ATI RN
Client Health and Safety Specifications Questions
Question 1 of 5
A charge nurse plans to use effective change strategies when implementing a change in a nursing procedure on the medical-surgical unit. Which of the following actions should the charge nurse take during the moving stage of change?
Correct Answer: D
Rationale: The correct answer is D: Set a target date. During the moving stage of change, setting a target date is crucial to provide a clear timeline for the implementation of the change. This helps create a sense of urgency and accountability among staff, ensuring progress towards the desired change. Assessing the problem (A) is typically done in the unfreezing stage to understand the need for change. Using tactics to alert staff nurses that a change is needed (B) is more relevant to the unfreezing stage to gain buy-in. Evaluating the effectiveness of the change (C) is usually done in the refreezing stage to assess outcomes and make adjustments. Setting a target date (D) is essential during the moving stage to maintain focus and drive progress.
Question 2 of 5
The nurse is assigned to a client newly diagnosed with active tuberculosis. Which of these interventions would be a priority for the nurse to implement?
Correct Answer: D
Rationale: The correct answer is D. The priority intervention for a client with active tuberculosis is to place them in a negative pressure private room and have all who enter the room use masks with shields. This is crucial to prevent the spread of tuberculosis to others. Coughing can release infectious droplets into the air, so containing these droplets within a negative pressure room is essential. Choices A and B focus on managing the client's cough but do not address the spread of infection to others. Choice C emphasizes hand hygiene, which is important but not as critical as airborne precautions in this scenario.
Question 3 of 5
Which of these clients would the nurse recommend keeping in the hospital during an internal disaster at that facility?
Correct Answer: C
Rationale: The correct answer is C because the elderly man with an acute exacerbation of ulcerative colitis has a condition that requires ongoing monitoring and treatment in a hospital setting. During an internal disaster, such as a natural disaster or fire, it is crucial to keep patients who are acutely ill or unstable in the hospital where they can receive immediate care. A: The adolescent with sepsis whose vital signs are stable can be managed in a less acute care setting. B: The middle-aged woman with a past uncomplicated myocardial infarction is stable and can be discharged or transferred to a lower level of care. D: The young adult in the second day of treatment for an acetaminophen overdose may need monitoring but is not as acutely ill as the elderly man with ulcerative colitis. In summary, choice C is correct because the elderly man requires ongoing medical care and monitoring during an internal disaster, while the other choices can be managed in a less acute care setting.
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. In this scenario, the nurse should prioritize the principle of nonmaleficence by ensuring that the client's pain is adequately managed to provide comfort without causing harm. Administering pain medication to alleviate suffering does not aim to hasten death but to promote the client's well-being. Utilitarianism (A) focuses on the greatest good for the greatest number, which may not apply in this individualized end-of-life care situation. Fidelity (C) pertains to keeping promises and being faithful, which is not directly relevant to the immediate decision about pain medication administration. Veracity (D) refers to truthfulness, which is important but not the primary ethical principle guiding the decision in this context.
Question 5 of 5
A nurse is caring for a client who falls in his room. After the nurse assesses the client, notifies the client's provider, and completes an incident report, which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Submit the incident report to the risk manager. This is the correct action because the risk manager is responsible for evaluating incidents and implementing measures to prevent future occurrences. Providing the report to the risk manager ensures that the incident is properly reviewed and appropriate actions are taken to prevent similar incidents in the future. A: Making a copy of the incident report for the provider is unnecessary as the provider has already been notified. C: Placing the incident report in the client's chart is not the best action as it may not reach the appropriate personnel for review and follow-up. D: Documenting in the chart that an incident report has been filed does not ensure that the incident will be appropriately reviewed and addressed by the risk management team.