ATI RN
ATI Client Safety Event Quizlet Questions
Question 1 of 5
For which patient would NIPPV be an appropriate intervention to promote oxygenation?
Correct Answer: D
Rationale: The correct answer is D because NIPPV is appropriate for patients with respiratory failure due to myasthenia gravis to provide ventilatory support. Myasthenia gravis is a neuromuscular disorder that can lead to respiratory muscle weakness. NIPPV can help improve ventilation and oxygenation in these patients. Choice A is incorrect because NIPPV may not be suitable for patients with unstable cardiac output and blood pressure. Choice B is incorrect as NIPPV is not typically used for respiratory failure caused by head injury with loss of consciousness. Choice C is incorrect because NIPPV may not be the first-line intervention for cystic fibrosis patients with copious secretions.
Question 2 of 5
A nurse in a long-term care facility has assigned a task to an assistive personnel (AP). The AP refuses to perform the task. Which of the following is an appropriate statement for the nurse to make?
Correct Answer: C
Rationale: The correct answer is C: 'I need to talk to you about the unit policies regarding client assignments.' This response addresses the issue directly by discussing the unit policies and the expectations for client assignments. It shows a professional approach and aims to resolve the situation through communication and clarification. Choice A is incorrect because it focuses on personal feelings rather than addressing the refusal to perform the task. Choice B is incorrect as involving the director of nursing may escalate the situation unnecessarily. Choice D is incorrect as it assumes facts not in evidence and could lead to a defensive response from the AP.
Question 3 of 5
A nurse is caring for a group of clients. The nurse demonstrates adherence to the ethical principle of fidelity by doing which of the following?
Correct Answer: A
Rationale: The correct answer is A. Keeping an appointment with a client demonstrates fidelity, which is the ethical principle of keeping promises and commitments made to clients. By honoring the appointment, the nurse shows respect for the client's time and trust in the therapeutic relationship. Choice B is incorrect because allowing a new mother to hold her stillborn infant relates more to compassion and empathy rather than fidelity. Choice C is incorrect as confirming a signed consent form is related to autonomy and informed consent, not fidelity. Choice D is incorrect as refusing to disclose information to the media pertains to confidentiality and privacy, not fidelity.
Question 4 of 5
A nurse is serving on a continuous quality improvement (CQI) committee that has been assigned to develop a program to reduce the number of medication administration errors following a sentinel event at the facility. Which of the following strategies should the committee plan to initiate first?
Correct Answer: C
Rationale: The correct answer is C: Review the events leading up to each medication administration error. This is the first step the committee should plan to initiate because it is crucial to understand the root causes of the errors. By reviewing the events, the committee can identify system failures, communication breakdowns, or other contributing factors leading to medication errors. This information is essential for developing targeted interventions to prevent future errors. Choice A (Provide an inservice on medication administration to all the nurses) is not the best initial strategy because simply providing education may not address the underlying issues that contribute to errors. Choice B (Require staff nurses to demonstrate competency by passing a medication administration examination) is important but should come after understanding the root causes of errors to ensure that the examination is effective in preventing future errors. Choice D (Develop a quality improvement program for nurses involved in medication administration errors) is a reactive approach and should be implemented after identifying the causes of errors to provide appropriate support and training for those involved.
Question 5 of 5
A nurse is caring for a client who is dying of metastatic breast cancer. She has a prescription for an opioid pain medication PRN. The nurse is concerned that administering a dose of pain medication might hasten the client's death. Which of the following ethical principles should the nurse use to support the decision not to administer the medication?
Correct Answer: B
Rationale: The correct answer is B: Nonmaleficence. Nonmaleficence is the ethical principle of doing no harm or preventing harm to the patient. In this scenario, the nurse's primary duty is to relieve the client's pain and suffering without causing harm. Administering the pain medication as prescribed would align with the principle of nonmaleficence by ensuring the client's comfort and quality of life. Choice A, Utilitarianism, focuses on the greatest good for the greatest number, which may conflict with the individual's well-being in this case. Choice C, Fidelity, pertains to maintaining trust and being loyal to the client but does not directly address the issue of harm. Choice D, Veracity, involves telling the truth, which is important but not the primary concern when deciding whether to administer pain medication in end-of-life care.