ATI RN
Client Safety Nursing Questions
Question 1 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.
Question 2 of 5
A patient has been hospitalized in the ICU for a near drowning event. The patient's respiratory function has been deteriorating over the last 24 hours. The physician suspects acute respiratory distress syndrome. A STAT chest x-ray is ordered. What finding on the chest x-ray is indicative of ARDS?
Correct Answer: C
Rationale: The correct answer is C: white-out infiltrates bilaterally. In acute respiratory distress syndrome (ARDS), chest x-ray typically shows diffuse bilateral infiltrates leading to a "white-out" appearance due to severe inflammation and fluid accumulation in the lungs. This finding is indicative of ARDS as it reflects the hallmark feature of widespread alveolar damage and edema. Explanation for incorrect choices: A: Infiltrates only on the upper lobes do not align with the diffuse bilateral involvement seen in ARDS. B: Enlargement of the heart with bilateral lower lobe infiltrates suggests congestive heart failure rather than ARDS. D: A normal chest x-ray would not be expected in a patient suspected of having ARDS, as there would be significant pathological changes present in the lungs.
Question 3 of 5
A charge nurse has access to the facility's electronic client records. It is appropriate for the charge nurse to share her personal password with whom?
Correct Answer: B
Rationale: The correct answer is B: No one. Sharing personal passwords violates confidentiality and security protocols. The charge nurse is responsible for safeguarding client information and should not share her password with anyone, including the nurse manager, nursing student, or unit clerk. Sharing passwords can lead to unauthorized access to sensitive data, compromising client privacy and violating HIPAA regulations. It is essential to maintain individual accountability for accessing electronic records to ensure data integrity and protect client confidentiality.
Question 4 of 5
Following a tornado, a nurse is determining which of the clients assigned to her care can be discharged to free up beds for injured clients. Which of the following clients should the nurse recommend for discharge?
Correct Answer: A
Rationale: The correct answer is A. The young adult client with Crohn's disease preoperative for an ileostomy can be recommended for discharge as the surgery is planned and stable. - Choice B: The adolescent with a spontaneous pneumothorax may need further monitoring and care due to the severity of the condition. - Choice C: The middle adult postoperative from an open laminectomy requires close monitoring for complications and pain management. - Choice D: The older adult with diabetic ketoacidosis and a pH of 7.32 still needs treatment and monitoring for stabilization.
Question 5 of 5
A nurse suspects that a coworker is diverting opioid analgesics. Which of the following is an adverse effect of opioid medications?
Correct Answer: A
Rationale: The correct answer is A. Euphoria. Opioid medications can cause euphoria due to their effects on the brain's reward system. This can lead to misuse and addiction. Rhinorrhea (B), hallucinations (C), and dilated pupils (D) are not typical adverse effects of opioid medications. Rhinorrhea is more commonly associated with allergies or colds, hallucinations are more commonly associated with certain psychiatric disorders or drug intoxication, and dilated pupils are more commonly associated with stimulant use.