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ATI RN · ATI Fundamentals · ATI Client Safety Event Quizlet

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The client with ARDS is on a ventilator, and the high alarm indicates an increase in the peak airway pressure. Which intervention should the nurse implement first?

A. Check the tubing for any kinks.

B. Suction the airway for secretions.

C. Assess the lip line of the ET tube.

D. Sedate the client with a muscle relaxant.

Expert Explanatory Rationale

Correct Answer: Check the tubing for any kinks.

Question 2 of 5

The nurse auscultates an extra sound over the left lower lobe. The nurse should:

A. document finding.

B. ask client to cough.

C. reassess in one hour.

D. notify healthcare provider (HCP).

Expert Explanatory Rationale

Correct Answer: notify healthcare provider (HCP).

Question 3 of 5

The client who smokes two 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?

A. Most people who almost drown end up developing ARDS

B. Platelets and fluid enter the alveoli due to permeability instability

C. Your lungs are filling up with fluid, causing breathing problems

D. Smoking has caused your lungs to become weakened, so you got ARDS

Expert Explanatory Rationale

Correct Answer: Your lungs are filling up with fluid, causing breathing problems

Question 4 of 5

For which patient would NIPPV be an appropriate intervention to promote oxygenation?

A. A patient's whose cardiac output and blood pressure are unstable

B. A patient whose respiratory failure is caused by a head injury with loss of consciousness

C. A patient with a diagnosis of cystic fibrosis and who is producing copious secretions

D. A patient who is experiencing respiratory failure as a result of the progression of myasthenia gravis

Expert Explanatory Rationale

Correct Answer: A patient who is experiencing respiratory failure as a result of the progression of myasthenia gravis

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?

A. Clean the perineal area from the front to back.

B. Wear gloves while performing perineal self-care.

C. Bathe the perineal area with a mild soap and water.

D. Insert any suppository medication prior to cleaning the perineal area.

Expert Explanatory Rationale

Correct Answer: Clean the perineal area from the front to back.

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