ATI RN
Health And Safety for Clients Questions
Question 1 of 5
Which action should the nurse take first when a patient with ARDS develops a high-pressure alarm on the ventilator?
Correct Answer: A
Rationale: The correct action is to check for kinks or obstructions in the ventilator tubing first because a high-pressure alarm indicates a potential issue with airflow, which can lead to decreased oxygenation and ventilation. By ensuring the tubing is clear, the nurse can address the immediate problem and potentially prevent further complications. Auscultating lung sounds for a pneumothorax can be important but is not the priority in this situation. Suctioning the endotracheal tube for secretions may help in some cases but should not be the first action when a high-pressure alarm occurs. Notifying the respiratory therapist is important, but resolving the potential obstruction in the ventilator tubing should be the initial step to ensure the patient's safety and optimal ventilation.
Question 2 of 5
A Client has been intubated and placed on a volume-cycled mechanical ventilator. The nurse carefully assess the client for findings associated with a risk associated with this type of ventilator. What is the risk?
Correct Answer: D
Rationale: The correct answer is D: Barotrauma. Barotrauma refers to lung injury caused by excessive pressure during mechanical ventilation. With a volume-cycled ventilator, there is a risk of delivering high tidal volumes at high pressures, leading to barotrauma. Hypoventilation (A), hypercapnia (B), and respiratory acidosis (C) are outcomes of inadequate ventilation, but they are not the specific risk associated with a volume-cycled ventilator.
Question 3 of 5
A nurse is serving on a continuous quality improvement (CQI) committee that has been assigned to develop a program to reduce the number of medication administration errors following a sentinel event at the facility. Which of the following strategies should the committee plan to initiate first?
Correct Answer: C
Rationale: The correct answer is C: Review the events leading up to each medication administration error. This strategy is crucial for identifying root causes of errors and implementing targeted solutions. By analyzing the specific circumstances surrounding each error, the committee can uncover systemic issues, such as faulty processes or inadequate training, that contribute to errors. This approach allows for evidence-based interventions to be developed to prevent future occurrences. Option A is not the most effective initial strategy as simply providing an inservice may not address underlying systemic issues. Option B may be important but assessing competency without understanding the root causes of errors may not lead to sustainable improvements. Option D focuses on addressing errors after they occur rather than preventing them in the first place.
Question 4 of 5
A nurse manager hears a staff nurse on the unit speak openly about her dislike of a recent policy change regarding client care. When discussing the issue with the nurse, which of the following statements by the nurse manager is appropriate?
Correct Answer: A
Rationale: The correct answer is A: 'Let's talk about your concerns about the new policy.' This response is appropriate because it demonstrates active listening, empathy, and a willingness to address the nurse's concerns in a constructive manner. By encouraging open dialogue, the nurse manager can better understand the staff nurse's perspective, address any issues, and potentially find a solution that benefits both the nurse and the unit. Choice B is incorrect as it may come across as confrontational and may discourage the nurse from sharing her concerns in the future. Choice C is incorrect as it dismisses the nurse's feelings and does not address the specific issue at hand. Choice D is incorrect as it does not acknowledge the nurse's concerns and instead focuses on imposing support for the policy change without considering the nurse's perspective.
Question 5 of 5
A charge nurse notes that a staff nurse delegates an unfair share of tasks to the assistive personnel (AP) and the nurses on next shift report the staff nurse frequently leaves tasks uncompleted. Which of the following statements should the charge nurse make to resolve this conflict?
Correct Answer: A
Rationale: The correct answer is A because it focuses on addressing the issue professionally and constructively. By discussing unit expectations regarding delegating and completing tasks, the charge nurse can set clear guidelines for fair task distribution. This approach promotes open communication and provides an opportunity for the staff nurse to improve. Choice B is incorrect as it focuses on hearsay and may lead to defensiveness. Choice C is incorrect as it escalates the situation prematurely and may create a hostile environment. Choice D is incorrect as it uses accusatory language, which can lead to confrontation rather than resolution.