ATI RN
Client Health and Safety Specifications Questions
Question 1 of 5
The nurse will monitor for clinical manifestations of hypercapnia when a patient in the emergency department has
Correct Answer: A
Rationale: The correct answer is A: chest trauma and multiple rib fractures. This condition can lead to impaired ventilation and hypoventilation, resulting in retention of carbon dioxide (hypercapnia). The other choices do not directly lead to hypercapnia. B: carbon monoxide poisoning affects oxygen transport, not carbon dioxide levels. C: left-sided ventricular failure causes hypoxia, not hypercapnia. D: tachypnea in ARDS may lead to hypocapnia, not hypercapnia. Therefore, chest trauma with rib fractures is the most likely scenario to cause hypercapnia.
Question 2 of 5
A 26-year-old patient is admitted to the hospital in severe respiratory distress. His oxygen saturations are 80% despite supplemental oxygen provided by facemask. The physician decides to intubate the patient to help with his breathing oxygenation. Which medication would the nurse most likely administer when assisting with intubation?
Correct Answer: A
Rationale: The correct answer is A: Midazolam (Versed). Midazolam is a benzodiazepine used for sedation and anxiolysis before intubation to ensure patient comfort and cooperation. It has rapid onset and short duration, making it ideal for this situation. Zolpidem (B) is a sedative-hypnotic used for insomnia, not suitable for intubation. Phentermine (C) is a weight-loss medication and has no role in intubation. Modafinil (D) is a wakefulness-promoting agent and is not used for intubation. In summary, Midazolam is the correct choice for its sedative properties in facilitating intubation, while the other options are not appropriate for this scenario.
Question 3 of 5
A patient is placed on volume-cycled ventilation. The nurse plans care for this client based on which characteristic of this method of ventilation?
Correct Answer: A
Rationale: The correct answer is A because volume-cycled ventilation delivers a set volume with each breath, ensuring a consistent tidal volume. This characteristic is beneficial in overcoming airway resistance changes, as the set volume helps maintain adequate ventilation despite changes in lung compliance or airway resistance. Option B refers to trigger mechanism, not characteristic of volume-cycled ventilation. Option C is a true statement, but it does not fully capture the reason why volume-cycled ventilation is chosen. Option D is incorrect as it inaccurately describes pressure-controlled ventilation.
Question 4 of 5
A nurse manager is reviewing the Good Samaritan laws with a group of newly licensed nurses. Which of the following statements by the nurse manager is appropriate?
Correct Answer: A
Rationale: Correct Answer: A. 'If you render aid in an accident, do not leave the scene until another competent person can take over.' Rationale: This statement is appropriate because Good Samaritan laws typically require individuals to provide aid in emergency situations but do not mandate that they stay beyond their competence level. Leaving the scene only when another competent person can take over ensures the continuity of care and prevents abandonment of the victim. This shows a responsible and ethical approach to providing assistance in emergencies. Summary of Other Choices: B: Incorrect. Good Samaritan laws do not prohibit victims from filing lawsuits; they offer legal protection to individuals who provide reasonable assistance in emergencies. C: Incorrect. While there may be ethical obligations to render aid in certain situations, there is no federal law mandating that licensed nurses provide aid in all emergencies. D: Incorrect. Good Samaritan laws generally protect individuals who provide voluntary aid in emergencies outside their regular scope of practice, not necessarily in specific settings like summer camps.
Question 5 of 5
A coworker puts an arm around a nurse and says, 'I bet you are a great lover.' Which of the following is an appropriate response by the nurse?
Correct Answer: C
Rationale: The correct answer is C: 'Speaking to me like that makes me uncomfortable.' This response sets a clear boundary, communicates discomfort with the inappropriate behavior, and asserts the nurse's right to be treated with respect. It addresses the behavior directly and sends a message that such comments are not acceptable. Choices A and B do not directly address the inappropriate behavior, potentially allowing it to continue. Choice D focuses on volume rather than the inappropriate content of the comment, not effectively addressing the situation.