ATI RN
Client Safety Nursing Skill Template Questions
Question 1 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 2 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 3 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.
Question 4 of 5
A nurse is providing care for a surgeon on a medical-surgical unit. A nurse from another unit asks the nurse about the surgeon's medical diagnosis. The nurse responds that he is unable to provide the information requested. The nurse is displaying which of the following ethical principles?
Correct Answer: D
Rationale: The correct answer is D: Nonmaleficence. The nurse is displaying the ethical principle of nonmaleficence by protecting the surgeon's right to privacy and confidentiality. By refusing to disclose the surgeon's medical diagnosis, the nurse is upholding the duty to do no harm by preventing potential harm that could result from unauthorized disclosure. This action also respects the surgeon's autonomy and right to control their own personal health information. Summary: A: Utility - This ethical principle focuses on maximizing overall benefit or happiness. The nurse's action does not relate to this principle. B: Paternalism - This ethical principle involves making decisions on behalf of the patient for their own good. The nurse's action does not involve making decisions but rather respecting the surgeon's autonomy. C: Justice - This ethical principle pertains to fairness and equal treatment. The nurse's action does not directly relate to this principle in this scenario.
Question 5 of 5
In the context of research, validity refers to:
Correct Answer: B
Rationale: Step-by-step rationale for why B is correct: 1. Validity in research refers to the accuracy of the measure in assessing what it intends to measure. 2. Accurate measures ensure that the data collected reflects the true characteristics of the variables being studied. 3. If a measure is not accurate, the results may be misleading or invalid. 4. Therefore, the accuracy of the measure (choice B) is crucial to ensure the validity of the research findings. Summary of why other choices are incorrect: A: The consistency of the measure (choice A) refers to reliability, not validity. C: The reliability of the sample (choice C) is related to replicability and stability, not validity. D: The degree to which data supports a hypothesis (choice D) relates to the strength of evidence, not the accuracy of the measure.