ATI RN
ATI Client Safety Event Quizlet Questions
Question 1 of 5
A home care nurse prepares to administer intravenous medication to a client. The nurse assesses the site and reviews the client's chart prior to administering the medication: Client: Thomas Jackson DOB: 5/3/1936 Gender: Male January 23 (Today): Right upper extremity PICC is intact, patent, and has a good blood return. Site clean and free from manifestations of infiltration, irritation, and infection. Sue Franks, RN January 20: Purulent drainage from sacral wound. Wound cleansed and dressing changed. Dr. Smith notified and updated on client status. New orders received for intravenous antibiotics. Sue Franks, RN January 13: Client alert and oriented. Sacral wound dressing changed. Sue Franks, RN January 6: Right upper extremity PICC inserted. No complications. Discharged with home health care. Dr. Smith Based on the information provided, which action should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Administer the prescribed medication. The nurse should administer the medication as the client's PICC is intact, patent, and has a good blood return, indicating it is suitable for medication administration. The client's site is also clean and free from signs of complications. Option A is incorrect as there is no indication to notify the health care provider based on the information provided. Option C is incorrect as there is no reason to discontinue the PICC line. Option D is incorrect as there is no need to switch the medication to the oral route when the IV route is appropriate.
Question 2 of 5
The hospitalized client states, 'I need to know when I'm going to be discharged. I'm so upset and worried that I'm missing work.' The nurse knows this is an example of:
Correct Answer: B
Rationale: The correct answer is B: distress; could affect the client's health status. The client's statement reflects distress, a negative form of stress that can have adverse effects on health. The client's worry about missing work indicates potential negative consequences on their health status. It is important for the nurse to address this distress to prevent further negative impacts on the client's well-being. A: Eustress refers to positive stress and does not require intervention. C: Prescribing antidepressants based solely on the client's statement is not appropriate as this does not indicate a need for medication. D: Developmental stress is not the most appropriate term for the client's situation, and suggesting talking to someone his own age may not address the root cause of the distress.
Question 3 of 5
Which patients does the nurse identify as high risk for situational stress? Select all that apply.
Correct Answer: B
Rationale: The correct answer is B, a woman recovering from a car accident, as she has experienced a traumatic event which can lead to situational stress. This patient may be dealing with physical and emotional challenges post-accident. A: An infant learning to walk is not high risk for situational stress as this is a normal developmental milestone. C: A young couple expecting their first child is not necessarily high risk for situational stress, as it can be a joyful event for many. D: A man getting married to his long-time girlfriend may experience stress, but it is not situational stress as it is a planned life event.
Question 4 of 5
A patient has an order for two puffs of an inhaler. How long should the nurse wait before administering the second puff?
Correct Answer: B
Rationale: The correct answer is B - Wait 1-5 minutes as prescribed. This is because for most inhalers, it is recommended to wait a specific amount of time between puffs to allow the medication to take effect and maximize its effectiveness. Waiting 1-5 minutes ensures proper absorption and distribution of the medication in the lungs. Administering immediately (choice A) may not allow the first puff to take full effect. Waiting 10 minutes (choice C) or 15 minutes (choice D) is too long and may not provide optimal therapeutic benefit. Therefore, waiting 1-5 minutes is the most appropriate choice.
Question 5 of 5
To facilitate palpation of thyroid gland, the nurse instructs the client to:
Correct Answer: A
Rationale: Step 1: Swallowing elevates the thyroid gland, making it easier to palpate. Step 2: Swallowing also moves the thyroid gland closer to the skin surface. Step 3: This helps the nurse accurately assess the size, shape, and texture of the thyroid gland. Step 4: Holding breath, flexing, or hyperextending the neck does not provide optimal access for palpation. Summary: Swallowing is the correct choice as it enhances visibility and accessibility for thyroid gland palpation, while the other options do not provide the same benefits.