ATI RN
Client Safety Nursing Skill Template Questions
Question 1 of 5
Which physiological mechanism primarily contributes to hypoxemia in ARDS?
Correct Answer: B
Rationale: The correct answer is B, impaired gas exchange due to alveolar-capillary membrane damage. In ARDS, inflammation and injury to the alveolar-capillary membrane lead to increased permeability and fluid accumulation, impairing gas exchange. Reduced hemoglobin levels (choice A) do not directly cause hypoxemia in ARDS. Decreased perfusion to pulmonary capillaries (choice C) may contribute to hypoxemia but is not the primary mechanism in ARDS. Increased airway resistance due to bronchoconstriction (choice D) affects ventilation, not gas exchange, and is not the primary cause of hypoxemia in ARDS.
Question 2 of 5
What are the most common early clinical manifestations of ARDS?
Correct Answer: A
Rationale: The correct answer is A: Dyspnea and tachypnea. These are common early clinical manifestations of ARDS because the condition leads to rapid, shallow breathing (tachypnea) and shortness of breath (dyspnea) due to the impaired gas exchange in the lungs. Cyanosis and apprehension (B) may occur later in ARDS progression. Hypotension and tachycardia (C) are more associated with septic shock rather than early ARDS. Respiratory distress and frothy sputum (D) are more characteristic of conditions like pulmonary edema rather than ARDS.
Question 3 of 5
A client has just been intubated for placement on a mechanical ventilator. What is the first assessment of the tube placement?
Correct Answer: D
Rationale: The correct answer is D: End tidal CO2 monitoring. This is the first assessment of tube placement because it provides immediate feedback on the effectiveness of ventilation. End tidal CO2 monitoring measures the amount of CO2 exhaled, indicating proper placement in the airway. If the tube is correctly positioned, CO2 will be detected. Chest X-Ray (A) is not immediate and delays intervention. Auscultation (B) may not always confirm placement. Pulse oximetry (C) can be misleading as oxygen saturation can be maintained even with incorrect tube placement.
Question 4 of 5
A nurse is caring for a client who has named a person to serve as his health care proxy. The client states he needs clarification about this type of advance directives. Which of the following statements by the client indicates a need for clarification?
Correct Answer: C
Rationale: The correct answer is C because the statement indicates a misunderstanding of health care proxy selection. A person can choose anyone, not just a family member, as their health care proxy. Statement A is correct as a health care proxy can be changed at any time. Statement B is also correct as the proxy makes end-of-life decisions when the person is incapacitated. Statement D is correct as the health care proxy only comes into effect when the person is unable to make decisions.
Question 5 of 5
A nurse has been reassigned from her regular area of work to a unit that is short staffed. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Rationale: - A. Asking what she will be assigned to do first helps the nurse clarify her responsibilities and prioritize tasks effectively. - B. Determining skills can wait until knowing the assigned tasks. - C. Identifying options is not urgent compared to knowing immediate tasks. - D. Notifying the manager can be done after understanding her duties. Summary: The nurse should first ask about her assignment to understand her immediate responsibilities before assessing her skills or considering other options.