ATI RN
Client Safety Nursing Questions
Question 1 of 5
A charge nurse is reviewing the list of tasks that have been delegated to the assistive personnel (AP) by the staff nurse. Which of the following tasks should the charge nurse reassign to a licensed nurse?
Correct Answer: C
Rationale: The correct answer is C because the task of removing and cleaning the cannula of a client with a new tracheostomy requires specialized knowledge and skills that only a licensed nurse should perform. This task involves potential risks such as accidental decannulation or infection if not done correctly. The other choices (A, B, D) can be safely delegated to assistive personnel as they do not involve procedures that require nursing assessment, critical thinking, or specialized skills. Transporting a client, providing a back rub, and performing oral hygiene are tasks that can be safely performed by assistive personnel under the supervision of a licensed nurse.
Question 2 of 5
A nurse on a quality control committee is evaluating the results of recently implemented measures designed to reduce client medication errors. Which of the following methods should the nurse use to evaluate the success of the changes?
Correct Answer: B
Rationale: The correct answer is B because comparing the number of medication errors before and after the action was implemented directly measures the effectiveness of the changes in reducing errors. This method provides concrete data on the impact of the measures. A: While establishing a benchmark is important, it does not directly measure the success of the changes in reducing errors. C: Staff satisfaction does not necessarily correlate with the effectiveness of the changes in reducing medication errors. D: Studying the time and money costs is important but does not directly evaluate the success of the changes in reducing errors.
Question 3 of 5
A nurse in a provider's office is collecting a health history from a client who has a new prescription for glyburide to treat type 2 diabetes mellitus. Which of the following statements by the client indicates a contraindication for taking this medication?
Correct Answer: B
Rationale: Correct Answer: B Rationale: 1. Glyburide is not recommended during breastfeeding as it can transfer to the baby through breast milk. 2. Breastfeeding while taking glyburide can lead to hypoglycemia in the infant. 3. It is crucial for the nurse to advise against breastfeeding while on glyburide to ensure the safety of the baby. Summary: A: Strep throat history is unrelated to glyburide use. C: Getting a flu shot does not contraindicate the use of glyburide. D: Shellfish allergy does not impact the use of glyburide.
Question 4 of 5
After an explosion at a factory one of the employees approaches the nurse and says, “I am an unlicensed assistive personnel (UAP) at the local hospital.†Which of these tasks should the nurse assign first to this worker who wants to help care for the wounded workers?
Correct Answer: D
Rationale: The correct answer is D: Check alertness. This is the first task that the nurse should assign to the unlicensed assistive personnel (UAP) because assessing the worker's alertness will help determine if they are mentally and physically capable of carrying out tasks safely. It is important to ensure the worker is not disoriented or impaired before assigning more complex tasks. Getting temperatures (A), taking blood pressure (B), and palpating pulses (C) are all important assessments as well, but checking alertness is the priority in this situation to ensure the safety of both the worker and the wounded individuals.
Question 5 of 5
When an infant car seat is properly installed, the infant should face
Correct Answer: B
Rationale: Correct Answer: B Rationale: 1. Rear-facing position is safest for infants in a car crash. 2. It reduces the risk of injury to the infant's head, neck, and spine. 3. The car seat is designed to absorb and distribute crash forces in this position. 4. Facing forward increases the risk of injury in the event of a collision. Summary: A: Incorrect - Forward-facing position is not safe for infants. C: Incorrect - Sensory stimulation is not a primary concern for infant car seat orientation. D: Incorrect - Installing the seat sideways is unsafe and not recommended for infant car seats.