ATI RN
Client Safety in Nursing Questions
Question 1 of 5
A charge nurse receives complaints about an LPN's lack of care. What should the charge nurse do?
Correct Answer: C
Rationale: The correct answer is C because talking with the clients who reported concerns allows the charge nurse to gather direct feedback and specific details about the LPN's behavior, which can help in understanding the situation better and addressing the issues effectively. By speaking with the clients, the charge nurse can assess the validity of the complaints and take appropriate action, such as providing additional training or supervision to the LPN. Reviewing the personnel file (A) may provide background information but does not address the current complaints directly. Discussing with other nurses (B) may lead to gossip or bias without evidence from the clients. Reassigning client care (D) without addressing the root cause is not a sustainable solution.
Question 2 of 5
A nurse is planning a community diabetes mellitus management program. Which of the following goals should the nurse include for the program?
Correct Answer: B
Rationale: The correct answer is B because reducing the incidence of foot amputations is a specific and measurable goal in managing diabetes. This goal directly addresses a serious complication of diabetes and reflects the program's effectiveness in improving outcomes. Choices A, C, and D do not focus on measurable outcomes related to diabetes management, making them less relevant goals for the program. Providing proper foot care (choice A) is important but does not guarantee improved outcomes. Reserving a facility (choice C) and distributing materials (choice D) are logistical details rather than program goals.
Question 3 of 5
A nurse asks the assistive personnel (AP) to take a specimen to the laboratory and the AP refuses. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D because the nurse should first communicate with the AP to understand the reasons for refusal. By asking about concerns, the nurse can address any issues and provide clarification or support. This approach promotes open communication, teamwork, and problem-solving. Taking the specimen to the lab (A) may not address underlying concerns. Reporting to the charge nurse (B) or completing an incident report (C) should be done after understanding the AP's perspective to prevent unnecessary escalation.
Question 4 of 5
A nurse is teaching a newly licensed nurse about methods to reduce costs of client care. Which of the following statements by the newly licensed nurse indicates understanding of the teaching?
Correct Answer: C
Rationale: Rationale for Correct Answer (C): - Encouraging clients to receive annual flu immunization helps prevent flu-related illnesses, reducing healthcare costs associated with hospitalizations and treatments. - Annual flu immunization is a cost-effective preventive measure that can help avoid costly complications and reduce healthcare expenses in the long run. Summary of Incorrect Choices: - Choice A: Waiting to empty a colostomy bag until it is three-fourths full can lead to skin irritation and infection, increasing costs for treating complications. - Choice B: Delegating closed irrigation to assistive personnel can compromise quality of care and potentially lead to complications, increasing costs. - Choice D: Using sterile technique for ostomy care in clients with tracheostomy is irrelevant and does not contribute to cost reduction in client care.
Question 5 of 5
A nurse manager observes an unknown man in a laboratory coat making copies of a client's medical record. Which of the following actions should the nurse plan to take first?
Correct Answer: B
Rationale: The correct answer is B: Approach the man and ask why he is making copies. This is the first action the nurse should take to immediately address the situation and gather more information. By approaching the man, the nurse can assess the situation directly and potentially stop any unauthorized access to the client's medical record. This action allows for a real-time response and may prevent any further breach of confidentiality. Other choices are incorrect because: A: Notifying hospital security as the first action may cause a delay in addressing the situation directly. C: Informing the nursing supervisor may be appropriate but should not be the first action as it does not address the immediate concern. D: Reporting the observation to the nurse caring for the client may not be effective in stopping the unauthorized access and protecting the client's confidentiality.