ATI RN
Client Safety Event ATI Quizlet Questions
Question 1 of 5
A patient is admitted to a medical unit. The patient is fearful of hospitals. The nurse carefully assesses the patient to determine the exact fears and then establishes interventions designed to reduce these fears. In this setting how is the nurse practicing patient advocacy?
Correct Answer: D
Rationale: The correct answer is D because the nurse is practicing patient advocacy by actively listening to the patient's fears, understanding their perspective, and preparing to communicate this information effectively. By assessing the patient's point of view, the nurse can advocate for the patient's needs and preferences in the healthcare setting. This approach promotes patient-centered care and fosters a trusting nurse-patient relationship. Option A is incorrect as seeking out the nursing supervisor does not directly address the patient's fears. Option B is incorrect as documenting patient fears alone does not demonstrate advocacy without taking action. Option C is incorrect as working to change the hospital environment may not necessarily address the patient's specific fears and may not be within the nurse's scope of practice.
Question 2 of 5
The nurse is caring for a patient diagnosed with ARDS who is showing signs of respiratory fatigue. Which of the following findings would indicate respiratory fatigue?
Correct Answer: B
Rationale: The correct answer is B because a change in respiratory rate from rapid to slow indicates respiratory fatigue. Initially, the body compensates for ARDS by increasing respiratory rate; however, as fatigue sets in, the rate slows down. Option A is incorrect as increased use of accessory muscles is a sign of respiratory distress, not fatigue. Option C is incorrect as orthopnea with shallow breathing suggests difficulty breathing while lying down, not necessarily fatigue. Option D is incorrect as cyanosis indicates poor oxygenation, not specifically fatigue.
Question 3 of 5
To evaluate both oxygenation and ventilation in a patient with acute respiratory failure, the nurse uses the findings revealed with
Correct Answer: A
Rationale: Correct Answer: A. Arterial blood gas (ABG) analysis Rationale: 1. ABG analysis provides precise measurements of oxygenation (PaO2) and ventilation (PaCO2). 2. ABG is the gold standard for assessing respiratory function. 3. It allows for the identification of acid-base disturbances. 4. ABG provides immediate feedback for timely interventions. Summary of Other Choices: B. Hemodynamic monitoring: Primarily assesses cardiovascular function, not specific to respiratory status. C. Chest x-rays: Helpful for evaluating lung pathology but does not provide direct information on oxygenation and ventilation. D. Pulse oximetry: Measures oxygen saturation only, not ventilation status or CO2 levels.
Question 4 of 5
Which information obtained by the nurse when assessing a patient with acute respiratory distress syndrome (ARDS) who is being treated with mechanical ventilation and high levels of positive end-expiratory pressure (PEEP) indicates a complication of ventilator therapy is occurring?
Correct Answer: A
Rationale: The correct answer is A: The patient has subcutaneous emphysema. Subcutaneous emphysema is a possible complication of mechanical ventilation with high levels of PEEP in ARDS. This occurs when air escapes from the alveoli and becomes trapped under the skin. It is a sign of barotrauma, indicating that the PEEP levels may be too high for the patient. Subcutaneous emphysema can lead to serious complications such as pneumothorax, so it is crucial for the nurse to recognize and address it promptly. Explanation of other choices: B: Sinus bradycardia is not directly related to ventilator therapy complications. C: Low PaO2 and SaO2 levels are expected in ARDS and do not specifically indicate a complication of ventilator therapy. D: Bronchial breath sounds can be present in ARDS but do not specifically indicate a complication of ventilator therapy.
Question 5 of 5
Which is a proper nursing action for a patient in acute respiratory failure?
Correct Answer: B
Rationale: Correct Answer: B Rationale: 1. Chest physical therapy helps mobilize secretions in patients with excess sputum production, aiding in airway clearance. 2. In acute respiratory failure, sputum retention can worsen ventilation-perfusion mismatch and compromise gas exchange. 3. Providing chest physical therapy can improve ventilation, oxygenation, and respiratory function in these patients. Summary: A: Administering 100% oxygen to an intubated patient is important, but the resolution of the underlying pathology should guide oxygen therapy. C: CPAP is not appropriate for weak or absent respirations, as it requires the patient to have an intact respiratory effort. D: Administering packed red blood cells for maintaining hemoglobin levels is not directly related to addressing acute respiratory failure.