion of purines

Overproduction of uric acid

Increase in the glycosaminoglycan levels

Overproduction of proteoglycans

Question 38

0 / 2 pts

It is true that Guillain-Barré syndrome (GBS):

Is preceded by a viral illness.

Involves a deficit in acetylcholine.

Results in asymmetric paralysis.

Is an outcome of HIV.

Question 39

2 / 2 pts

The failure of bones to ossify, resulting in soft bones and skeletal deformity, characterizes which disorder?

Osteogenesis imperfecta

Rickets

Osteochondrosis

Legg-Calvé-Perthes disease

Question 40

2 / 2 pts

Which dietary lifestyle choice has been associated with a decreased risk for developing colon cancer?

Increased consumption of dairy produces

Increased consumption of foods containing vitamin C

Decreased consumption of foods high in fat

Decreased consumption of artificial food coloring

Question 41

2 / 2 pts

The sudden apparent arousal in which a child expresses intense fear or another strong emotion while still in a sleep state characterizes which sleep disorder?

Night terrors

Insomnia

Somnambulism

Enuresis

Question 42

2 / 2 pts

Which virus is a precursor for developing cervical intraepithelial neoplasia (CIN) and cervical cancer?

Human papillomavirus (HPV)

Epstein-Barr virus (EBV)

Herpes simplex II virus (HSV)

Cytomegalovirus (CMV)

Question 43

0 / 2 pts

What anchors articular cartilage to the underlying bone?

Sharpey fibers

Collagen fibers

Glycoproteins

Elastin fibers

Question 44

0 / 2 pts

Which gastric cells secrete hydrochloric acid and intrinsic factor?

Parietal

Chief

G

H

Question 45

2 / 2 pts

Which water-soluble vitamin is absorbed by passive diffusion?

Vitamin B6

Vitamin B1

Vitamin K

Folic acid

Question 46

2 / 2 pts

What is the first sign of puberty in girls?

Breast enlargement

Growth of pubic hair

Menstruation

Vaginal discharge

Question 47

2 / 2 pts

Pinkeye is characterized by inflammation of which structure?

Eyelids

Sebaceous glands

Meibomian glands

Conjunctiva

Question 48

2 / 2 pts

What syndrome, characterized by an absent homologous X chromosome with only a single X chromosome, exhibits features that include a short stature, widely spaced nipples, and webbed neck?

Down

Cri du chat

Turner

Klinefelter

Question 49

2 / 2 pts

A criterion for a diagnosis of generalized anxiety disorder (GAD) is a period of excessive worrying that lasts for at least how many months?

3

6

9

12

Question 50

0 / 2 pts

Obesity acts as an important risk factor for type 2 diabetes mellitus by:

Reducing the amount of insulin the pancreas produces

Increasing the resistance to insulin by cells

Obstructing the outflow of insulin from the pancreas

Stimulating the liver to increase glucose production

Question 51

0 / 2 pts

Which clinical manifestations would be expected for a child who has complete trisomy of the twenty-first chromosome?

Widely spaced nipples, reduced carrying angle at the elbow, and sparse body hair

An IQ of 25 to 70, low nasal bridge, protruding tongue, and flat, low-set ears

High-pitched voice, tall stature, gynecomastia, and an IQ of 60 to 90

Circumoral cyanosis, edema of the feet, short stature, and mental slowness

Question 52

0 / 2 pts

Where is the usual site of cervical dysplasia or cancer in situ?

Squamous epithelium of the cervix meets the cuboidal epithelium of the vagina.

Columnar epithelium of the cervix meets the squamous epithelium of the uterus.

Squamous epithelium of the cervix meets the columnar epithelium of the uterus.

Columnar epithelium of the cervix meets the squamous epithelium of the vagina.

Question 53

0 / 2 pts

How can glaucoma cause blindness?

Infection of the cornea

Pressure on the optic nerve

Opacity of the lens

Obstruction of the venous return from the retina

Question 54

0 / 2 pts

Parkinson disease is a degenerative disorder of the brain’s:

Hypothalamus

Anterior pituitary

Frontal lobe

Basal ganglia

Question 55

0 / 2 pts

Which pain theory proposes that a balance of impulses conducted from the spinal cord to the higher centers in the central nervous system (CNS) modulates the transmission of pain?

GCT

Pattern theory

Specificity theory

Neuromatrix theory

Question 56

0 / 2 pts

Where is oxytocin synthesized?

Hypothalamus

Paraventricular nuclei

Anterior pituitary

Posterior pituitary

Question 57

0 / 2 pts

An insufficient dietary intake of which vitamin can lead to rickets in children? Defense mechanism propels a mucous blanket that entraps particles moving toward the oropharynx

C

B12

B6

D

Question 58

2 / 2 pts

What term is used to identify the condition that exists when the urethral meatus is located on the undersurface of the penis?

Hypospadias

Epispadias

Hyperspadias

Chordee

Question 59

2 / 2 pts

The most critical aspect in ly diagnosing a seizure disorder and establishing its cause is:

Computed tomographic (CT) scan

Cerebrospinal fluid analysis

Skull x-ray studies

Health history

Question 60

0 / 2 pts

Transcription is best defined as a process by which:

DNA polymerase binds to the promoter site on ribonucleic acid (RNA).

RNA directs the synthesis of polypeptides for protein synthesis.

RNA is synthesized from a DNA template.

A base pair substitution results in a mutation of the amino acid sequence.

Question 61

0 / 2 pts

Which person is at the greatest risk for developing delirium?

An individual with diabetes celebrating a 70th birthday

A depressed Hispanic woman

An individual on the second day after hip replacement

A man diagnosed with schizophrenia

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Question 62

2 / 2 pts

Which hormone is linked to an increase in appetite during puberty?

Inhibin

Leptin

Activin

Follistatin

Question 63

0 / 2 pts

Which type of diarrhea results from lactose intolerance?

Secretory

Motility

Osmotic

Small volume

Question 64

2 / 2 pts

An amniocentesis is recommended for pregnant women who:

Have a history of chronic illness

Have a family history of genetic disorders

Have experienced in vitro fertilization

Had a late menarche

Question 65

2 / 2 pts

Which characteristic is true of type II (white fast-motor) muscle fibers?

Slow contraction speed

Fast conduction velocities

Profuse capillary supply

Oxidative metabolism

Question 66

2 / 2 pts

The mucosal secretions of the cervix secrete which immunoglobulin?

IgA

IgE

IgG

IgM

Question 67

2 / 2 pts

Dilation of the ipsilateral pupil, following uncal herniation, is the result of pressure on which cranial nerve (CN)?

Optic (CN I)

Abducens (CN VI)

Oculomotor (CN III)

Trochlear (CN IV)

Question 68

0 / 2 pts

Which of the following is a lipid-soluble hormone?

Cortisol

Oxytocin

Epinephrine

Growth hormone

Question 69

2 / 2 pts

What is the first indication of nephrotic syndrome in children?

Periorbital edema

Scrotal or labial edema

Frothy urine

Ascites

Question 70

2 / 2 pts

The BRCA1 and BRCA2 mutations increase the risk of which cancer in women?

Ovarian

Lung

Uterine

Pancreatic

Question 71

0 / 2 pts

The data reporting that sickle cell disease affects approximately 1 in 600 American blacks is an example of which concept?

Incidence

Prevalence

Ratio

Risk

Question 72

2 / 2 pts

When a woman’s uterus is assessed as protruding through the entrance of the vagina to the hymen, which grade of prolapse does this indicate?

0

1

2

3

Question 73

2 / 2 pts

What is the term that denotes the duration of time or the intensity of pain that a person will endure before outwardly responding?

Tolerance

Perception

Threshold

Dominance

Question 74

2 / 2 pts

Clinical manifestations that include irregular or heavy bleeding, the passage of large clots, and the depletion of iron stores support which diagnosis?

Premenstrual syndrome

Dysfunctional uterine bleeding

Polycystic ovary syndrome

Primary dysmenorrhea

Question 75

0 / 2 pts

What term describes the loss of the comprehension or production of language?

Agnosia

Aphasia

Akinesia

Dysphasia

  Security of Health Care Records

With the increase of health information technology used to store and access patient information, the likelihood of security breaches has also risen. In fact, according to the Canadian Medical Association Journal (CMAJ):

In the United States, there was a whopping 97% increase in the number of health records breached from 2010 to 2011… The number of patient records accessed in each breach has also increased substantially, from 26,968 (in 2010) to 49,394 (in 2011). Since August 2009, when the US government regulated that any breach affecting more than 500 patients be publicly disclosed, a total of 385 breaches, involving more than 19 million records, have been reported to the Department of Health and Human Services. 

A large portion of those breaches, 39%, occurred because of a lost, stolen, or otherwise compromised portable electronic device—a problem that will likely only get worse as iPads, smartphones, and other gadgets become more common in hospitals. (CMAJ, 2012, p. E215).  Transforming Nursing And Healthcare Through Technology

Consider your own experiences. Does your organization use portable electronic devices? What safeguards are in place to ensure the security of data and patient information? For this Discussion you consider ethical and security issues surrounding the protection of digital health information.

To prepare

· Review the Learning Resources dealing with the security of digital health care information. Reflect on your own organization or one with which you are familiar, and think about how health information stored electronically is protected.

· Consider the nurse’s responsibility to ensure the protection of patient information. What strategies can you use?

· Reflect on ethical issues that are likely to arise with the increased access to newer, smaller, and more powerful technology tools.

· Consider strategies that can be implemented to ensure that the use of HIT contributes to an overall culture of safety.

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Required Readings

McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning. 

• Chapter 5, “Ethical Applications of Informatics”

This chapter examines the ethical dilemmas that arise in nursing informatics. The authors explore the responsibilities for the ethical use of health information technology.

• Review Chapter 23 “Research: Data Collection,      Processing, and Analytics” (pp. 415–416)

In this section, the author explains information fair use and copyright restrictions. The section describes processes for ensuring the security of a computer network.

Brown, B. (2009a). Improving the privacy and security of personal health records. 

Journal of Health Care Compliance, 11(2), 39–40, 68.

The author of this article examines the use of the document titled “Nationwide Privacy and Security Framework for Electronic Exchange of Individually Identified Health Information.” The article describes how the framework aims to construct an approach to address the privacy and security challenges that come with health information exchanges and personal health records.

Dimitropoulos, L., Patel, V., Scheffler, S. A., & Posnack, S. (2011). Public attitudes toward health information exchange: Perceived benefits and concerns. Transforming Nursing And Healthcare Through Technology

American Journal of Managed Care, 17, SP111–SP116.

This article describes a study that sought to determine the attitude of consumers toward electronic health information exchanges (HIE), HIE privacy and security concerns, and the relationship between these concerns and the perceived benefits of HIE. The authors recommend solutions to some of the privacy challenges stimulated by HIE. 

Goodman, K. W. (2010). Ethics, information technology, and public health: New challenges for the clinician-patient relationship. Journal of Law, Medicine & Ethics, 38(1), 58–63. 

In this article, the authors focus on how nurses can use health information technology to help transform health care using the recommendations included in the 2010 Institute of Medicine report “The Future of Nursing, Leading Change, Advancing Health.” The author also discusses the 2011 National Strategy for Quality Improvement in Health Care.

Hoffman, S., & Podgurski, A. (2011). Meaningful use and certification of health information technology: What about safety? Journal of Law, Medicine & Ethics, 39(3), 425–436. 

This article stresses the necessity of sufficient safeguards for EHR systems. The author explores current safety regulations for EHR system design and deployment. The author makes additional recommendations for protecting public health in the digital area.

Rothstein, M. A. (2010). The Hippocratic bargain and health information technology. Journal of Law, Medicine & Ethics, 38(1), 7–13. 

The increasing availability of sensitive patient information granted by electronic health records has generated significant debate about patient privacy. This article examines the potential ethical and legal consequences of patient-directed sequestering of sensitive health information.

Optional Resources

Brown, B. (2009b). Privacy provisions of the American Recovery and Reinvestment Act. Journal of Health Care Compliance, 11(3), 37–38, 72–73. 

Retrieved from the Walden Library databases. Transforming Nursing And Healthcare Through Technology

 Paper must be written in APA, original, correct in-text citation and good English. Please pay keen attention to the questions asked. Answer all question asked sensibly. 

For this assignment, write a 1,000-1,250 word paper in which you

1. Select a clinically based patient problem in which using a database management approach provides clear benefit potential. Incorporation of Database and Health Care Provider 

2. Consider how a hypothetical database could be created to assist with this clinically based patient problem. Identify and describe the data needed to manage this patient problem using information from the electronic health record (EHR).

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3. Include a brief description of the patient problem that incorporates information needed to manage the specific problem. Describe what information is required for the patient to manage the condition and how the database and health care provider can be incorporated into the approach for better health outcomes.

4. Describe each entity (data or attribute) that will be pulled from the EHR as either structured or unstructured and provide an operational definition for each. Structured data is more easily searchable and specifically defined. For example, structured data can be placed in a drop-down menu like hair color: brown, black, grey, salt and pepper, blonde, platinum, etc. Unstructured data is data that would be included in a nurse’s notes. An operational definition is how a researcher or informatics specialist decides to measure a variable. For example, when the nurses enter height into the EHR, do they enter height as measured in inches or centimeters or in feet and inches? Incorporation of Database and Health Care Provider 

5. Provide a complete description of data entities (the objects for which you seek information, i.e., patients) and their relationships to the attributes collected for each entity (data collected for each entity, i.e., gender, birthdate, first name, last name, etc.) that apply to the hypothetical database. You can use a concept map similar to the “Database Concept Map” resource, to help you describe the relationships between each entity and its attributes. Incorporation of Database and Health Care Provider 

Assignment: Looking Ahead: Application Assignment Net Revenue and Budgeting  

No one can predict the future, but accountants and financial managers must try and do exactly that!  By examining net revenue, costs, and cash flow, you can get a clearer picture of what to expect in your organization’s (or one with which you are familiar) fiscal future. Using these metrics to look forward will enable you to more effectively plan budgets that accomplish organizational goals.  When developing a budget, what variables do you have to take into account? In health care organizations, two of the largest groups of factors that you must consider are first, volume, and second, staffing and supply. The number of patients and tests performed each day, as well as employees and their pay rates are all crucial pieces of information when determining a budget.  In this Assignment, you address five scenarios: net revenue, fixed and variable costs, cash flow, volume budget, and staffing and supplies budget.   Note: For those Assignments in this course that require you to perform calculations you must:  •Use the Excel spreadsheet template for the Week 5 assignment. 

•Show all your calculations and formulas in the spreadsheet. •Answer any questions included with the problems (as text in the Excel spreadsheet).   A title and reference page are NOT needed in this assignment.  Put your name and assignment at the top of the Excel spreadsheet.  For those not comfortable with the use of Microsoft Excel, this week’s Optional Resources suggest several tutorials.  To prepare: •Review the information in this week’s Learning Resources regarding net revenue, fixed and variable costs, and cash flow, and how they are used in financial decision making.  •Review the budgeting information in Week 5 Learning Resources dealing with volume, staffing, and supplies budget Application Assignment Net Revenue And Budgeting

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Note: All the scenarios will be submitted as one document.  Each scenario will be on a different tab in the spreadsheet.  Scenario 1: Net Revenue Scenario  Your clinic provides four kinds of services: •Comprehensive initial medical consultation is priced at $250 •Established patient limited visit is priced at $75 •Established patient intermediate visit is priced at $125 •Established patient comprehensive visit is priced at $250  Question: The profile of your patients is such that the average collection rate is 75%. Assuming you have 100 visits of each type each month, what amount of new revenue will you generate in the next 12 months?  Scenario 2: Fixed/Variable Cost Scenario  You have performed a cost analysis of your health care organization and have determined the following: based on the latest three years of information, your annual cost of operations is $1,600,000 with annual volume of 10,000 procedures. You have determined that certain of your supply items are fixed in nature (those marked with an F) while others are variable (marked with a V).  Question: An insurance company that is considering directing its 1,000 units per year of procedure business to your organization has approached you. For the last three years, you have been charging a price of $165 per procedure (with a 100% collection rate). Your board has mandated that you make $5 of profit from each of the procedures. You obviously want the highest possible price, but as you enter the negotiations, what is the lowest possible price you would be willing to accept from this payer?  Hint: Calculate the variable cost.  Scenario 3: Cash Flow Scenario  Your new business venture will begin operation on July 1, 20X2. You will hire staff effective January 1, 20X2 with a cost of $40,000 per month. You know from experience that collections lag billing by 3 months (in other words, once you bill for a service, you must wait 90 days for the payment to be received.) Your business volume is projected to be as follows:   Question: If you have $380,000 of cash on hand on January 1, 20X2, how much cash will you have at the end of June 20X3?  Assume a 100% collection rate.  Scenario 4: Volume Budget Scenario  You manage lab services in a large hospital. You have the following data on both the hospital’s budgeted patient days and visits for budget year 20XX along with the ratio of lab tests to patient days or visits.  Question: Based on this raw data provided , how many lab tests would you anticipate for the coming budget year? If each test is priced at $20.00, how much gross revenue would you budget? Assuming each full-time lab technician (FTE) can perform 200,000 tests each year, how many full-time lab technicians would you plan for?  Example on Template: 2 North Bldg calculated.  You will need to complete 2 South Bldg, ICU and OPD  Scenario 5: Staffing and Supply Budget Scenario  Calculate the supplies budget necessary to operate your unit for the fiscal year beginning January 1, 20X8. It is your expectation that you will perform 24,820 procedures in the budget year. The following spending data is available for the period January 1 to March 31, 20X7 during which time procedure volume amounted to 3,240. Items marked (F) are considered fixed, those marked (V) are considered variable. Inflation is planned at 4%.  In reviewing performance to date, you note that in January, you purchased $150,000 of D5W fluid replacement charged to IV solutions, which represents an entire year’s supply. In addition, you returned $2,800 of office supplies for credit from the vendor in Febuary. These supplies were purchased in a previous fiscal year.  You also need to prepare the salary budget for the same fiscal year. You have determined that staff needs are for 6.5 FTEs.  A pay raise will be given to all staff on October 1st of each year at a rate of 8 percent. In making your calculations, always round to the nearest whole dollar for annual salary amounts, but keep pennies in the hourly pay rates. New staff begins the new fiscal year at $16.00 per hour. Application Assignment Net Revenue And Budgeting

 Be sure and include all of your calculations

Required Readings  Baker, J. J., Baker, R. W., & Dworkin, N. R.  (2018). Health care finance: Basic  tools for nonfinancial managers (5th ed.). Burlington, MA: Jones and  Bartlett Learning.  •Chapter 7, “Cost Classifications” (pp. 55-61)    In this chapter, you focus on the difference between direct and indirect costs and why it is crucial for financial managers to understand the difference.     •Chapter 8, “Cost Behavior and Break-Even Analysis” (pp. 65-78)    This chapter continues the discussion on costs. It describes the differences between fixed, variable, and semivariable costs. It demonstrates how to compute the cost-volume-profit (CVP) ratio and the profit-volume (PV) ratio.  Zelman, W., McCue, M., & Glick, N. (2009). Financial management of health care organizations: An introduction to fundamental tools, concepts, and applications (3rd ed.). Hoboken, NJ: Jossey-Bass.  Retrieved from the Walden Library databases.  •Chapter 3, “Principles and Practices of Health Care Accounting” (pp. 87–120)    Review: This chapter explores the accounting practices and principles of health care. The authors detail the rules for recording transactions and the process of recording and developing financial statements.     •Chapter 4, “Financial Statement Analysis” (pp. 121–186) Application Assignment Net Revenue And Budgeting