ATI RN
Client Safety Nursing Questions
Question 1 of 5
An aging client diagnosed with chronic schizophrenia takes an antipsychotic and a beta-adrenergic blocking agent (propranolol) for hypertension. Understanding the combined side effects of these drugs, which statement by a nurse is most appropriate?
Correct Answer: C
Rationale: The correct answer is C: "Rise slowly when you change position from lying to sitting or sitting to standing." Rationale: 1. Antipsychotics and beta-blockers can both cause orthostatic hypotension, a drop in blood pressure when changing positions. 2. The combination of these medications increases the risk of orthostatic hypotension. 3. Instructing the client to rise slowly helps prevent dizziness, lightheadedness, or potential falls associated with orthostatic hypotension. Summary: A: Slow breathing techniques are not directly related to the side effects of these medications. B: While diet and exercise are important, they do not address the specific side effects of antipsychotics and beta-blockers. D: Sunscreen and sun exposure are not relevant to the side effects of these medications.
Question 2 of 5
The patient is dying of cancer and can no longer swallow. The son states to the nurse, 'You must give dad some water, he always drank a lot of water!' The nurse's best response is:
Correct Answer: A
Rationale: The correct answer is A because it demonstrates therapeutic communication by expressing empathy and encouraging the son to share his feelings. By acknowledging his emotions, the nurse can establish trust and build a rapport with the son, which is crucial in this sensitive situation. Option B is incorrect as it focuses on medical facts rather than addressing the emotional needs of the son. Option C is incorrect as it lacks empathy and may come off as dismissive. Option D is incorrect as it jumps to a solution without addressing the son's emotional state. In summary, option A is the best response as it prioritizes the son's emotional needs and allows for effective communication.
Question 3 of 5
The nurse understands that the transdermal route is:
Correct Answer: B
Rationale: The correct answer is B: absorbed through the skin. Transdermal medications are applied to the skin and absorbed into the bloodstream. This route bypasses the digestive system and first-pass metabolism, providing a consistent drug level. Choices A, C, and D are incorrect as they describe different routes of drug administration that are not associated with the transdermal route.
Question 4 of 5
When chronic illnesses and disabilities are present, individuals benefit most from activities that:
Correct Answer: D
Rationale: The correct answer is D: help them maintain independence. Maintaining independence is crucial for individuals with chronic illnesses and disabilities to enhance their quality of life. It allows them to have a sense of control, self-reliance, and dignity. Independence also promotes physical and mental well-being by fostering self-esteem and reducing feelings of helplessness. Choices A, B, and C are important aspects as well, but independence is the foundation that enables individuals to engage in activities related to eating well, achieving financial stability, and preserving social interactions.
Question 5 of 5
The nurse takes vital signs (VS) of a new hospital client admitted for severe abdominal pain. Which step of the nursing process is this nurse performing?
Correct Answer: A
Rationale: The correct answer is A: Assessment. In this scenario, the nurse is collecting objective data (vital signs) and subjective information from the client to identify health issues. Assessment is the first step in the nursing process, focusing on gathering and analyzing data to make informed decisions. Planning (B) involves setting goals and interventions based on assessment findings. Implementation (C) is executing the planned interventions. Evaluation (D) is assessing the client's response to interventions. In this case, the nurse is in the initial phase of data collection, making assessment the correct answer.