ATI RN
Client Health and Safety Specifications Questions
Question 1 of 5
A 26-year-old patient is admitted to the hospital in severe respiratory distress. His oxygen saturations are 80% despite supplemental oxygen provided by facemask. The physician decides to intubate the patient to help with his breathing oxygenation. Which medication would the nurse most likely administer when assisting with intubation?
Correct Answer: A
Rationale: The correct answer is A: Midazolam (Versed). Midazolam is a benzodiazepine used for sedation and anxiolysis before intubation to ensure patient comfort and cooperation. It has rapid onset and short duration, making it ideal for this situation. Zolpidem (B) is a sedative-hypnotic used for insomnia, not suitable for intubation. Phentermine (C) is a weight-loss medication and has no role in intubation. Modafinil (D) is a wakefulness-promoting agent and is not used for intubation. In summary, Midazolam is the correct choice for its sedative properties in facilitating intubation, while the other options are not appropriate for this scenario.
Question 2 of 5
A nurse manager is reviewing the Good Samaritan laws with a group of newly licensed nurses. Which of the following statements by the nurse manager is appropriate?
Correct Answer: A
Rationale: Correct Answer: A. 'If you render aid in an accident, do not leave the scene until another competent person can take over.' Rationale: This statement is appropriate because Good Samaritan laws typically require individuals to provide aid in emergency situations but do not mandate that they stay beyond their competence level. Leaving the scene only when another competent person can take over ensures the continuity of care and prevents abandonment of the victim. This shows a responsible and ethical approach to providing assistance in emergencies. Summary of Other Choices: B: Incorrect. Good Samaritan laws do not prohibit victims from filing lawsuits; they offer legal protection to individuals who provide reasonable assistance in emergencies. C: Incorrect. While there may be ethical obligations to render aid in certain situations, there is no federal law mandating that licensed nurses provide aid in all emergencies. D: Incorrect. Good Samaritan laws generally protect individuals who provide voluntary aid in emergencies outside their regular scope of practice, not necessarily in specific settings like summer camps.
Question 3 of 5
A coworker puts an arm around a nurse and says, 'I bet you are a great lover.' Which of the following is an appropriate response by the nurse?
Correct Answer: C
Rationale: The correct answer is C: 'Speaking to me like that makes me uncomfortable.' This response sets a clear boundary, communicates discomfort with the inappropriate behavior, and asserts the nurse's right to be treated with respect. It addresses the behavior directly and sends a message that such comments are not acceptable. Choices A and B do not directly address the inappropriate behavior, potentially allowing it to continue. Choice D focuses on volume rather than the inappropriate content of the comment, not effectively addressing the situation.
Question 4 of 5
When planning delegation of tasks to assistive personnel (AP), a nurse considers the five rights of delegation. Which of the following should the nurse consider when using one of the five rights of delegation?
Correct Answer: B
Rationale: The correct answer is B: The AP has the knowledge and skill to perform the task. This is important because delegation should only be done to individuals who are competent and capable of carrying out the assigned tasks safely and effectively. The nurse must assess the AP's knowledge and skills to ensure they are qualified for the task. A: The AP's ability to prioritize is not directly related to their competence in performing the task at hand. C: The AP's rapport with clients is important for communication and teamwork but does not determine their ability to perform a specific task. D: The AP's ability to complete the task without assistance is important, but it does not guarantee that they have the required knowledge and skill to perform the task correctly.
Question 5 of 5
A nurse is receiving change-of-shift report. Which task should the AP perform first?
Correct Answer: A
Rationale: The correct answer is A: Perform blood glucose monitoring before breakfast. This task should be done first as it is time-sensitive for the client's medication and meal planning. Monitoring blood glucose levels in the morning helps determine the appropriate insulin dosage or other medications needed for the day. Applying a condom catheter (B) can wait until after the blood glucose monitoring. Feeding a client with upper arm fractures (C) is important but not as time-sensitive as blood glucose monitoring. Delivering a urine specimen to the lab (D) is also important but can be done after the blood glucose monitoring. Prioritizing tasks based on client needs and urgency is crucial in providing safe and effective care.