ATI RN
Client Safety Event ATI Quizlet Questions
Question 1 of 5
The nurse cares for a pre-operative client who is unable to accept blood products due to her religion. What is this client's religion?
Correct Answer: D
Rationale: The correct answer is D, Jehovah's Witnesses. They are known to refuse blood transfusions due to religious beliefs. Jehovah's Witnesses interpret certain Bible passages as prohibiting the ingestion of blood. Mormons (A), Buddhists (B), and Catholics (C) do not typically have restrictions on blood transfusions.
Question 2 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 3 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 4 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.
Question 5 of 5
To evaluate both oxygenation and ventilation in a patient with acute respiratory failure, the nurse uses the findings revealed with
Correct Answer: A
Rationale: Correct Answer: A. Arterial blood gas (ABG) analysis Rationale: 1. ABG analysis provides precise measurements of oxygenation (PaO2) and ventilation (PaCO2). 2. ABG is the gold standard for assessing respiratory function. 3. It allows for the identification of acid-base disturbances. 4. ABG provides immediate feedback for timely interventions. Summary of Other Choices: B. Hemodynamic monitoring: Primarily assesses cardiovascular function, not specific to respiratory status. C. Chest x-rays: Helpful for evaluating lung pathology but does not provide direct information on oxygenation and ventilation. D. Pulse oximetry: Measures oxygen saturation only, not ventilation status or CO2 levels.