ATI RN
Client Safety Event ATI Quizlet Questions
Question 1 of 5
The following factor should be considered first when developing a teaching plan:
Correct Answer: A
Rationale: The correct answer is A: the client's priorities. When developing a teaching plan, understanding the client's priorities is essential to tailor the plan to their specific needs and goals. By prioritizing the client's preferences and concerns, the teaching plan can be more effective and client-centered. Vital signs (B) are important for assessing the client's health status but do not directly impact the teaching plan. Insurance coverage (C) and economic resources (D) are important considerations but should come after addressing the client's priorities to ensure the plan is feasible and accessible.
Question 2 of 5
The nurse is completing a health history with the daughter of a newly admitted patient who is confused and agitated. The daughter reports that her mother was diagnosed with Alzheimer's disease 1 year ago but became extremely confused last evening and was hallucinating. She was unable to calm her, and her mother thought she was a stranger. On the basis of this history, the nurse suspects that the patient is experiencing:
Correct Answer: A
Rationale: Step 1: Delirium is characterized by acute onset confusion, agitation, hallucinations, and disorientation, which align with the patient's symptoms. Step 2: The patient's sudden change in mental status suggests an acute condition rather than a chronic one like dementia. Step 3: The inability to recognize her daughter and mistaking her for a stranger are typical features of delirium. Step 4: The daughter's report of sudden confusion and hallucinations points towards delirium rather than worsening dementia or new-onset dementia. Step 5: Therefore, based on the acute onset of symptoms and the patient's confusion and hallucinations, the nurse correctly suspects delirium. Summary: - B: Depression does not typically present with acute confusion, hallucinations, and disorientation. - C: New-onset dementia would not manifest suddenly with confusion and hallucinations. - D: Worsening dementia would show a gradual decline rather than a sudden onset of symptoms.
Question 3 of 5
A patient is admitted to a medical unit. The patient is fearful of hospitals. The nurse carefully assesses the patient to determine the exact fears and then establishes interventions designed to reduce these fears. In this setting how is the nurse practicing patient advocacy?
Correct Answer: D
Rationale: The correct answer is D because the nurse is practicing patient advocacy by actively listening to the patient's fears, understanding their perspective, and preparing to communicate this information effectively. By assessing the patient's point of view, the nurse can advocate for the patient's needs and preferences in the healthcare setting. This approach promotes patient-centered care and fosters a trusting nurse-patient relationship. Option A is incorrect as seeking out the nursing supervisor does not directly address the patient's fears. Option B is incorrect as documenting patient fears alone does not demonstrate advocacy without taking action. Option C is incorrect as working to change the hospital environment may not necessarily address the patient's specific fears and may not be within the nurse's scope of practice.
Question 4 of 5
The client diagnosed with ARDS is in respiratory distress and the ventilator is malfunctioning. Which intervention should the nurse implement first?
Correct Answer: B
Rationale: The correct answer is B: Ventilate with a manual resuscitation bag. This intervention is crucial as it addresses the immediate need for oxygenation and ventilation in a client with ARDS. By manually ventilating the client, the nurse can ensure an adequate supply of oxygen while the ventilator issue is being addressed. Option A is incorrect because waiting for the respiratory therapist may delay necessary intervention. Option C, requesting ABGs, is not the priority as the client's oxygenation needs must be addressed first. Option D, auscultating lung sounds, is important but not as urgent as ensuring proper ventilation. Prioritizing ventilation with a manual resuscitation bag is crucial to prevent hypoxia and respiratory failure in a client with ARDS.
Question 5 of 5
The nurse is caring for a patient diagnosed with ARDS who is showing signs of respiratory fatigue. Which of the following findings would indicate respiratory fatigue?
Correct Answer: B
Rationale: The correct answer is B because a change in respiratory rate from rapid to slow indicates respiratory fatigue. Initially, the body compensates for ARDS by increasing respiratory rate; however, as fatigue sets in, the rate slows down. Option A is incorrect as increased use of accessory muscles is a sign of respiratory distress, not fatigue. Option C is incorrect as orthopnea with shallow breathing suggests difficulty breathing while lying down, not necessarily fatigue. Option D is incorrect as cyanosis indicates poor oxygenation, not specifically fatigue.