ATI RN
Client Safety ATI Chapter 13 Questions
Question 1 of 5
While caring for a patient who has been admitted with a pulmonary embolism, the nurse notes a change in the patient's arterial oxyhemoglobin saturation (SpO2) from 94% to 88%. The nurse will
Correct Answer: D
Rationale: Increasing oxygen flow rate will usually improve oxygen saturation in patients with ventilation-perfusion mismatch, as occurs with pulmonary embolism. Because the problem is with perfusion, actions that improve ventilation, such as deep-breathing and coughing, sitting upright, and suctioning, are not likely to improve oxygenation.
Question 2 of 5
The nurse is to administer a new medication to a client. Which of these actions best demonstrate awareness of safe, proficient nursing practice?
Correct Answer: B
Rationale: Proper client identification and allergy verification ensure safe administration of medications.
Question 3 of 5
Parents ask a nurse how they should reply when their child, diagnosed with paranoid schizophrenia, tells them that voices command him to harm others. Which is the appropriate nursing reply?
Correct Answer: C
Rationale: The most appropriate response by the nurse is to instruct the parents to focus on the feelings generated by the hallucinations and present reality. The parents should maintain an attitude of acceptance to encourage communication but should not reinforce the hallucinations by exploring details of content.
Question 4 of 5
After taking chlorpromazine (Thorazine) for 1 month, a client presents to an emergency department (ED) with severe muscle rigidity, tachycardia, and a temperature of 105°F (40.5°C). The nurse expects the physician to recognize which condition and implement which treatment?
Correct Answer: A
Rationale: The nurse should expect that an ED physician would diagnose the client with neuroleptic malignant syndrome and treat the client by discontinuing chlorpromazine (Thorazine) and administering dantrolene (Dantrium). Neuroleptic malignant syndrome is a potentially fatal condition characterized by muscle rigidity, fever, altered consciousness, and autonomic instability.
Question 5 of 5
A nurse is caring for a client who is scheduled for surgery. The nurse's role in regard to informed consent is which of the following?
Correct Answer: D
Rationale: The nurse's role is to ensure the client understands the procedure and refer any questions back to the provider.