ATI RN
Client Safety Event ATI Quizlet Questions
Question 1 of 5
When the nurse is administering furosemide 40 mg IV push to a client in congestive heart failure (CHF), what phase of the nursing process does this represent?
Correct Answer: C
Rationale: The correct answer is C: Implementation. This is because administering furosemide 40 mg IV push is a direct action taken by the nurse based on the planned interventions to manage the client's CHF symptoms. During the implementation phase, the nurse carries out the planned interventions to achieve the client's desired outcomes. A: Assessment is incorrect because administering medication is not part of the assessment phase, which involves gathering data about the client's condition. B: Planning is incorrect because administering medication is not part of the planning phase, which involves developing a care plan based on the assessment data. D: Evaluation is incorrect because administering medication is not part of the evaluation phase, which involves assessing the outcomes of the interventions implemented.
Question 2 of 5
The following factor should be considered first when developing a teaching plan:
Correct Answer: A
Rationale: The correct answer is A: the client's priorities. When developing a teaching plan, understanding the client's priorities is essential to tailor the plan to their specific needs and goals. By prioritizing the client's preferences and concerns, the teaching plan can be more effective and client-centered. Vital signs (B) are important for assessing the client's health status but do not directly impact the teaching plan. Insurance coverage (C) and economic resources (D) are important considerations but should come after addressing the client's priorities to ensure the plan is feasible and accessible.
Question 3 of 5
The nurse cares for a pre-operative client who is unable to accept blood products due to her religion. What is this client's religion?
Correct Answer: D
Rationale: The correct answer is D, Jehovah's Witnesses. They are known to refuse blood transfusions due to religious beliefs. Jehovah's Witnesses interpret certain Bible passages as prohibiting the ingestion of blood. Mormons (A), Buddhists (B), and Catholics (C) do not typically have restrictions on blood transfusions.
Question 4 of 5
The nurse is completing a health history with the daughter of a newly admitted patient who is confused and agitated. The daughter reports that her mother was diagnosed with Alzheimer's disease 1 year ago but became extremely confused last evening and was hallucinating. She was unable to calm her, and her mother thought she was a stranger. On the basis of this history, the nurse suspects that the patient is experiencing:
Correct Answer: A
Rationale: Step 1: Delirium is characterized by acute onset confusion, agitation, hallucinations, and disorientation, which align with the patient's symptoms. Step 2: The patient's sudden change in mental status suggests an acute condition rather than a chronic one like dementia. Step 3: The inability to recognize her daughter and mistaking her for a stranger are typical features of delirium. Step 4: The daughter's report of sudden confusion and hallucinations points towards delirium rather than worsening dementia or new-onset dementia. Step 5: Therefore, based on the acute onset of symptoms and the patient's confusion and hallucinations, the nurse correctly suspects delirium. Summary: - B: Depression does not typically present with acute confusion, hallucinations, and disorientation. - C: New-onset dementia would not manifest suddenly with confusion and hallucinations. - D: Worsening dementia would show a gradual decline rather than a sudden onset of symptoms.
Question 5 of 5
A patient is admitted to a medical unit. The patient is fearful of hospitals. The nurse carefully assesses the patient to determine the exact fears and then establishes interventions designed to reduce these fears. In this setting how is the nurse practicing patient advocacy?
Correct Answer: D
Rationale: The correct answer is D because the nurse is practicing patient advocacy by actively listening to the patient's fears, understanding their perspective, and preparing to communicate this information effectively. By assessing the patient's point of view, the nurse can advocate for the patient's needs and preferences in the healthcare setting. This approach promotes patient-centered care and fosters a trusting nurse-patient relationship. Option A is incorrect as seeking out the nursing supervisor does not directly address the patient's fears. Option B is incorrect as documenting patient fears alone does not demonstrate advocacy without taking action. Option C is incorrect as working to change the hospital environment may not necessarily address the patient's specific fears and may not be within the nurse's scope of practice.