ATI RN
ATI Client Safety Event Quizlet Questions
Question 1 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 2 of 5
An 80-year-old client tells the nurse that he has been dizzy since starting to take an herbal remedy for arthritis in addition to prescribed medications. Which of the following effects is this client experiencing?
Correct Answer: A
Rationale: The correct answer is A: Polypharmacy. Polypharmacy refers to the concurrent use of multiple medications, which can lead to drug interactions and adverse effects, such as dizziness. In this case, the client is experiencing dizziness due to combining the herbal remedy with prescribed medications, highlighting the risks of polypharmacy. B: Sleep disorder is incorrect because dizziness is not typically a symptom of a sleep disorder. C: Cascade iatrogenesis is incorrect as it refers to a chain of events where one intervention leads to multiple adverse outcomes, which is not directly related to the client's dizziness in this scenario. D: Fluid volume overload is incorrect as it typically presents with symptoms like swelling, shortness of breath, and weight gain, rather than dizziness.
Question 3 of 5
The nurse auscultates an extra sound over the left lower lobe. The nurse should:
Correct Answer: D
Rationale: The correct answer is D: notify healthcare provider (HCP). This is the most appropriate action as hearing an extra sound could indicate a potential abnormality such as a crackle or wheeze. Notifying the HCP promptly allows for further assessment and appropriate intervention if needed. Choice A: Documenting the finding is important, but not the most immediate action when an abnormal sound is heard. Choice B: Asking the client to cough may not address the underlying cause of the extra sound and delay necessary intervention. Choice C: Reassessing in one hour could be too delayed for a potentially serious issue and may lead to worsening of the condition. Therefore, notifying the HCP is the best course of action for timely intervention and ensuring patient safety.
Question 4 of 5
The nurse is caring for a female client with diarrhea. What information does the nurse teach the client about perineal care?
Correct Answer: A
Rationale: The correct answer is A: Clean the perineal area from the front to back. This is crucial to prevent the spread of bacteria from the anal area to the vaginal area, reducing the risk of urinary tract infections. Cleaning from front to back maintains hygiene and minimizes the risk of cross-contamination. B: Wearing gloves is not necessary for routine perineal care, unless there are open wounds or the nurse is at risk of exposure to bodily fluids. C: Bathing the perineal area with mild soap and water is generally recommended, but the direction of cleaning is more important to prevent infections. D: Inserting any suppository medication prior to cleaning the perineal area is not advisable as it may lead to contamination of the medication and reduce its effectiveness.
Question 5 of 5
A patient's family member is considering having her mother placed in a nursing center. The nurse has talked with the family before and knows that this is a difficult decision. Which of the following criteria does the nurse recommend in choosing a nursing center? (Select all that apply.)
Correct Answer: B
Rationale: The correct answer is B: Adequate staffing is available on all shifts. This is crucial in ensuring the safety and well-being of the residents. Sufficient staffing levels mean that residents will receive timely care, attention, and assistance when needed, reducing the risk of adverse events. Shortages in staffing can lead to neglect, medication errors, and compromised quality of care. This criterion should be a top priority for the family member when selecting a nursing center. Incorrect options: A: The center needs to be clean, and rooms should look like a hospital room. While cleanliness is important, the appearance of a hospital room may not be the most critical factor in ensuring quality care. C: Social activities are available for all residents. While social activities are beneficial for residents' mental and emotional well-being, they are not as essential as adequate staffing for ensuring the safety and health of the residents. D: The center provides three meals daily with a set menu and serving schedule. While nutrition is important, it is not