ATI RN
Client Safety Basic Concept Template Questions
Question 1 of 5
The program chairperson sends a survey to collect data on how many nursing students work in the clinical setting. What type of research method is being used?
Correct Answer: B
Rationale: The correct answer is B: Quantitative. In this scenario, the program chairperson is collecting numerical data on the number of nursing students working in the clinical setting. Quantitative research involves collecting data in numerical form to analyze and draw statistical inferences. This method is suitable for studying relationships and patterns between variables. A: Qualitative research focuses on gathering non-numerical, descriptive data to understand opinions, behaviors, and experiences. C: Meta-analysis involves synthesizing results from multiple studies to draw conclusions about a specific research question. D: Longitudinal research involves studying the same group of individuals over an extended period to track changes or trends. In summary, the program chairperson's survey collecting numerical data on nursing students' clinical work aligns with the characteristics of quantitative research, making it the correct choice.
Question 2 of 5
The client with ARDS is on a mechanical ventilator. Which intervention should be included in the nursing care plan addressing the endotracheal tube care?
Correct Answer: D
Rationale: The correct answer is D: Ensure that the ET tube is secure. This is important to prevent accidental extubation and maintain proper airway support. Securing the ET tube also prevents movement that can lead to tissue damage. Option A is incorrect as the ET tube may need adjustment. Option B is unnecessary unless there are specific concerns. Option C is important but ensuring the tube is secure takes precedence.
Question 3 of 5
A patient has a PaO2 of 50 mm Hg and a PaCO2 of 42 mm Hg because of an intrapulmonary shunt. Which therapy is the patient most likely to respond best to?
Correct Answer: A
Rationale: The correct answer is A: Positive pressure ventilation. Positive pressure ventilation helps improve oxygenation by increasing the mean airway pressure, which helps recruit collapsed alveoli and improve ventilation-perfusion matching in the presence of an intrapulmonary shunt. This therapy can effectively increase the PaO2 levels in this patient. Choice B: Oxygen administration at a FIO2 of 100% may not be sufficient to overcome the intrapulmonary shunt and improve oxygenation significantly. Choice C: Administration of O2 per nasal cannula at 1 to 3 L/min may not provide enough oxygen to overcome the shunting effect and improve oxygenation adequately. Choice D: Clearance of airway secretions with coughing and suctioning may be beneficial for airway clearance but is not directly related to correcting the underlying oxygenation issue caused by the intrapulmonary shunt.
Question 4 of 5
When a patient is diagnosed with pulmonary fibrosis, the nurse will teach the patient about the risk for poor oxygenation because of
Correct Answer: C
Rationale: The correct answer is C because in pulmonary fibrosis, there is thickening of the alveoli which leads to decreased transfer of oxygen into the blood. This happens because the thickened alveolar walls make it harder for oxygen to pass from the air sacs into the bloodstream. This results in poor oxygenation of the blood. Option A is incorrect because too-rapid movement of blood flow through the pulmonary blood vessels does not directly affect oxygenation in pulmonary fibrosis. Option B is incorrect because incomplete filling of the alveoli with air due to reduced respiratory ability may impact oxygenation, but this is not the primary mechanism in pulmonary fibrosis. Option D is incorrect because a mismatch between lung ventilation and blood flow through the blood vessels is not the main issue in pulmonary fibrosis; it is more relevant in conditions like pulmonary embolism.
Question 5 of 5
The nurse is caring for a patient who was hospitalized 2 days earlier with aspiration pneumonia. Which assessment information is most important to communicate to the health care provider?
Correct Answer: D
Rationale: The correct answer is D. A drop in SpO2 to 90% despite an increase in O2 flow rate indicates worsening respiratory status, which is a critical concern in a patient with aspiration pneumonia. This information is crucial to communicate to the healthcare provider for prompt intervention. Explanation: 1. SpO2 is a direct measure of oxygen saturation in the blood, indicating how well the patient is oxygenating. 2. A drop in SpO2 below 90% is concerning as it indicates hypoxemia and potential respiratory distress. 3. Despite increasing the O2 flow rate, the drop in SpO2 suggests that the patient's condition is deteriorating. 4. Prompt intervention is needed to prevent further respiratory compromise and potential respiratory failure. Summary: A: Productive cough with blood-tinged sputum may indicate lung infection, but it's not as critical as hypoxemia. B: Crackles throughout lung bases are common in pneumonia but don't directly indicate worsening respiratory status