ATI RN
Client Safety Event ATI Quizlet Questions
Question 1 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 2 of 5
Which information obtained by the nurse when assessing a patient with acute respiratory distress syndrome (ARDS) who is being treated with mechanical ventilation and high levels of positive end-expiratory pressure (PEEP) indicates a complication of ventilator therapy is occurring?
Correct Answer: A
Rationale: The correct answer is A: The patient has subcutaneous emphysema. Subcutaneous emphysema is a possible complication of mechanical ventilation with high levels of PEEP in ARDS. This occurs when air escapes from the alveoli and becomes trapped under the skin. It is a sign of barotrauma, indicating that the PEEP levels may be too high for the patient. Subcutaneous emphysema can lead to serious complications such as pneumothorax, so it is crucial for the nurse to recognize and address it promptly. Explanation of other choices: B: Sinus bradycardia is not directly related to ventilator therapy complications. C: Low PaO2 and SaO2 levels are expected in ARDS and do not specifically indicate a complication of ventilator therapy. D: Bronchial breath sounds can be present in ARDS but do not specifically indicate a complication of ventilator therapy.
Question 3 of 5
Which is a proper nursing action for a patient in acute respiratory failure?
Correct Answer: B
Rationale: Correct Answer: B Rationale: 1. Chest physical therapy helps mobilize secretions in patients with excess sputum production, aiding in airway clearance. 2. In acute respiratory failure, sputum retention can worsen ventilation-perfusion mismatch and compromise gas exchange. 3. Providing chest physical therapy can improve ventilation, oxygenation, and respiratory function in these patients. Summary: A: Administering 100% oxygen to an intubated patient is important, but the resolution of the underlying pathology should guide oxygen therapy. C: CPAP is not appropriate for weak or absent respirations, as it requires the patient to have an intact respiratory effort. D: Administering packed red blood cells for maintaining hemoglobin levels is not directly related to addressing acute respiratory failure.
Question 4 of 5
A nurse is preparing an in-service for an annual skills fair at a community medical facility about fire safety. Place the steps in the order in which they should be performed in the case of a fire emergency. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)
Correct Answer:
Rationale: Correct Answer: B, A, C Rationale: 1. Confine the fire: This step is crucial to prevent the fire from spreading and causing more damage or harm. 2. Pull the fire alarm: Alerting others and activating the fire alarm will ensure a prompt evacuation and summon the fire department. 3. Extinguish the fire: Only attempt to extinguish the fire if it is safe to do so and within your capabilities. Summary of incorrect choices: - Option A: Pulling the fire alarm should be done before attempting to extinguish the fire to ensure the safety of everyone. - Option C: Attempting to extinguish the fire before confining it may lead to the fire spreading and becoming out of control.
Question 5 of 5
A nurse has several tasks to delegate to an assistive personnel (AP). Which of the following tasks should the nurse ask the AP to perform first?
Correct Answer: A
Rationale: The correct answer is A because taking an arterial blood gas specimen is time-sensitive and requires specific skills. ABG results are crucial for assessing a client's oxygenation and acid-base balance, impacting their immediate care. Transporting a client for an x-ray (B), passing water (C), and obtaining a routine urine sample (D) are important tasks but can be done after the critical ABG is obtained. Prioritizing tasks based on urgency and client safety is key in delegation.