ATI RN
Client Safety Nursing Questions
Question 1 of 5
A patient has been hospitalized in the ICU for a near drowning event. The patient's respiratory function has been deteriorating over the last 24 hours. The physician suspects acute respiratory distress syndrome. A STAT chest x-ray is ordered. What finding on the chest x-ray is indicative of ARDS?
Correct Answer: C
Rationale: The correct answer is C: white-out infiltrates bilaterally. In acute respiratory distress syndrome (ARDS), chest x-ray typically shows diffuse bilateral infiltrates leading to a "white-out" appearance due to severe inflammation and fluid accumulation in the lungs. This finding is indicative of ARDS as it reflects the hallmark feature of widespread alveolar damage and edema. Explanation for incorrect choices: A: Infiltrates only on the upper lobes do not align with the diffuse bilateral involvement seen in ARDS. B: Enlargement of the heart with bilateral lower lobe infiltrates suggests congestive heart failure rather than ARDS. D: A normal chest x-ray would not be expected in a patient suspected of having ARDS, as there would be significant pathological changes present in the lungs.
Question 2 of 5
Following a tornado, a nurse is determining which of the clients assigned to her care can be discharged to free up beds for injured clients. Which of the following clients should the nurse recommend for discharge?
Correct Answer: A
Rationale: The correct answer is A. The young adult client with Crohn's disease preoperative for an ileostomy can be recommended for discharge as the surgery is planned and stable. - Choice B: The adolescent with a spontaneous pneumothorax may need further monitoring and care due to the severity of the condition. - Choice C: The middle adult postoperative from an open laminectomy requires close monitoring for complications and pain management. - Choice D: The older adult with diabetic ketoacidosis and a pH of 7.32 still needs treatment and monitoring for stabilization.
Question 3 of 5
A nurse suspects that a coworker is diverting opioid analgesics. Which of the following is an adverse effect of opioid medications?
Correct Answer: A
Rationale: The correct answer is A. Euphoria. Opioid medications can cause euphoria due to their effects on the brain's reward system. This can lead to misuse and addiction. Rhinorrhea (B), hallucinations (C), and dilated pupils (D) are not typical adverse effects of opioid medications. Rhinorrhea is more commonly associated with allergies or colds, hallucinations are more commonly associated with certain psychiatric disorders or drug intoxication, and dilated pupils are more commonly associated with stimulant use.
Question 4 of 5
A nurse is planning a community diabetes mellitus management program. What goal should the nurse include?
Correct Answer: B
Rationale: The correct answer is B because reducing the incidence of foot amputations is a crucial goal in managing diabetes mellitus. This goal focuses on preventing severe complications and improving quality of life for clients. Choice A is too specific and may not address the overall goal of preventing complications. Choice C does not relate directly to client outcomes. Choice D, while important for education, does not specifically address the health outcome of reducing foot amputations. Thus, B is the most appropriate goal for a community diabetes management program.
Question 5 of 5
A nurse on a medical-surgical unit is planning to delegate tasks to an adult volunteer. Which of the following tasks should the charge nurse avoid assigning to the volunteer?
Correct Answer: D
Rationale: The correct answer is D because observing a postoperative client who is confused requires specialized training and knowledge to assess the client's condition accurately. The volunteer may not have the skills to recognize and respond to signs of complications or changes in the client's condition. Choice A is appropriate as delivering meal trays is a simple task. Choice B is acceptable as assisting a client with visual impairment is within the volunteer's capabilities. Choice C is also suitable as delivering a routine urine specimen does not require specialized training. In summary, choice D is the correct answer as it involves monitoring a potentially complex medical situation beyond the volunteer's scope.