ATI RN
Health And Safety for Clients Questions
Question 1 of 5
A nurse and an assistive personnel (AP) are providing care for four clients who were admitted to the medical-surgical unit on the previous shift. The nurse should delegate meal assistance for which of the following clients to the AP?
Correct Answer: A
Rationale: The correct answer is A because a client with a lumbosacral spinal tumor may require assistance with meals due to potential mobility limitations. Guillain-Barre syndrome (choice B) affects the peripheral nervous system, requiring close monitoring. ALS (choice C) is a progressive motor neuron disease, necessitating comprehensive care. Systemic sclerosis (choice D) involves thickening of the skin and internal organs, which may impact swallowing and digestion. Delegating meal assistance to the AP for a client with a lumbosacral spinal tumor aligns with the AP's scope of practice and the client's specific care needs.
Question 2 of 5
A charge nurse is providing an inservice for staff nurses on the use of new IV pumps. Which of the following actions should the charge nurse take to best evaluate staff competency with the new equipment?
Correct Answer: B
Rationale: The correct answer is B because allowing nurses to demonstrate proficiency during the workday is the most effective way to evaluate their competency with the new IV pumps. This method ensures hands-on experience and real-time application of knowledge. It allows the charge nurse to observe each nurse in action, identify any areas needing improvement, and provide immediate feedback. This approach is more practical and directly assesses the nurses' ability to use the equipment correctly. Choices A, C, and D are incorrect because: A: Asking nurses to read and sign a form only shows that they have acknowledged the procedure, but it does not demonstrate their actual competency in using the equipment. C: Requiring a written examination tests theoretical knowledge but does not assess practical skills in using the IV pumps. D: Verbally questioning the staff may not accurately reflect their hands-on competency and may not provide a comprehensive evaluation of their proficiency with the new equipment.
Question 3 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 task should be assigned first because it is crucial to ensure that the unlicensed assistive personnel (UAP) is mentally and physically capable of providing assistance safely. Checking alertness helps determine if the worker is in a clear state of mind to follow instructions and make sound decisions in an emergency situation. This step is essential for the safety of both the UAP and the wounded workers. Explanation for other choices: A: Get temperatures - This task is important but not as critical as checking alertness in an emergency situation. B: Take blood pressure - Monitoring blood pressure may be important, but it is not the most immediate concern when assessing the UAP's ability to help. C: Palpate pulses - While assessing pulses is essential in healthcare, it is not as urgent as ensuring the UAP's alertness in this scenario.
Question 4 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. Placing hands or a blanket under the head helps protect the child's head from hitting the ground and reduces the risk of head trauma. It is a crucial step in ensuring the safety and well-being of the child during a seizure. Moving on to why the other choices are incorrect: A: Moving chairs or desks is not necessary during a seizure and may not be feasible in a classroom setting. B: Noting the sequence of movements with the time lapse is not as important as ensuring the child's safety during the seizure. C: Providing privacy to minimize frightening other children is not the priority during a seizure; the focus should be on the safety and well-being of the child experiencing the seizure.
Question 5 of 5
A parent calls the hospital hot line and is connected to the triage nurse. The caller proclaims: 'I found my child with odd stuff coming from the mouth and an unmarked bottle nearby.' Which of these comments would be the best tool for the nurse to determine if the child has swallowed a corrosive substance?
Correct Answer: A
Rationale: The correct answer is A because asking the child if the mouth is burning or if there is throat pain can help determine if a corrosive substance has been swallowed. Corrosive substances can cause immediate pain and burning sensation in the mouth and throat. This information is crucial for assessing the severity of the situation and providing appropriate care. Choice B is incorrect because taking the child's pulse and checking for breathing difficulties do not directly help in identifying if a corrosive substance has been ingested. Choice C is incorrect because the color of the child's lips and nails and voiding habits are not specific indicators of corrosive substance ingestion. Choice D is incorrect because symptoms like vomiting, diarrhea, and stomach cramps can be caused by various factors and may not specifically indicate ingestion of a corrosive substance.