ATI RN
Client Safety Questions
Question 1 of 5
A charge nurse hears a provider speaking to a staff nurse in anger concerning incorrect supplies that are available to perform a procedure. Which of the following statements by the charge nurse is appropriate?
Correct Answer: C
Rationale: The correct answer is C because it demonstrates empathy and acknowledges the staff nurse's feelings of frustration. By expressing understanding and empathy towards the staff nurse's situation, the charge nurse validates their emotions and shows support. This can help in de-escalating the situation and fostering a positive working relationship. Option A focuses more on the staff nurse's behavior rather than addressing the issue at hand. Option B offers a solution but does not address the emotional aspect of the situation. Option D places the blame on the staff nurse for not informing ahead of time, which can be counterproductive in resolving the immediate issue. Ultimately, option C is the most appropriate response in this scenario as it shows empathy and understanding towards the staff nurse's feelings.
Question 2 of 5
The parents of a toddler being treated for pesticide poisoning ask: 'Why is activated charcoal used? What does it do?'
Correct Answer: A
Rationale: The correct answer is A because activated charcoal works by adsorbing toxins in the stomach, preventing their absorption into the bloodstream. This helps decrease the body's absorption of the poison. Choice B is incorrect because charcoal does not form a compound with the poison. Choice C is incorrect because activated charcoal does not help to remove the poison from the body but rather prevents its absorption. Choice D is incorrect because it does not accurately describe the mechanism of action of activated charcoal in binding toxins. Overall, choice A is the most precise and scientifically accurate explanation of activated charcoal's function in cases of poisoning.
Question 3 of 5
Which of these clients is the priority for the nurse to report to the public health department within the next 24 hours?
Correct Answer: A
Rationale: The correct answer is A because Shigella is a highly contagious bacterial infection that can easily spread in the community. Infants are more vulnerable to severe complications from Shigella. Reporting this case promptly to the public health department can help prevent further spread of the infection. Choice B is incorrect because the presence of acid-fast bacillus smear does not necessarily indicate a communicable disease that requires immediate public health intervention. Choice C is incorrect because Pneumocystis carinii is an opportunistic infection typically seen in immunocompromised individuals, and while important for the individual's treatment, it does not pose an immediate public health threat. Choice D is incorrect because varicella zoster virus causes chickenpox and shingles, which are not reportable diseases to the public health department unless there is an outbreak situation.
Question 4 of 5
A nurse is providing care for a surgeon on a medical-surgical unit. A nurse from another unit asks the nurse about the surgeon's medical diagnosis. The nurse responds that he is unable to provide the information requested. The nurse is displaying which of the following ethical principles?
Correct Answer: D
Rationale: The correct answer is D: Nonmaleficence. The nurse is displaying the ethical principle of nonmaleficence by respecting the surgeon's right to privacy and confidentiality. By not disclosing the surgeon's medical diagnosis, the nurse is avoiding causing harm or breaching the surgeon's trust. A: Utility focuses on maximizing benefits and minimizing harm for the greater good. B: Paternalism involves making decisions for others based on what is believed to be in their best interest. C: Justice pertains to fairness and equality in healthcare decision-making.
Question 5 of 5
A charge nurse notes that a staff nurse delegates an unfair share of tasks to the assistive personnel (AP) and the nurses on next shift report the staff nurse frequently leaves tasks uncompleted. Which of the following statements should the charge nurse make to resolve this conflict?
Correct Answer: A
Rationale: The correct answer is A because it focuses on addressing the specific behavior of delegating unfairly and leaving tasks incomplete. By discussing unit expectations regarding delegating and completing tasks, the charge nurse can provide clear guidelines for the staff nurse to follow. This approach encourages open communication and establishes mutual understanding. Option B is incorrect as it involves hearsay and does not address the specific behavior in question. Option C is not the best approach as it immediately threatens involvement of higher authority without attempting to resolve the issue directly. Option D uses accusatory language and does not offer a constructive solution to the problem.