ATI RN
Client Safety Nursing Skill Template Questions
Question 1 of 5
A charge nurse is discussing disaster response with nursing staff. Which of the following statements indicates an understanding of the Hospital Incident Command System (HICS)?
Correct Answer: C
Rationale: The correct answer is C. HICS stands for Hospital Incident Command System, which is a standardized system used for managing incidents or disasters in healthcare settings. Choice C is correct because HICS indeed identifies facility responsibilities and channels of reporting, ensuring clear communication and coordination during emergencies. A: This statement is incorrect because while HICS does involve resource management, it does not specifically ensure the availability of antibiotics and antidotes. B: This statement is incorrect as HICS focuses on establishing a clear command structure and roles rather than the disciplines of responders. D: This statement is incorrect because while HICS may involve requesting additional resources, its primary focus is on coordinating within the facility rather than bringing in external responders.
Question 2 of 5
A client is diagnosed with methicillin-resistant Staphylococcus aureus (MRSA) pneumonia. What type of isolation is most appropriate for this client?
Correct Answer: D
Rationale: The correct answer is D: Contact isolation. MRSA is primarily spread through direct contact with infected wounds or contaminated surfaces. Contact isolation is crucial to prevent transmission. Reverse isolation (A) is used to protect immunocompromised patients. Airborne precautions (B) are for diseases transmitted through droplets in the air. Standard precautions (C) are used for all patients to prevent the spread of infections, but specific isolation precautions like contact isolation are necessary for MRSA.
Question 3 of 5
A nurse is reinforcing teaching with a client about compromised host precautions. The client is receiving filgrastim (Neupogen) for neutropenia. Which lunch selection suggests the client has learned about necessary dietary changes?
Correct Answer: B
Rationale: The correct answer is B because roast beef, mashed potatoes, and green beans are all considered safe food choices for a client receiving filgrastim for neutropenia. Roast beef provides protein, mashed potatoes are a good source of carbohydrates, and green beans offer essential vitamins and minerals. Grilled chicken sandwich (A) may contain harmful bacteria if not cooked properly. Peanut butter sandwich (C) and barbecue beef (D) can harbor potential pathogens that may be harmful to a compromised host. Skim milk (A) is generally safe, but the entire meal should be considered.
Question 4 of 5
A school nurse has a 10 year-old child with a history of epilepsy with tonic-clonic seizures attending classes regularly. The school nurse should inform the teacher that if the child experiences a seizure in the classroom, the most important action to take during the seizure would be to
Correct Answer: D
Rationale: The correct answer is D: place the hands or a folded blanket under the head of the child. This action is important during a seizure to prevent injury to the child's head by providing cushioning and support. Placing something soft under the head helps protect the child from hitting the hard surface. It is crucial to ensure the child's safety during a seizure. Moving chairs or desks (Choice A) may not be necessary and could potentially cause unnecessary disruption. Noting the sequence of movements (Choice B) may be helpful for medical professionals but is not the most crucial action during the seizure. Providing privacy (Choice C) is important, but ensuring the child's safety by supporting the head takes precedence.
Question 5 of 5
A nurse is assessing a group of clients for hospice services. The nurse should recommend hospice care for which of the following clients?
Correct Answer: B
Rationale: The correct answer is B because hospice care is focused on providing comfort and support for individuals with terminal illnesses, such as cancer, who are nearing the end of their life. Clients in hospice care often require assistance with pain management to ensure their comfort and quality of life. Choice A is incorrect because diabetes mellitus with difficulty self-administering insulin due to poor eyesight does not meet the criteria for hospice care. Choice C is incorrect because recovering from a stroke and needing care while the spouse is at work does not indicate a terminal illness requiring hospice services. Choice D is incorrect because dementia and needing help with activities of daily living, while challenging, do not necessarily indicate a terminal condition warranting hospice care.