ATI RN
Client Safety Basic Concept Template Questions
Question 1 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 issue of delegating tasks unfairly and leaving tasks incomplete in a professional and solution-oriented manner. By discussing unit expectations regarding delegating and completing tasks, the charge nurse can clarify expectations, provide guidance, and set clear boundaries for the staff nurse to follow. Choice B is incorrect as it does not address the specific behaviors of unfair task delegation and incomplete tasks and instead relies on hearsay from other staff members. Choice C is incorrect as it jumps to a threat of informing the nurse manager without attempting to address the issue directly with the staff nurse first. Choice D is also incorrect as it uses accusatory language without providing constructive feedback or guidance on how to improve the situation.
Question 2 of 5
A nurse is preparing to administer a soap suds enema to a client who has constipation. As the nurse explains the procedure, the client states, 'The doctor didn't tell me I was supposed to receive an enema.' Which of the following nursing actions is appropriate at this time?
Correct Answer: A
Rationale: The correct answer is A: Check the client's medical record for the provider's prescription. This is the appropriate action as it ensures the nurse follows the correct procedure and verifies if the enema was indeed prescribed by the provider. By checking the medical record, the nurse can confirm the order, ensuring patient safety and adherence to medical protocols. Choices B, C, and D are incorrect: B: Explaining to the client that the provider prescribed the procedure may not provide sufficient evidence or assurance to the client. It is crucial to verify the prescription through the medical record. C: Assuring the client that enemas are commonly prescribed for constipation does not address the client's specific concern about not being informed by the doctor. D: Informing the charge nurse that the client refused the enema is premature without confirming if the enema was actually prescribed by the provider. The nurse should verify the prescription before taking further action.
Question 3 of 5
In a research study, which of the following is a primary advantage of using a control group?
Correct Answer: B
Rationale: The correct answer is B: To minimize the effects of confounding variables. By using a control group, researchers can compare the effects of the independent variable in the experimental group without interference from other variables. This helps isolate the true impact of the independent variable and strengthens the internal validity of the study. Option A is incorrect as the control group does not directly increase the sample size. Option C is incorrect as the purpose of the control group is not just for comparison, but to control for extraneous variables. Option D is incorrect because random sampling pertains to how participants are selected, whereas the control group's purpose is to control for variables beyond sampling.
Question 4 of 5
A nurse is caring for a client who is dying of metastatic breast cancer. She has a prescription for an opioid pain medication PRN. The nurse is concerned that administering a dose of pain medication might hasten the client's death. Which of the following ethical principles should the nurse use to support the decision not to administer the medication?
Correct Answer: B
Rationale: The correct answer is B: Nonmaleficence. Nonmaleficence is the ethical principle of doing no harm or preventing harm. In this scenario, the nurse should prioritize relieving the client's pain and suffering, which is in line with the principle of nonmaleficence. Administering pain medication to provide comfort and alleviate suffering is not considered harmful in this context. A: Utilitarianism focuses on maximizing overall happiness or well-being, which may conflict with the individual's right to comfort and pain relief in this case. C: Fidelity refers to being faithful or keeping promises, which is not directly applicable to the situation of providing pain relief to a dying patient. D: Veracity pertains to truthfulness and honesty, which is not directly related to the decision of administering pain medication in this scenario.
Question 5 of 5
A nurse is triaging clients in an urgent care clinic. Which of the following clients should the nurse have the provider care for immediately?
Correct Answer: C
Rationale: The correct answer is C because a middle adult male who is diaphoretic and reports epigastric pain may be experiencing a heart attack or another serious cardiac issue, requiring immediate provider care. Diaphoresis and epigastric pain are classic symptoms of a heart problem, making it a priority to rule out life-threatening conditions. Explanation for why the other choices are incorrect: A: While the adolescent female with belligerence and slurred speech may need attention, her symptoms are not immediately life-threatening. B: The toddler with a laceration on the forehead needs prompt care but is not in immediate danger. D: The young adult with a sunburn, although painful, does not require immediate provider care compared to a potential cardiac emergency presented by choice C.