ATI RN
Client Health and Safety Responsibilities Questions
Question 1 of 5
When the nurse is caring for an obese patient with left lower-lobe pneumonia, gas exchange will be best when the patient is positioned
Correct Answer: B
Rationale: The correct answer is B: on the right side. When the patient with left lower-lobe pneumonia is positioned on the right side, gravity helps drain secretions from the affected area, improving ventilation and gas exchange. Placing the patient on the left side (A) may worsen oxygenation by further compromising the already affected lobe. High-Fowler's position (C) may not be as effective in promoting drainage as side-lying positions. The tripod position (D) is commonly used for patients with respiratory distress, but in this case, side positioning is more beneficial for improving gas exchange in the specific affected area.
Question 2 of 5
The client is on CPAP for weaning from a mechanical ventilator. Assessment reveals a respiratory rate of 32/min, oxygen saturation of 88 percent, and use of accessory muscles. What should the nurse anticipate will occur?
Correct Answer: C
Rationale: The correct answer is C: The client will be placed back on full ventilatory support. Based on the assessment findings of a respiratory rate of 32/min, oxygen saturation of 88 percent, and use of accessory muscles, the client is showing signs of respiratory distress and not tolerating CPAP. The nurse should anticipate that the client will require full ventilatory support to manage their respiratory status effectively. Increasing FiO2 (choice A) may not be sufficient to address the underlying issue. Weaning should not continue (choice B) as the client is not tolerating CPAP. Extubation (choice D) is not appropriate given the client's current respiratory status.
Question 3 of 5
A nurse is caring for a client who has severe head injuries and is declared brain dead. The transplant coordinator has spoken with the client's family about organ donation. The client's spouse states she is confused and does not know what she should do. Which of the following responses by the nurse is appropriate?
Correct Answer: B
Rationale: The correct answer is B: 'What do you think your spouse would have wanted?' Rationale: 1. This response shows empathy and respect for the spouse's feelings and autonomy. 2. It allows the spouse to reflect on the wishes and values of the brain-dead client. 3. It helps the spouse make a decision based on what the client would have wanted, rather than external pressures. Incorrect choices: A: A shortage of organs is not a valid reason to pressure the spouse into donating organs. C: Bringing up religion may only add unnecessary complexity to an already difficult decision. D: Emphasizing personal feelings may guilt-trip the spouse into making a decision that may not align with the client's wishes.
Question 4 of 5
A volunteer assigned to the pediatric unit reports to the charge nurse for an assignment. Which of the following assignments is unsafe for the volunteer?
Correct Answer: A
Rationale: The correct answer is A. Transporting a school-age client who is in traction to another department is unsafe for a volunteer as it involves moving a patient with a specific medical condition that requires careful handling and knowledge of proper techniques to prevent injury. The volunteer may not be trained in how to safely transport a patient in traction, which could lead to harm for the patient. Choice B is incorrect because playing a computer video game with an adolescent who has sickle cell disease is a safe and appropriate activity for a volunteer to engage in to provide companionship and distraction for the patient. Choice C is incorrect because reading a book to a preschool client who has AIDS is a safe and appropriate activity that can help provide comfort and support to the patient. Choice D is incorrect because rocking an infant who was admitted for croup is a safe and appropriate activity that can help soothe the infant and provide comfort.
Question 5 of 5
A nurse is providing care for a surgeon on a medical-surgical unit. A nurse from another unit asks the nurse about the surgeon's medical diagnosis. The nurse responds that he is unable to provide the information requested. The nurse is displaying which of the following ethical principles?
Correct Answer: D
Rationale: The correct answer is D: Nonmaleficence. The nurse is upholding the principle of nonmaleficence by protecting the surgeon's right to privacy and confidentiality. By not disclosing the surgeon's medical diagnosis to another nurse, the nurse is preventing potential harm or breach of confidentiality. This demonstrates respect for the surgeon's autonomy and right to confidentiality. Summary: A: Utility - Not relevant in this scenario, as it pertains to maximizing benefits and minimizing harms for the majority. B: Paternalism - Not applicable here, as it involves making decisions for someone else's benefit without their consent. C: Justice - Not applicable in this context, as it relates to fairness and equitable distribution of resources or benefits.