ATI RN
Client Safety in Nursing Questions
Question 1 of 5
What action should the nurse take immediately after instilling the prescribed eyedrops into the patient's eye?
Correct Answer: A
Rationale: The correct action is to press gently on the inner canthus area immediately after instilling eyedrops. This helps prevent systemic absorption of the medication and reduces the risk of side effects. Pressing on the inner canthus area also prevents drainage of the medication into the nasolacrimal duct, ensuring maximum efficacy. Choice B is incorrect as wiping the eyelid toward the inner canthus can cause the medication to be wiped away before it has a chance to be absorbed. Choice C is incorrect as applying a sterile eye patch is unnecessary and can lead to ocular irritation. Choice D is incorrect as maintaining light pressure on the lower eyelid can cause the medication to be squeezed out of the eye prematurely.
Question 2 of 5
The nurse is caring for a client who has been prescribed an enteric-coated aspirin for myocardial infarction (MI) prophylaxis. What should be included in the teaching plan?
Correct Answer: D
Rationale: The correct answer, D, is to not chew or crush the enteric-coated aspirin because the coating is designed to protect the stomach lining by allowing the drug to be absorbed in the intestines. Chewing or crushing it would bypass this protective mechanism, potentially causing stomach irritation or bleeding. Choice A is incorrect because cutting the aspirin would still expose the stomach to the drug. Choice B is incorrect as the enteric coating is there for a reason. Choice C is incorrect as enteric-coated aspirin is typically not available in liquid form.
Question 3 of 5
The nurse cares for a middle-aged client who is on furosemide for congestive heart failure (CHF). The nurse assesses the client for possible symptoms of:
Correct Answer: A
Rationale: The correct answer is A: hypokalemia. Furosemide is a loop diuretic that can cause potassium loss through increased urine output. Hypokalemia can result in cardiac dysrhythmias, muscle weakness, and fatigue. The nurse should monitor potassium levels regularly and educate the client on consuming potassium-rich foods. B: Hyperkalemia is incorrect because furosemide usually causes potassium loss, not retention. C: Hypocalcemia is incorrect because furosemide does not directly affect calcium levels. D: Hypernatremia is incorrect because furosemide primarily affects potassium and fluid balance, not sodium levels.
Question 4 of 5
An emergency has occurred on the medical unit. Which is the best leadership style to employ in this circumstance?
Correct Answer: D
Rationale: The correct leadership style in an emergency on a medical unit is autocratic. This style ensures quick decision-making and clear direction, crucial in urgent situations. The leader takes charge, provides instructions, and ensures immediate action to address the emergency. Laissez-faire (A) is too hands-off for emergencies, democratic (B) involves collaboration which may slow down decision-making, and transactional (C) focuses on rewards and punishments rather than immediate action. Autocratic leadership is the most effective in ensuring a swift and effective response to an emergency situation.
Question 5 of 5
The nurse sees a 76-year-old woman in the outpatient clinic. She states that she recently started noticing a glare in the lights at home. Her vision is blurred; and she is unable to play cards with her friends, read, or do her needlework. The nurse suspects that the woman may have:
Correct Answer: C
Rationale: The correct answer is C: Cataract(s). The symptoms described by the patient, such as glare in lights, blurred vision, and difficulty with near vision tasks, are indicative of cataracts, which is a common age-related condition where the lens of the eye becomes cloudy. Presbyopia (A) is a normal age-related condition causing difficulty focusing on near objects. Presbycusis (B) is age-related hearing loss, not related to the symptoms described. Depression (D) may present with some visual disturbances, but the patient's symptoms are more consistent with cataracts.