ATI RN
ATI Client Safety Event Quizlet Questions
Question 1 of 5
The nurse auscultates an extra sound over the left lower lobe. The nurse should:
Correct Answer: D
Rationale: The correct answer is D: notify healthcare provider (HCP). This is the most appropriate action as hearing an extra sound could indicate a potential abnormality such as a crackle or wheeze. Notifying the HCP promptly allows for further assessment and appropriate intervention if needed. Choice A: Documenting the finding is important, but not the most immediate action when an abnormal sound is heard. Choice B: Asking the client to cough may not address the underlying cause of the extra sound and delay necessary intervention. Choice C: Reassessing in one hour could be too delayed for a potentially serious issue and may lead to worsening of the condition. Therefore, notifying the HCP is the best course of action for timely intervention and ensuring patient safety.
Question 2 of 5
A patient's family member is considering having her mother placed in a nursing center. The nurse has talked with the family before and knows that this is a difficult decision. Which of the following criteria does the nurse recommend in choosing a nursing center? (Select all that apply.)
Correct Answer: B
Rationale: The correct answer is B: Adequate staffing is available on all shifts. This is crucial in ensuring the safety and well-being of the residents. Sufficient staffing levels mean that residents will receive timely care, attention, and assistance when needed, reducing the risk of adverse events. Shortages in staffing can lead to neglect, medication errors, and compromised quality of care. This criterion should be a top priority for the family member when selecting a nursing center. Incorrect options: A: The center needs to be clean, and rooms should look like a hospital room. While cleanliness is important, the appearance of a hospital room may not be the most critical factor in ensuring quality care. C: Social activities are available for all residents. While social activities are beneficial for residents' mental and emotional well-being, they are not as essential as adequate staffing for ensuring the safety and health of the residents. D: The center provides three meals daily with a set menu and serving schedule. While nutrition is important, it is not
Question 3 of 5
A child's immunization may cause discomfort during administration, but the benefits of protection from disease, both for the individual and society, outweigh the temporary discomforts. Which principle is involved in this situation?
Correct Answer: B
Rationale: The correct principle involved in this situation is beneficence. Beneficence is the ethical principle that emphasizes the duty to do good and promote the well-being of others. In this case, the administration of immunizations may cause discomfort to the child, but the benefits of protection from diseases outweigh this temporary discomfort. By choosing to immunize the child, the healthcare provider is acting in the child's best interest to prevent future harm from potentially deadly diseases. This decision aligns with the principle of beneficence. A: Fidelity pertains to being faithful and keeping promises, which is not directly relevant to this situation. C: Nonmaleficence is the principle of doing no harm, but in this case, the temporary discomfort of immunization is outweighed by the long-term benefits. D: Respect for autonomy refers to respecting an individual's right to make their own decisions, which is not the primary focus in this scenario.
Question 4 of 5
The client who smokes two packs of cigarettes a day develops ARDS after a near-drowning. The client asks the nurse, 'What is happening to me? Why did I get this?' Which statement by the nurse is most appropriate?
Correct Answer: C
Rationale: The correct answer is C because it provides a clear and accurate explanation to the client's question. ARDS is characterized by fluid accumulation in the lungs, leading to breathing difficulties. This response directly addresses the client's concern about what is happening to their body. Choice A is incorrect as not all individuals who almost drown develop ARDS. Choice B is incorrect because it describes a mechanism of injury different from ARDS. Choice D is incorrect as smoking may increase the risk of developing ARDS but is not the direct cause in this scenario. In summary, choice C is the most appropriate response as it directly addresses the client's condition and explains the underlying cause of their breathing problems related to ARDS.
Question 5 of 5
The client with ARDS is on a ventilator, and the high alarm indicates an increase in the peak airway pressure. Which intervention should the nurse implement first?
Correct Answer: A
Rationale: The correct answer is A: Check the tubing for any kinks. This should be implemented first because an increase in peak airway pressure may indicate an obstruction in the tubing, causing inadequate ventilation. Checking for kinks ensures the client receives adequate oxygenation and ventilation. Suctioning for secretions (B) would be secondary if kinks are ruled out. Assessing the lip line of the ET tube (C) is important but not as urgent as checking for kinks. Sedating the client with a muscle relaxant (D) is not appropriate as the first intervention for high peak airway pressure.