ATI RN
Health And Safety for Clients Questions
Question 1 of 5
Which area of a client's space does the nurse function most often during physical assessment?
Correct Answer: C
Rationale: The correct answer is C: Intimate. During a physical assessment, the nurse functions most often in the intimate area of the client's space, which includes areas such as the client's body and personal belongings. This is where the nurse performs tasks like taking vital signs, conducting physical examinations, and assessing for any abnormalities. The intimate space allows the nurse to gather detailed and sensitive information necessary for providing appropriate care. Choices A, B, and D are incorrect because the nurse does not primarily function in the public (Choice A), social (Choice B), or personal (Choice D) areas of the client's space during a physical assessment.
Question 2 of 5
The nurse, who is performing a peripheral vascular exam, is unable to palpate the posterior tibialis pulse. Which is the most appropriate nursing action?
Correct Answer: C
Rationale: The correct answer is C: Check pulse with a doppler. This is the most appropriate action because a doppler can detect the pulse even when it is difficult to palpate manually. This step ensures thorough assessment and accurate findings. Recording the finding (choice A) may leave out crucial information. Rechecking in 1 hour (choice B) is not necessary if a doppler can be used immediately. Notifying the healthcare provider (choice D) is premature before exploring all assessment options. Using a doppler is the best course of action to confirm the presence or absence of the posterior tibialis pulse accurately.
Question 3 of 5
The Health Information Portability and Privacy Act (HIPAA) influences nursing research primarily in the area related to:
Correct Answer: B
Rationale: The correct answer is B: protection of client. HIPAA primarily influences nursing research by ensuring the protection of patients' privacy and confidentiality. Researchers must comply with HIPAA regulations to safeguard patients' health information. This is crucial in maintaining trust and confidentiality in research. A: the cost of the study - HIPAA does not directly impact the cost of the study. C: what type of research method can be used - HIPAA does not dictate specific research methods. D: where the study may be published - HIPAA does not control where the study may be published.
Question 4 of 5
A nurse is participating in a health and wellness event at the local community center. A woman approaches and relates that she is worried that her widowed father is becoming more functionally impaired and may need to move in with her. The nurse inquires about his ability to complete activities of daily living (ADLs). ADLs include independence with: (Select all that apply.)
Correct Answer: B
Rationale: The correct answer is B: Toileting. ADLs are essential self-care activities that individuals perform daily to maintain their well-being. Toileting is one of the basic ADLs and refers to the ability to use the toilet independently. This is crucial for maintaining hygiene and overall health. The other choices are incorrect because: A: Driving is not typically considered an ADL. It falls under the category of instrumental activities of daily living (IADLs), which are more complex tasks related to independent living. C: Bathing is a fundamental ADL, but the question asks for activities that are included in ADLs and not for all possible ADLs. D: Daily exercise is important for overall health but is not specifically categorized as an ADL. It falls under the category of health-promoting activities.
Question 5 of 5
The nurse suspects the client may be developing ARDS. Which assessment data confirm the diagnosis of ARDS?
Correct Answer: A
Rationale: The correct answer is A because in ARDS, the lungs are unable to oxygenate the blood effectively despite high levels of supplemental oxygen. This results in low arterial oxygen levels even when giving a high concentration of oxygen. Choice B is incorrect because dyspnea, tachycardia, and anxiety are common symptoms of ARDS but do not confirm the diagnosis. Choice C is incorrect because clear breath sounds and a pulse oximeter reading of 95% do not confirm ARDS, as ARDS is characterized by severe oxygenation impairment. Choice D is incorrect because jugular vein distention and frothy sputum are not specific indicators of ARDS, although they may be present in some cases.