ATI RN
Client Safety Basic Concept Template Questions
Question 1 of 5
In ARDS, initially the patient experiences respiratory alkalosis due to the increased CO2 being expelled out from the increased respiratory rate. The nurse knows that which of the following factors contributes to the later signs of respiratory acidosis?
Correct Answer: B
Rationale: The correct answer is B: Hyaline membranes form which does not allow CO2 escape, increasing the CO2 concentration in the blood. Rationale: 1. In ARDS, damage to the alveoli leads to the formation of hyaline membranes. 2. These membranes impede gas exchange, particularly the elimination of CO2. 3. As CO2 accumulates in the blood, it leads to respiratory acidosis. 4. The other choices are incorrect as they do not directly relate to the impaired elimination of CO2, which is the key factor in causing respiratory acidosis in ARDS.
Question 2 of 5
A nurse is caring for several clients. For which of the following situations should the nurse complete an incident report?
Correct Answer: C
Rationale: Step-by-step rationale for why choice C is correct: 1. Incident reports are used to document unexpected or adverse events. 2. A missing personal item, such as dentures, can impact a client's well-being. 3. It is essential to investigate and address the situation promptly. 4. Completing an incident report ensures proper documentation and follow-up. Summary of why other choices are incorrect: A. Identifying broken equipment is important but does not directly impact a client's safety or well-being. B. Staff attendance issues should be reported through appropriate channels but may not require an incident report. D. Disagreements with supervisors are common workplace issues but do not warrant an incident report unless they involve patient safety.
Question 3 of 5
A nurse in a provider's office is reviewing the laboratory findings for a client who is scheduled for surgery. Which of the following findings requires follow up by the nurse?
Correct Answer: B
Rationale: The correct answer is B because a platelet count of 60,000/mm3 is significantly low (normal range: 150,000-450,000/mm3) and can indicate a risk of bleeding during surgery. The nurse needs to follow up to ensure appropriate interventions are taken. A: A BUN of 15 mg/dL is within the normal range (7-20 mg/dL). C: A WBC count of 6,000/mm3 is within the normal range (4,500-11,000/mm3). D: A hemoglobin level of 14 g/dL is within the normal range for males (13.5-17.5 g/dL) and females (12.0-15.5 g/dL).
Question 4 of 5
While caring for a client, the nurse experiences a needle stick injury. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The correct answer is C: Wash the site of injury with soap and water. This is the first action the nurse should take to minimize the risk of infection. Washing the site immediately helps remove any potential pathogens. It is crucial to act promptly in order to reduce the risk of transmission. Incorrect choices: A: Completing an incident report can be important but should not be the first step in this situation. B: Requesting the risk manager to obtain consent for HIV testing from the client is not the immediate priority. D: Consenting to postexposure treatment with antiretroviral medications is important, but washing the site of injury should come first to prevent infection.
Question 5 of 5
A charge nurse is planning to conduct a performance appraisal. What action is appropriate?
Correct Answer: B
Rationale: The correct answer is B because scheduling the appraisal at a convenient time for the staff ensures that the appraisal process is conducted in a respectful and considerate manner. This approach allows the staff member to be mentally prepared and fully engaged during the appraisal, leading to a more productive discussion. A: Informing the staff member prior to the change-of-shift report may not be appropriate as it could catch the staff member off guard and cause anxiety. C: Providing a chair across the desk for the staff member is a good practice but not as crucial as scheduling the appraisal at a convenient time. D: Ensuring the staff member has a copy of the appraisal form is important but not as critical as considering the staff member's convenience for the appraisal.