ATI RN
Essentials Of Nursing Client Safety Questions
Question 1 of 5
Which consultation or referral by the nurse is most appropriate for a client who is obese and demonstrates poor wound healing?
Correct Answer: B
Rationale: The correct answer is B: Nutritional consult. Obesity can impair wound healing due to poor circulation and increased inflammation. A nutritional consult can address dietary factors that may be contributing to poor wound healing, such as nutrient deficiencies or excess caloric intake. Podiatry referral focuses on foot care, not the root cause of poor wound healing in this case. Pulmonologist referral is unrelated unless there are underlying respiratory issues. Physical therapy may be beneficial for mobility but does not directly address the nutritional aspect affecting wound healing.
Question 2 of 5
The nurse researcher distributed an explanatory brochure to participants in the study for full disclosure. Which of the following principles is the researcher protecting?
Correct Answer: A
Rationale: The correct answer is A: Informed consent. By distributing an explanatory brochure to participants, the nurse researcher is ensuring that participants are fully informed about the study, its purpose, risks, benefits, and their rights before agreeing to participate. This upholds the principle of informed consent, which is essential in research ethics to protect participants' autonomy and right to make voluntary, informed decisions about participating. Summary: B: Freedom from harm - While important, distributing an explanatory brochure does not directly relate to protecting participants from harm. C: Privacy - Although privacy is crucial in research, ensuring privacy is not the primary focus of distributing an explanatory brochure. D: Justice - While justice is a key principle in research ethics, distributing a brochure does not directly relate to ensuring fairness in participant selection or treatment.
Question 3 of 5
A 63-year-old patient is retiring from his job at an accounting firm where he was in a management role for the past 20 years. He has been with the same company for 42 years and was a dedicated employee. His wife is a homemaker. She raised their five children, babysits for her grandchildren as needed, and belongs to numerous church committees. What are the major concerns for this patient? (Select all that apply.)
Correct Answer: A
Rationale: Step 1: The patient retiring from a management role after 20 years indicates a significant change in his daily routine and identity. Step 2: Being a dedicated employee for 42 years, work has likely been a major part of his life. The loss of his work role can lead to a sense of loss, purposelessness, and identity crisis. Step 3: Social isolation (choice B) may be a concern, but the question emphasizes the patient's work role and dedication, making choice A more critical. Step 4: The wife's employment status (choice C) and household tasks division (choice D) are not directly related to the patient's major concerns. Summary: The major concern for the patient is the loss of his work role, which can impact his sense of purpose and identity. Social isolation, the wife's employment, and household tasks division are not as significant in this context.
Question 4 of 5
The unlicensed assistive personnel (UAP) is bathing the client diagnosed with acute respiratory distress syndrome (ARDS). The bed is in a high position with the opposite side rail in the low position. Which action should the nurse implement?
Correct Answer: A
Rationale: The correct answer is A because demonstrating the correct technique for giving a bed bath ensures proper care for the client with ARDS. This includes maintaining proper positioning to prevent respiratory distress. Encouraging the UAP to put the bed in the lowest position (B) is incorrect as it may not be necessary and could potentially worsen the client's condition. Instructing the UAP to get another person to help (C) is unnecessary and may delay care. Providing praise for performing the bath safely (D) is inappropriate as it does not address the importance of proper technique in caring for a client with ARDS.
Question 5 of 5
When teaching the patient about what was happening when experiencing an intrapulmonary shunt, which explanation is accurate?
Correct Answer: C
Rationale: The correct answer is C. In an intrapulmonary shunt, blood flows through the capillaries in the lungs without participating in gas exchange. This leads to poorly oxygenated blood mixing with well-oxygenated blood, reducing overall oxygenation levels. Choice A is incorrect because it describes a ventilation-perfusion mismatch, not an intrapulmonary shunt. Choice B is incorrect as it describes an intracardiac shunt, not an intrapulmonary shunt. Choice D is incorrect as it refers to conditions like pulmonary fibrosis, not intrapulmonary shunts.