ATI RN
Client Health and Safety Responsibilities Questions
Question 1 of 5
Which of the following topics for the client education of a pregnant woman should the nurse prioritize in an effort to promote healthy fetal development?
Correct Answer: A
Rationale: The correct answer is A: Nutrition. Proper nutrition is vital for healthy fetal development as it provides essential nutrients for growth. A pregnant woman needs increased intake of nutrients like folic acid, iron, calcium, and protein. These nutrients support the baby's development and reduce the risk of birth defects. Physical activity is important but not as crucial as nutrition during pregnancy. Infection prevention is also important but may not directly impact fetal development. Stress management is beneficial for overall well-being but is not as critical for fetal development as nutrition. Therefore, prioritizing education on nutrition will best promote healthy fetal development.
Question 2 of 5
During a home health visit a nurse talks with a patient and his family caregiver about the patient's medications. The patient has hypertension and renal disease. Which of the following findings place him at risk for an adverse drug event? (Select all that apply.)
Correct Answer: B
Rationale: The correct answer is B. Taking a total of eight different medications during the day places the patient at risk for an adverse drug event due to the potential for drug interactions, side effects, and medication errors. With multiple medications, there is a higher risk of medication non-adherence and confusion. The other choices are incorrect because: A: Taking two medications for hypertension is a common practice and may not necessarily increase the risk of an adverse drug event. C: Having one physician who reviews all medications is a positive factor that can help prevent adverse drug events by ensuring proper coordination of care. D: The patient's health history of renal disease is important to consider when prescribing medications but does not directly place him at risk for an adverse drug event unless specific medications are contraindicated for renal disease.
Question 3 of 5
The client who smokes two (2) packs of cigarettes a day develops ARDS after a near-drowning. The client asks the nurse, 'What is happening to me? Why did I get this?' Which statement by the nurse is most appropriate?
Correct Answer: C
Rationale: The correct answer is C. The nurse should provide accurate information to the client. ARDS (Acute Respiratory Distress Syndrome) is characterized by fluid buildup in the lungs, leading to breathing difficulties. In this case, near-drowning caused lung injury, resulting in ARDS. Option A is incorrect as not everyone who almost drowns develops ARDS. Option B is incorrect as platelets do not enter the alveoli in ARDS; it is primarily caused by inflammation and damage to the alveoli. Option D is incorrect as while smoking can weaken the lungs, in this scenario, near-drowning was the direct cause of ARDS.
Question 4 of 5
Which assessment finding should cause the nurse to suspect the early onset of hypoxemia?
Correct Answer: A
Rationale: The correct answer is A: Restlessness. Restlessness is an early sign of hypoxemia due to the body's attempt to increase oxygen intake. Hypotension (B) is a late sign in hypoxemia. Central cyanosis (C) is a late sign when the lips and mucous membranes appear blue. Cardiac dysrhythmias (D) are also a late sign in hypoxemia due to inadequate oxygen supply to the heart. Restlessness is the earliest indicator of hypoxemia compared to the other options.
Question 5 of 5
A patient with ARDS is receiving high levels of PEEP. What complication is the nurse most concerned about?
Correct Answer: B
Rationale: The correct answer is B: Pneumothorax. High levels of PEEP in ARDS can lead to overdistension of alveoli, causing barotrauma and increasing the risk of pneumothorax. Pneumothorax is a serious complication that can lead to respiratory distress and requires immediate intervention. Pulmonary embolism (A) is a concern in ARDS but is not directly related to high PEEP levels. Bronchospasm (C) is not a common complication of high PEEP in ARDS. Pleural effusion (D) is caused by fluid accumulation in the pleural space, which is not directly related to high PEEP levels.