ATI RN
Client Safety Event ATI Quizlet Questions
Question 1 of 5
Which is a proper nursing action for a patient in acute respiratory failure?
Correct Answer: B
Rationale: Correct Answer: B Rationale: 1. Chest physical therapy helps mobilize secretions in patients with excess sputum production, aiding in airway clearance. 2. In acute respiratory failure, sputum retention can worsen ventilation-perfusion mismatch and compromise gas exchange. 3. Providing chest physical therapy can improve ventilation, oxygenation, and respiratory function in these patients. Summary: A: Administering 100% oxygen to an intubated patient is important, but the resolution of the underlying pathology should guide oxygen therapy. C: CPAP is not appropriate for weak or absent respirations, as it requires the patient to have an intact respiratory effort. D: Administering packed red blood cells for maintaining hemoglobin levels is not directly related to addressing acute respiratory failure.
Question 2 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 3 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 4 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.
Question 5 of 5
A nurse is providing care for a surgeon on a medical-surgical unit. A nurse from another unit asks the nurse about the surgeon's medical diagnosis. The nurse responds that he is unable to provide the information requested. The nurse is displaying which of the following ethical principles?
Correct Answer: D
Rationale: The correct answer is D: Nonmaleficence. The nurse is displaying the ethical principle of nonmaleficence by refusing to disclose the surgeon's medical diagnosis without consent, as it could potentially harm the surgeon's privacy and confidentiality. Nonmaleficence emphasizes the obligation to avoid causing harm or injury to others. By respecting the surgeon's right to privacy, the nurse is upholding this principle. A: Utility is the principle of maximizing benefits for the greatest number of people, which is not relevant in this scenario. B: Paternalism involves making decisions for others based on what is believed to be in their best interest, but in this case, the nurse is respecting the surgeon's autonomy. C: Justice is about fairness and equal treatment, which is not directly applicable to the nurse's response in this situation.