ATI RN
ATI Client Safety Event Quizlet Questions
Question 1 of 5
Which patients does the nurse identify as high risk for situational stress? Select all that apply.
Correct Answer: B
Rationale: The correct answer is B, a woman recovering from a car accident, as she has experienced a traumatic event which can lead to situational stress. This patient may be dealing with physical and emotional challenges post-accident. A: An infant learning to walk is not high risk for situational stress as this is a normal developmental milestone. C: A young couple expecting their first child is not necessarily high risk for situational stress, as it can be a joyful event for many. D: A man getting married to his long-time girlfriend may experience stress, but it is not situational stress as it is a planned life event.
Question 2 of 5
To facilitate palpation of thyroid gland, the nurse instructs the client to:
Correct Answer: A
Rationale: Step 1: Swallowing elevates the thyroid gland, making it easier to palpate. Step 2: Swallowing also moves the thyroid gland closer to the skin surface. Step 3: This helps the nurse accurately assess the size, shape, and texture of the thyroid gland. Step 4: Holding breath, flexing, or hyperextending the neck does not provide optimal access for palpation. Summary: Swallowing is the correct choice as it enhances visibility and accessibility for thyroid gland palpation, while the other options do not provide the same benefits.
Question 3 of 5
An 80-year-old client tells the nurse that he has been dizzy since starting to take an herbal remedy for arthritis in addition to prescribed medications. Which of the following effects is this client experiencing?
Correct Answer: A
Rationale: The correct answer is A: Polypharmacy. Polypharmacy refers to the concurrent use of multiple medications, which can lead to drug interactions and adverse effects, such as dizziness. In this case, the client is experiencing dizziness due to combining the herbal remedy with prescribed medications, highlighting the risks of polypharmacy. B: Sleep disorder is incorrect because dizziness is not typically a symptom of a sleep disorder. C: Cascade iatrogenesis is incorrect as it refers to a chain of events where one intervention leads to multiple adverse outcomes, which is not directly related to the client's dizziness in this scenario. D: Fluid volume overload is incorrect as it typically presents with symptoms like swelling, shortness of breath, and weight gain, rather than dizziness.
Question 4 of 5
The nurse auscultates an extra sound over the left lower lobe. The nurse should:
Correct Answer: D
Rationale: The correct answer is D: notify healthcare provider (HCP). This is the most appropriate action as hearing an extra sound could indicate a potential abnormality such as a crackle or wheeze. Notifying the HCP promptly allows for further assessment and appropriate intervention if needed. Choice A: Documenting the finding is important, but not the most immediate action when an abnormal sound is heard. Choice B: Asking the client to cough may not address the underlying cause of the extra sound and delay necessary intervention. Choice C: Reassessing in one hour could be too delayed for a potentially serious issue and may lead to worsening of the condition. Therefore, notifying the HCP is the best course of action for timely intervention and ensuring patient safety.
Question 5 of 5
The nurse is caring for a female client with diarrhea. What information does the nurse teach the client about perineal care?
Correct Answer: A
Rationale: The correct answer is A: Clean the perineal area from the front to back. This is crucial to prevent the spread of bacteria from the anal area to the vaginal area, reducing the risk of urinary tract infections. Cleaning from front to back maintains hygiene and minimizes the risk of cross-contamination. B: Wearing gloves is not necessary for routine perineal care, unless there are open wounds or the nurse is at risk of exposure to bodily fluids. C: Bathing the perineal area with mild soap and water is generally recommended, but the direction of cleaning is more important to prevent infections. D: Inserting any suppository medication prior to cleaning the perineal area is not advisable as it may lead to contamination of the medication and reduce its effectiveness.