ATI RN
Client Health and Safety Specifications Questions
Question 1 of 5
When admitting a patient in possible respiratory failure with a high PaCO2, which assessment information will be of most concern to the nurse?
Correct Answer: A
Rationale: The correct answer is A: The patient is somnolent. This indicates potential respiratory fatigue, requiring immediate intervention. Somnolence suggests worsening respiratory function, leading to further CO2 retention. SpO2 at 90% (choice B) is concerning but not as urgent as hypercapnia. Weakness (choice C) is a common symptom but not as critical as somnolence. Blood pressure of 162/94 (choice D) is high but not directly related to respiratory failure. Prioritize addressing the somnolence to prevent further deterioration.
Question 2 of 5
A patient is placed on volume-cycled ventilation. The nurse plans care for this client based on which characteristic of this method of ventilation?
Correct Answer: A
Rationale: The correct answer is A because volume-cycled ventilation delivers a set volume with each breath, ensuring a consistent tidal volume. This characteristic is beneficial in overcoming airway resistance changes, as the set volume helps maintain adequate ventilation despite changes in lung compliance or airway resistance. Option B refers to trigger mechanism, not characteristic of volume-cycled ventilation. Option C is a true statement, but it does not fully capture the reason why volume-cycled ventilation is chosen. Option D is incorrect as it inaccurately describes pressure-controlled ventilation.
Question 3 of 5
A nurse manager is reviewing the Good Samaritan laws with a group of newly licensed nurses. Which of the following statements by the nurse manager is appropriate?
Correct Answer: A
Rationale: Correct Answer: A. 'If you render aid in an accident, do not leave the scene until another competent person can take over.' Rationale: This statement is appropriate because Good Samaritan laws typically require individuals to provide aid in emergency situations but do not mandate that they stay beyond their competence level. Leaving the scene only when another competent person can take over ensures the continuity of care and prevents abandonment of the victim. This shows a responsible and ethical approach to providing assistance in emergencies. Summary of Other Choices: B: Incorrect. Good Samaritan laws do not prohibit victims from filing lawsuits; they offer legal protection to individuals who provide reasonable assistance in emergencies. C: Incorrect. While there may be ethical obligations to render aid in certain situations, there is no federal law mandating that licensed nurses provide aid in all emergencies. D: Incorrect. Good Samaritan laws generally protect individuals who provide voluntary aid in emergencies outside their regular scope of practice, not necessarily in specific settings like summer camps.
Question 4 of 5
A coworker puts an arm around a nurse and says, 'I bet you are a great lover.' Which of the following is an appropriate response by the nurse?
Correct Answer: C
Rationale: The correct answer is C: 'Speaking to me like that makes me uncomfortable.' This response sets a clear boundary, communicates discomfort with the inappropriate behavior, and asserts the nurse's right to be treated with respect. It addresses the behavior directly and sends a message that such comments are not acceptable. Choices A and B do not directly address the inappropriate behavior, potentially allowing it to continue. Choice D focuses on volume rather than the inappropriate content of the comment, not effectively addressing the situation.
Question 5 of 5
When planning delegation of tasks to assistive personnel (AP), a nurse considers the five rights of delegation. Which of the following should the nurse consider when using one of the five rights of delegation?
Correct Answer: B
Rationale: The correct answer is B: The AP has the knowledge and skill to perform the task. This is important because delegation should only be done to individuals who are competent and capable of carrying out the assigned tasks safely and effectively. The nurse must assess the AP's knowledge and skills to ensure they are qualified for the task. A: The AP's ability to prioritize is not directly related to their competence in performing the task at hand. C: The AP's rapport with clients is important for communication and teamwork but does not determine their ability to perform a specific task. D: The AP's ability to complete the task without assistance is important, but it does not guarantee that they have the required knowledge and skill to perform the task correctly.