ATI RN
ATI Client Safety Event Quizlet Questions
Question 1 of 5
A nurse teaches a client who is being discharged home with a peripherally inserted central catheter (PICC). Which statement should the nurse include in this client's teaching?
Correct Answer: A
Rationale: The correct answer is A because carrying a grandchild with the arm that has the central catheter can put excessive strain on the PICC line, leading to dislodgement or complications. It is important to protect the integrity of the line to prevent infections or other issues. Choice B is incorrect because placing the arm with the central catheter in a sling is unnecessary and could restrict blood flow or cause discomfort. Choice C is incorrect because flushing the PICC line with normal saline daily is not typically recommended unless specifically instructed by healthcare providers. Over-flushing can increase the risk of complications. Choice D is incorrect because using the arm with the central catheter for most activities of daily living can increase the risk of accidental tugging or pulling on the line, which can lead to complications.
Question 2 of 5
A client diagnosed with schizophrenia is slow to respond and appears to be listening to unseen others. Which medication should a nurse expect a physician to order to address this type of symptom?
Correct Answer: C
Rationale: The correct answer is C: Risperidone (Risperdal) to address the positive symptom of auditory hallucinations in schizophrenia. Risperidone is an atypical antipsychotic that is commonly used to treat both positive symptoms like hallucinations and negative symptoms like lack of motivation. It works by blocking dopamine receptors in the brain, helping to reduce hallucinations and delusions. A: Haloperidol (Haldol) is a typical antipsychotic that is more commonly used to address positive symptoms like hallucinations, rather than negative symptoms. It is not the best choice for addressing this specific symptom. B: Clonazepam (Klonopin) is a benzodiazepine that is used to treat anxiety and seizures, not typically used to address positive symptoms of schizophrenia like hallucinations. D: Clozapine (Clozaril) is an atypical antipsychotic that is more commonly used to address negative symptoms rather than positive symptoms like
Question 3 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 4 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 5 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.