ATI RN
ATI Nur 175 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse at an ambulatory care clinic is participating in an active shooter drill. The shooter is rapidly approaching the nurse's location and the nurse cannot get to an exit. What next best action is appropriate?
Correct Answer: B
Rationale: While evacuation is typically the first course of action during an active shooter situation, it is not feasible if the shooter is rapidly approaching and exits are not accessible. In such scenarios, finding a safe place to hide is a better immediate response. Hiding in a room with no windows is an appropriate action when the shooter is nearby, and evacuation is not possible. Locking the door, turning off lights, and remaining silent can increase the chances of avoiding detection by the shooter. This response prioritizes immediate safety. Attacking the shooter should only be considered as a last resort when there are no other options for escape or hiding, and one's life is in imminent danger. It is not the next best action in this scenario when hiding is a viable option. Calling emergency services is crucial, but if the shooter is rapidly approaching, immediate action to protect oneself by hiding takes precedence. Once in a secure location, contacting emergency services should follow.
Question 2 of 5
The charge nurse is planning the staff assignment for the day. Which factors should the nurse consider when planning the assignment? (Select all that apply)
Correct Answer: A,B,C,D,E
Rationale:
Choice A reason: The acuity level of the clients is a critical factor to consider when planning staff assignments. Clients with higher acuity levels require more intensive care and monitoring, necessitating a greater allocation of resources and experienced staff. By considering client acuity, the charge nurse can ensure that the most critical patients receive the appropriate level of care and attention, while also balancing the workload among the nursing staff.
Choice B reason: The clustering of the rooms on the unit can significantly impact the efficiency of care delivery. By grouping clients in close proximity, the nurse can minimize the time and effort spent moving between rooms, thus enhancing the ability to respond quickly to client needs. This consideration helps to optimize workflow and improve overall patient care by reducing potential delays.
Choice C reason: Considering both client needs and the staff's needs and abilities ensures that the right personnel are assigned to the appropriate tasks. Matching staff competencies with client requirements maximizes the effectiveness of care delivery. Additionally, taking into account staff preferences and skills can improve job satisfaction and performance, ultimately benefiting the clients.
Choice D reason: The number of anticipated client discharges is an important logistical factor that can affect the day's workflow. Planning for discharges allows the charge nurse to allocate resources for discharge planning, patient education, and follow-up care. It also helps in managing bed availability and preparing for incoming admissions, ensuring a smooth transition for both clients and staff.
Choice E reason: Specific requests from the staff can include preferences for certain shifts, working with particular patients, or avoiding specific tasks. While it may not always be possible to accommodate all requests, considering them when feasible can improve staff morale and cooperation. Addressing staff preferences helps to create a positive work environment, leading to better teamwork and patient outcomes.
Question 3 of 5
A nurse is completing the admission process for an older adult client new to the unit. After gathering the assessment data and reviewing the health history, which of the following best promotes client safety?
Correct Answer: C
Rationale: Conducting a client care conference is important for multidisciplinary care planning, but it may not immediately address the client's safety needs upon admission. Safety measures should be implemented promptly to prevent potential accidents or confusion. Providing information about advance directives is crucial for ensuring that the client's wishes are respected during their care. However, this does not directly address immediate safety concerns that may arise from being in a new environment. Orienting the client to his room is essential to promote client safety. This includes familiarizing the client with the layout of the room, location of the bathroom, call bell, and any other essential features. It helps prevent falls and accidents by reducing confusion and ensuring the client knows how to access help if needed. Developing a plan of care is critical for long-term management of the client's health needs. However, immediate safety concerns should be addressed first to ensure a safe environment for the client from the outset.
Question 4 of 5
What are some potential side effects of mood stabilizers?
Correct Answer: B,D
Rationale: Nausea and vomiting are common with mood stabilizers like lithium and valproate. Liver and kidney damage are serious risks associated with prolonged use.
Question 5 of 5
Which is the priority action by the nurse when a patient discloses a medication allergy during the health history before a surgical procedure?
Correct Answer: C
Rationale: Clarifying the reaction ensures it is a true allergy, guiding appropriate precautions.