ATI RN
Client Safety Nursing Skill Template Questions
Question 1 of 5
What are the most common early clinical manifestations of ARDS?
Correct Answer: A
Rationale: The correct answer is A: Dyspnea and tachypnea. These are common early clinical manifestations of ARDS because the condition leads to rapid, shallow breathing (tachypnea) and shortness of breath (dyspnea) due to the impaired gas exchange in the lungs. Cyanosis and apprehension (B) may occur later in ARDS progression. Hypotension and tachycardia (C) are more associated with septic shock rather than early ARDS. Respiratory distress and frothy sputum (D) are more characteristic of conditions like pulmonary edema rather than ARDS.
Question 2 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 directives. 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 indicates a misunderstanding of health care proxy selection. A person can choose anyone, not just a family member, as their health care proxy. Statement A is correct as a health care proxy can be changed at any time. Statement B is also correct as the proxy makes end-of-life decisions when the person is incapacitated. Statement D is correct as the health care proxy only comes into effect when the person is unable to make decisions.
Question 3 of 5
A nurse has been reassigned from her regular area of work to a unit that is short staffed. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Rationale: - A. Asking what she will be assigned to do first helps the nurse clarify her responsibilities and prioritize tasks effectively. - B. Determining skills can wait until knowing the assigned tasks. - C. Identifying options is not urgent compared to knowing immediate tasks. - D. Notifying the manager can be done after understanding her duties. Summary: The nurse should first ask about her assignment to understand her immediate responsibilities before assessing her skills or considering other options.
Question 4 of 5
A nurse is caring for a client who is dying of metastatic breast cancer. She has a prescription for an opioid pain medication PRN. The nurse is concerned that administering a dose of pain medication might hasten the client's death. Which of the following ethical principles should the nurse use to support the decision not to administer the medication?
Correct Answer: B
Rationale: The correct answer is B: Nonmaleficence. Nonmaleficence is the ethical principle that emphasizes the duty to do no harm to the patient. In this situation, by not administering the pain medication, the nurse is ensuring that the client is not being harmed or hastened towards death. Administering the medication would be to alleviate suffering, not to hasten death. A: Utilitarianism focuses on maximizing overall good for the majority. In this case, it could be argued that administering the medication would provide the greatest good for the client, but it does not directly address the concern of potentially hastening death. C: Fidelity pertains to being faithful to commitments and maintaining trust. While important, it does not directly address the immediate ethical dilemma of administering pain medication in this situation. D: Veracity relates to truthfulness and honesty. While crucial in communication with the client, it is not the primary ethical principle to consider in this specific scenario.
Question 5 of 5
An RN is assigning responsibilities for his team. Which client should he assume responsibility for?
Correct Answer: C
Rationale: The correct answer is C because as an RN, the highest priority is ensuring comfort and pain management for a client actively dying. This client requires immediate attention to provide IV pain medication for symptom management and dignity in the dying process. Option A is incorrect as ambulation can be delegated to other team members. Option B is incorrect as a client in protective isolation can be managed by following infection control protocols. Option D is incorrect as a dressing change for a stable postoperative client can be delegated. Prioritizing end-of-life care aligns with the RN's scope of practice and ethical duty.