ATI RN
Client Safety Event ATI Quizlet Questions
Question 1 of 5
Which information obtained by the nurse when assessing a patient with acute respiratory distress syndrome (ARDS) who is being treated with mechanical ventilation and high levels of positive end-expiratory pressure (PEEP) indicates a complication of ventilator therapy is occurring?
Correct Answer: A
Rationale: The correct answer is A: The patient has subcutaneous emphysema. Subcutaneous emphysema is a possible complication of mechanical ventilation with high levels of PEEP in ARDS. This occurs when air escapes from the alveoli and becomes trapped under the skin. It is a sign of barotrauma, indicating that the PEEP levels may be too high for the patient. Subcutaneous emphysema can lead to serious complications such as pneumothorax, so it is crucial for the nurse to recognize and address it promptly. Explanation of other choices: B: Sinus bradycardia is not directly related to ventilator therapy complications. C: Low PaO2 and SaO2 levels are expected in ARDS and do not specifically indicate a complication of ventilator therapy. D: Bronchial breath sounds can be present in ARDS but do not specifically indicate a complication of ventilator therapy.
Question 2 of 5
A nurse is preparing an in-service for an annual skills fair at a community medical facility about fire safety. Place the steps in the order in which they should be performed in the case of a fire emergency. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)
Correct Answer:
Rationale: Correct Answer: B, A, C Rationale: 1. Confine the fire: This step is crucial to prevent the fire from spreading and causing more damage or harm. 2. Pull the fire alarm: Alerting others and activating the fire alarm will ensure a prompt evacuation and summon the fire department. 3. Extinguish the fire: Only attempt to extinguish the fire if it is safe to do so and within your capabilities. Summary of incorrect choices: - Option A: Pulling the fire alarm should be done before attempting to extinguish the fire to ensure the safety of everyone. - Option C: Attempting to extinguish the fire before confining it may lead to the fire spreading and becoming out of control.
Question 3 of 5
A nurse has several tasks to delegate to an assistive personnel (AP). Which of the following tasks should the nurse ask the AP to perform first?
Correct Answer: A
Rationale: The correct answer is A because taking an arterial blood gas specimen is time-sensitive and requires specific skills. ABG results are crucial for assessing a client's oxygenation and acid-base balance, impacting their immediate care. Transporting a client for an x-ray (B), passing water (C), and obtaining a routine urine sample (D) are important tasks but can be done after the critical ABG is obtained. Prioritizing tasks based on urgency and client safety is key in delegation.
Question 4 of 5
A nurse on a medical-surgical unit is providing care for a group of clients. The nurse should delegate collection of which of the following specimens to the assistive personnel (AP)?
Correct Answer: D
Rationale: The correct answer is D. Delegating the collection of a random stool specimen to assistive personnel is appropriate because it is a non-invasive procedure that does not require specialized training. The AP can simply provide the client with a specimen container and instruct them on how to collect the sample. The other choices involve more invasive procedures or specific skills that should be performed by licensed healthcare providers. A: Collection of wound drainage for culture requires sterile technique. B: Collection of urine from an indwelling catheter involves proper technique to prevent infection. C: Collection of blood for PaCO2 requires venipuncture skills and knowledge of blood gas analysis.
Question 5 of 5
A nurse has received change-of-shift report and is delegating tasks to the AP. Which task should the AP complete first?
Correct Answer: A
Rationale: The correct answer is A: Perform blood glucose monitoring of a client prior to breakfast. This task should be completed first as it involves assessing a client's immediate health status and can impact the client's treatment plan for the day. Monitoring blood glucose levels is crucial for clients with diabetes to ensure proper management of their condition. Choices B, C, and D are not as time-sensitive or critical as blood glucose monitoring. Applying a condom catheter, feeding a client, and delivering a urine specimen can be done after assessing the client's blood glucose levels to prioritize the client's immediate health needs.