ATI RN
Health And Safety for Clients Questions
Question 1 of 5
The nurse, who is performing a peripheral vascular exam, is unable to palpate the posterior tibialis pulse. Which is the most appropriate nursing action?
Correct Answer: C
Rationale: The correct answer is C: Check pulse with a doppler. This is the most appropriate action because a doppler can detect the pulse even when it is difficult to palpate manually. This step ensures thorough assessment and accurate findings. Recording the finding (choice A) may leave out crucial information. Rechecking in 1 hour (choice B) is not necessary if a doppler can be used immediately. Notifying the healthcare provider (choice D) is premature before exploring all assessment options. Using a doppler is the best course of action to confirm the presence or absence of the posterior tibialis pulse accurately.
Question 2 of 5
A nurse is participating in a health and wellness event at the local community center. A woman approaches and relates that she is worried that her widowed father is becoming more functionally impaired and may need to move in with her. The nurse inquires about his ability to complete activities of daily living (ADLs). ADLs include independence with: (Select all that apply.)
Correct Answer: B
Rationale: The correct answer is B: Toileting. ADLs are essential self-care activities that individuals perform daily to maintain their well-being. Toileting is one of the basic ADLs and refers to the ability to use the toilet independently. This is crucial for maintaining hygiene and overall health. The other choices are incorrect because: A: Driving is not typically considered an ADL. It falls under the category of instrumental activities of daily living (IADLs), which are more complex tasks related to independent living. C: Bathing is a fundamental ADL, but the question asks for activities that are included in ADLs and not for all possible ADLs. D: Daily exercise is important for overall health but is not specifically categorized as an ADL. It falls under the category of health-promoting activities.
Question 3 of 5
The nurse suspects the client may be developing ARDS. Which assessment data confirm the diagnosis of ARDS?
Correct Answer: A
Rationale: The correct answer is A because in ARDS, the lungs are unable to oxygenate the blood effectively despite high levels of supplemental oxygen. This results in low arterial oxygen levels even when giving a high concentration of oxygen. Choice B is incorrect because dyspnea, tachycardia, and anxiety are common symptoms of ARDS but do not confirm the diagnosis. Choice C is incorrect because clear breath sounds and a pulse oximeter reading of 95% do not confirm ARDS, as ARDS is characterized by severe oxygenation impairment. Choice D is incorrect because jugular vein distention and frothy sputum are not specific indicators of ARDS, although they may be present in some cases.
Question 4 of 5
Which physiologic mechanism of hypoxemia occurs with pulmonary fibrosis?
Correct Answer: B
Rationale: In pulmonary fibrosis, the thickened alveolar walls impair gas exchange, leading to diffusion limitation. This restricts oxygen transfer across the alveolar-capillary membrane, causing hypoxemia. Anatomic shunt (A) involves blood bypassing ventilated lung areas, not seen in pulmonary fibrosis. Intrapulmonary shunt (C) refers to blood flow through unventilated lung regions, not a characteristic of pulmonary fibrosis. V/Q mismatch ratio of less than 1 (D) indicates a ventilation-perfusion mismatch, not typically associated with pulmonary fibrosis.
Question 5 of 5
The nurse notes a patient with ARDS has a rising central venous pressure (CVP) and increasing oxygen requirements. What is the priority action?
Correct Answer: B
Rationale: The correct answer is B: Assess for fluid overload and manage diuresis if indicated. In ARDS, increasing CVP and oxygen requirements may indicate fluid overload contributing to the respiratory distress. Diuresis can help reduce fluid volume, improve oxygenation, and decrease the workload on the heart. Increasing oxygen flow rate (A) may help temporarily but doesn't address the underlying issue of fluid overload. Notifying the physician about worsening hypoxemia (C) is important but addressing fluid overload is the immediate priority. Immediate intubation (D) may be necessary in severe cases, but addressing fluid overload should be attempted first.