ATI RN
Health And Safety for Clients Questions
Question 1 of 5
Which intervention is most likely to prevent or limit barotrauma in the patient with ARDS who is mechanically ventilated?
Correct Answer: B
Rationale: The correct answer is B: Use of permissive hypercapnia. In ARDS, permissive hypercapnia allows for lower tidal volumes and pressures, reducing the risk of barotrauma. Decreasing PEEP (A) can worsen oxygenation. Increasing tidal volume (C) can exacerbate lung injury. Positive pressure ventilation (D) is necessary but can lead to barotrauma if not carefully managed.
Question 2 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 3 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 4 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.
Question 5 of 5
A nurse is planning to delegate tasks to the AP. Which task is appropriate to delegate?
Correct Answer: A
Rationale: The correct answer is A. The task of accompanying a client with depression to occupational therapy is appropriate to delegate to an Advanced Practice (AP) nurse as it aligns with the AP's scope of practice and requires providing support and assistance to the client. The AP can offer emotional support, ensure safety during transportation, and facilitate the client's participation in therapy. Choice B is incorrect because assessing a hypomanic client for exhaustion requires clinical judgment and knowledge beyond the scope of an AP. Choice C is inappropriate as checking the position of a client in soft wrist restraints involves assessing for safety and proper restraint use, which should be done by a licensed nurse. Choice D is also incorrect as setting limits with a client experiencing mania involves therapeutic communication and complex decision-making, which are responsibilities of a licensed healthcare provider.