ATI RN
Client Safety Questions
Question 1 of 5
The oxygen delivery system chosen for the patient in acute respiratory failure should
Correct Answer: D
Rationale: The correct answer is D because in acute respiratory failure, the goal is to maintain adequate oxygenation while avoiding oxygen toxicity. Keeping PaO2 at ≥60 mm Hg ensures tissue oxygenation without causing harm. Low-flow devices like nasal cannula (A) may not provide sufficient oxygen. Correcting PaO2 to normal levels quickly (B) can lead to oxygen toxicity. Positive-pressure ventilation (C) is indicated in severe respiratory failure, not for all patients in acute respiratory failure.
Question 2 of 5
A staff nurse has applied for a promotion. The hiring manager insinuates that if there was a sexual relationship between the two of them, the nurse's promotion request would get increased consideration. Which of the following actions should the staff nurse take first?
Correct Answer: A
Rationale: The correct answer is A. The staff nurse should first directly address the inappropriate behavior with the hiring manager. By clearly stating that the conduct causes discomfort and requesting it to stop immediately, the nurse sets clear boundaries and asserts their rights. This action establishes a record of the nurse's response to the misconduct and gives the hiring manager the opportunity to rectify the situation. It also empowers the nurse to advocate for themselves in a professional manner. Summary: - B: Reporting to the nurse manager can be done after addressing the hiring manager directly. - C: Creating a written document can be important but should follow direct communication. - D: Seeking help from a friend can provide support but should not replace direct confrontation with the hiring manager.
Question 3 of 5
A nurse is working with an assistive personnel (AP) to care for a group of clients on the pediatric unit. Which of the following tasks should the nurse have the AP perform first?
Correct Answer: D
Rationale: The correct answer is D. The nurse should have the AP check to see if the elbow restraint is in place for the infant postoperative from cleft palate surgery first. This task is a safety priority to ensure the infant's postoperative care and prevent any complications related to the surgical correction. It requires immediate attention to prevent injury or complications. Choices A, B, and C are important tasks but not as urgent as ensuring the safety and well-being of a postoperative infant. Collecting a stool sample, engaging a toddler in play, and washing the hair of an adolescent can be done after ensuring the immediate safety and well-being of the postoperative infant.
Question 4 of 5
A nurse is caring for a client who has named a person to serve as his health care proxy. The client states he needs clarification about this type of advance directive. Which of the following statements by the client indicates a need for clarification?
Correct Answer: C
Rationale: The correct answer is C because the statement "I have to choose a family member as my health proxy" is incorrect. The client does not have to choose a family member as their health care proxy; they can choose any trusted individual to act as their proxy. This indicates a need for clarification as the client may be under the misconception that the proxy must be a family member. Statement A is not the correct answer because the client can indeed change their designated health care proxy at any time. Statement B is not the correct answer because end-of-life choices are typically made by the proxy only if the client is unable to make decisions themselves. Statement D is not the correct answer because the health care proxy does go into effect as soon as it is designated, not only when the client is incapable of making decisions.
Question 5 of 5
A nurse is preparing discharge instructions for a client receiving oxygen at home. What should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Do not adjust the oxygen flow rate. This is crucial for maintaining the prescribed oxygen therapy and preventing potential harm to the client. Adjusting the flow rate without medical guidance can lead to inadequate oxygenation or oxygen toxicity. Incorrect Choices: B: Checking oxygen equipment weekly is important for safety but not directly related to the client's immediate oxygen use. C: Storing oxygen tanks horizontally is incorrect as they should be stored upright to prevent leaks. D: Using wool blankets to reduce static is not recommended as they can generate static electricity, posing a risk of fire near oxygen.