ATI RN
Client Safety Nursing Questions
Question 1 of 5
The charge nurse tells the staff to choose their own assignments and work it out with each other. What type of leadership style is this charge nurse demonstrating?
Correct Answer: A
Rationale: The correct answer is A: Laissez-faire. This leadership style involves minimal interference from the leader, allowing employees to make decisions independently. In this scenario, the charge nurse is giving staff freedom to choose assignments, reflecting a hands-off approach. Other choices are incorrect because: B: Democratic leadership involves collaboration and decision-making through group consensus, which is not evident here. C: Transactional leadership focuses on rewards and punishments based on performance, which is not addressed in the scenario. D: Autocratic leadership is characterized by centralized decision-making and little input from employees, which is not the case as the charge nurse is delegating decision-making to the staff.
Question 2 of 5
The ANA code of nursing ethics articulates that the nurse 'promotes, advocates for, and strives to protect the health, safety, and rights of the patient.' This includes the protection of patient privacy. On the basis of this principle, if you participate in a public online social network such as Facebook, could you post images of a patient's x-ray film if you obscured or deleted all patient identifiers?
Correct Answer: C
Rationale: The correct answer is C: No, because, even though patient identifiers are removed, someone could identify the patient on the basis of other comments that you make online about his or her condition and your place of work. Rationale: 1. The ANA code emphasizes protecting patient privacy. 2. Even if identifiers are removed, other information can identify the patient. 3. Posting x-ray images can lead to patient identification through contextual clues. 4. Disclosing patient information without consent violates privacy rights. 5. Upholding patient confidentiality is crucial in healthcare settings. Summary: Choice A is incorrect because patient identification is not solely based on identifiers. Choice B is incorrect as autonomy doesn't override patient privacy rights. Choice D is irrelevant to the question of patient privacy. Choice C is correct as it highlights the potential risk of patient identification despite removing identifiers.
Question 3 of 5
When explaining respiratory failure to the patient's family, what should the nurse use as an accurate description?
Correct Answer: C
Rationale: The correct answer is C: Inadequate gas exchange to meet the metabolic needs of the body. This is the accurate description of respiratory failure as it reflects the core issue of the condition - the lungs' inability to effectively exchange oxygen and carbon dioxide to support the body's metabolic needs. Explanation for why the other choices are incorrect: A: The absence of ventilation - This is too simplistic and does not encompass the full spectrum of respiratory failure, which involves both ventilation and gas exchange. B: Any episode in which part of the airway is obstructed - This describes airway obstruction, not respiratory failure, which involves broader issues with gas exchange. D: An episode of acute hypoxemia caused by a pulmonary dysfunction - This choice focuses only on hypoxemia and pulmonary dysfunction, which are components of respiratory failure but do not fully capture the complexity of the condition.
Question 4 of 5
Which arterial blood gas (ABG) result is most consistent with early-stage ARDS?
Correct Answer: B
Rationale: The correct answer is B (pH 7.45, PaCO2 30 mm Hg, PaO2 55 mm Hg) as it indicates early-stage ARDS. In ARDS, there is hypoxemia, resulting in low PaO2 levels. The low PaO2 can lead to respiratory alkalosis, hence the high pH (normal or slightly alkalotic). The low PaCO2 (hypocapnia) is a compensatory mechanism to maintain pH. Choices A, C, and D do not reflect the typical ABG findings in early-stage ARDS. A (pH 7.30, PaCO2 50 mm Hg, PaO2 60 mm Hg) shows respiratory acidosis and lower PaO2. C (pH 7.38, PaCO2 40 mm Hg, PaO2 92 mm Hg) indicates better oxygenation and less likely to be early ARDS. D (
Question 5 of 5
The nurse is monitoring a patient with ARDS who is receiving prone therapy. Which finding indicates this therapy is effective?
Correct Answer: A
Rationale: The correct answer is A: Increased PaO2 with decreased oxygen requirements. Prone therapy improves oxygenation in ARDS by optimizing ventilation-perfusion matching. When the patient's PaO2 increases and oxygen requirements decrease, it indicates improved oxygenation efficiency. Reduced chest expansion and decreased lung compliance (B) would suggest worsening lung function. Improved respiratory rate with increased tidal volumes (C) could indicate compensatory mechanisms, not necessarily improved oxygenation. Decreased blood pressure and heart rate (D) are more indicative of hemodynamic changes rather than the effectiveness of prone therapy in ARDS.