ATI RN
ATI Client Safety Event Quizlet Questions
Question 1 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
Question 2 of 5
The client who smokes two packs of cigarettes a day develops ARDS after a near-drowning. The client asks the nurse, 'What is happening to me? Why did I get this?' Which statement by the nurse is most appropriate?
Correct Answer: C
Rationale: The correct answer is C because it provides a clear and accurate explanation to the client's question. ARDS is characterized by fluid accumulation in the lungs, leading to breathing difficulties. This response directly addresses the client's concern about what is happening to their body. Choice A is incorrect as not all individuals who almost drown develop ARDS. Choice B is incorrect because it describes a mechanism of injury different from ARDS. Choice D is incorrect as smoking may increase the risk of developing ARDS but is not the direct cause in this scenario. In summary, choice C is the most appropriate response as it directly addresses the client's condition and explains the underlying cause of their breathing problems related to ARDS.
Question 3 of 5
The client with ARDS is on a ventilator, and the high alarm indicates an increase in the peak airway pressure. Which intervention should the nurse implement first?
Correct Answer: A
Rationale: The correct answer is A: Check the tubing for any kinks. This should be implemented first because an increase in peak airway pressure may indicate an obstruction in the tubing, causing inadequate ventilation. Checking for kinks ensures the client receives adequate oxygenation and ventilation. Suctioning for secretions (B) would be secondary if kinks are ruled out. Assessing the lip line of the ET tube (C) is important but not as urgent as checking for kinks. Sedating the client with a muscle relaxant (D) is not appropriate as the first intervention for high peak airway pressure.
Question 4 of 5
A patient is brought to the emergency department unconscious following a barbiturate overdose. Which potential complication will the nurse include when developing the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Hypercapnic respiratory failure related to decreased ventilatory effort. Barbiturates can depress the central nervous system, leading to decreased respiratory drive and effort, resulting in hypercapnia (elevated CO2 levels) and respiratory acidosis. This can progress to respiratory failure. The other choices are incorrect because hypoxemic respiratory failure related to diffusion limitations (B) or shunting of blood (C) are not typically associated with barbiturate overdose. Hypercapnic respiratory failure related to increased airway resistance (D) is also unlikely with barbiturate overdose, as the primary mechanism is central respiratory depression.
Question 5 of 5
All the following medications are ordered for a mechanically ventilated patient with acute respiratory distress syndrome (ARDS) and acute renal failure. Which medication should the nurse discuss with the health care provider before administration?
Correct Answer: C
Rationale: The correct answer is C: IV gentamicin (Garamycin) 60 mg. Gentamicin is a nephrotoxic medication and should be used with caution in patients with acute renal failure, as it can further impair kidney function. Before administering this medication, the nurse should discuss with the healthcare provider to evaluate the risks versus benefits and consider alternative options. A: IV ranitidine (Zantac) 50 mg IV - This medication is commonly used to reduce gastric acid secretion and is not contraindicated in a patient with ARDS and acute renal failure. B: sucralfate (Carafate) 1 g per nasogastric tube - Sucralfate is a mucosal protective agent and is not directly related to renal function. It is safe for use in patients with renal failure. D: IV methylprednisolone (Solu-Medrol) 40 mg - Methylprednisolone is a corticoster