ATI RN
Essentials of Nursing Client Safety Questions
Question 1 of 5
All these are Pre-existing conditions(latent factors) for adverse events associated with surgical care except:
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
Which of the following materials is appropriate to be used for autoclavable packaging?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
A nurse responds to an IV pump alarm related to increased pressure. Which action should the nurse take first?
Correct Answer: A
Rationale: The correct action is to check for kinking of the catheter first. This is because increased pressure in the IV pump alarm could indicate a blockage, likely caused by a kink in the catheter. By checking for kinking, the nurse can quickly identify and resolve the issue, restoring proper flow and preventing complications. Flushing the catheter with a thrombolytic enzyme (B) is unnecessary and could be harmful without knowing the exact cause. Getting a new infusion pump (C) is premature as the issue may lie with the catheter itself. Removing the IV catheter (D) should be a last resort after troubleshooting other potential causes.
Question 4 of 5
During an admission assessment, a nurse asks a client diagnosed with schizophrenia, "Have you ever felt that certain objects or persons have control over your behavior?" The nurse is assessing for which type of thought disruption?
Correct Answer: B
Rationale: The correct answer is B: Delusions of influence. This type of delusion involves the belief that external forces are controlling one's thoughts or actions. In this scenario, the nurse is specifically asking about the client's perception of objects or persons having control over their behavior, which aligns with delusions of influence. A: Delusions of persecution involve the belief that one is being targeted or harmed by others. C: Delusions of reference involve the belief that neutral events or objects have personal significance. D: Delusions of grandeur involve an exaggerated sense of importance or power. In summary, the nurse's question is assessing for delusions of influence because it directly pertains to the client's belief about external control over their behavior, distinguishing it from the other types of delusions mentioned.
Question 5 of 5
A client diagnosed with schizophrenia is prescribed clozapine (Clozaril). Which client symptoms related to the side effects of this medication should prompt a nurse to intervene immediately?
Correct Answer: A
Rationale: The correct answer is A: sore throat. Clozapine can cause agranulocytosis, a potentially life-threatening side effect characterized by a low white blood cell count. A sore throat may indicate infection due to decreased white blood cells, necessitating immediate intervention to prevent serious complications. Incorrect options: B: Fever - While fever can indicate infection, a sore throat is a more specific symptom of agranulocytosis related to clozapine. C: Malaise - Generalized discomfort is nonspecific and does not directly correlate with the serious side effect of agranulocytosis. D: Akathisia and hypersalivation - These side effects are common with antipsychotic medications, including clozapine, but they are not indicative of the life-threatening condition of agranulocytosis.