ATI RN
Client Safety Event ATI Quizlet Questions
Question 1 of 5
To evaluate both oxygenation and ventilation in a patient with acute respiratory failure, the nurse uses the findings revealed with
Correct Answer: A
Rationale: Correct Answer: A. Arterial blood gas (ABG) analysis Rationale: 1. ABG analysis provides precise measurements of oxygenation (PaO2) and ventilation (PaCO2). 2. ABG is the gold standard for assessing respiratory function. 3. It allows for the identification of acid-base disturbances. 4. ABG provides immediate feedback for timely interventions. Summary of Other Choices: B. Hemodynamic monitoring: Primarily assesses cardiovascular function, not specific to respiratory status. C. Chest x-rays: Helpful for evaluating lung pathology but does not provide direct information on oxygenation and ventilation. D. Pulse oximetry: Measures oxygen saturation only, not ventilation status or CO2 levels.
Question 2 of 5
Which is a proper nursing action for a patient in acute respiratory failure?
Correct Answer: B
Rationale: Correct Answer: B Rationale: 1. Chest physical therapy helps mobilize secretions in patients with excess sputum production, aiding in airway clearance. 2. In acute respiratory failure, sputum retention can worsen ventilation-perfusion mismatch and compromise gas exchange. 3. Providing chest physical therapy can improve ventilation, oxygenation, and respiratory function in these patients. Summary: A: Administering 100% oxygen to an intubated patient is important, but the resolution of the underlying pathology should guide oxygen therapy. C: CPAP is not appropriate for weak or absent respirations, as it requires the patient to have an intact respiratory effort. D: Administering packed red blood cells for maintaining hemoglobin levels is not directly related to addressing acute respiratory failure.
Question 3 of 5
A nurse is preparing an in-service for an annual skills fair at a community medical facility about fire safety. Place the steps in the order in which they should be performed in the case of a fire emergency. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)
Correct Answer:
Rationale: Correct Answer: B, A, C Rationale: 1. Confine the fire: This step is crucial to prevent the fire from spreading and causing more damage or harm. 2. Pull the fire alarm: Alerting others and activating the fire alarm will ensure a prompt evacuation and summon the fire department. 3. Extinguish the fire: Only attempt to extinguish the fire if it is safe to do so and within your capabilities. Summary of incorrect choices: - Option A: Pulling the fire alarm should be done before attempting to extinguish the fire to ensure the safety of everyone. - Option C: Attempting to extinguish the fire before confining it may lead to the fire spreading and becoming out of control.
Question 4 of 5
A nurse has several tasks to delegate to an assistive personnel (AP). Which of the following tasks should the nurse ask the AP to perform first?
Correct Answer: A
Rationale: The correct answer is A because taking an arterial blood gas specimen is time-sensitive and requires specific skills. ABG results are crucial for assessing a client's oxygenation and acid-base balance, impacting their immediate care. Transporting a client for an x-ray (B), passing water (C), and obtaining a routine urine sample (D) are important tasks but can be done after the critical ABG is obtained. Prioritizing tasks based on urgency and client safety is key in delegation.
Question 5 of 5
A nurse on a medical-surgical unit is providing care for a group of clients. The nurse should delegate collection of which of the following specimens to the assistive personnel (AP)?
Correct Answer: D
Rationale: The correct answer is D. Delegating the collection of a random stool specimen to assistive personnel is appropriate because it is a non-invasive procedure that does not require specialized training. The AP can simply provide the client with a specimen container and instruct them on how to collect the sample. The other choices involve more invasive procedures or specific skills that should be performed by licensed healthcare providers. A: Collection of wound drainage for culture requires sterile technique. B: Collection of urine from an indwelling catheter involves proper technique to prevent infection. C: Collection of blood for PaCO2 requires venipuncture skills and knowledge of blood gas analysis.