ATI RN
Client Safety in Nursing Questions
Question 1 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 2 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.
Question 3 of 5
A nurse in an emergency department receives report from an emergency responder who states a client is being transported following exposure to a 'dirty bomb'. The nurse should prepare to care for a client that has been exposed to which of the following types of agents?
Correct Answer: C
Rationale: The correct answer is C: Radiologic. A 'dirty bomb' combines conventional explosives with radioactive material. Radiologic agents cause damage through exposure to ionizing radiation. The other choices are incorrect because: A: Chemical agents refer to toxic substances, B: Anthrax is a bacterial agent, and D: Sarin is a nerve agent. Thus, the nurse should prepare to care for a client exposed to a radiologic agent due to the nature of a 'dirty bomb' incident.
Question 4 of 5
The school nurse is teaching the faculty the most effective methods to prevent the spread of lice (Pediculus Humanus Capitis) in the school. The information that would be most important to include is reflected in which of these statements?
Correct Answer: C
Rationale: The correct answer is C: "Children should not share hats, scarves, and combs." This statement is important because lice are primarily spread through direct contact with infested individuals or by sharing personal items like hats, scarves, and combs. By emphasizing the importance of not sharing these items, the school can help prevent the spread of lice among students. A: "The treatment medication requires reapplication in 8 to 10 days." While this information may be relevant, it is more focused on treatment rather than prevention. B: "Bedding and clothing can be boiled or steamed to kill lice." While this is a valid method to kill lice, it is not the most important information for preventing the spread of lice in a school setting. D: "Nit combs are necessary to comb lice eggs (nits) out of children's hair." While nit combs are useful for removing lice eggs, it is not as crucial as emphasizing
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: Rationale: Asking the child if the mouth is burning or if there is throat pain is the best tool for the nurse to determine if the child has swallowed a corrosive substance because it directly assesses the immediate symptoms related to ingestion of such substances. Corrosive substances can cause burning sensations in the mouth and throat, indicating potential damage. This question helps the nurse quickly assess the severity of the situation and determine the need for urgent medical intervention. Summary: - Option A is correct as it directly addresses symptoms of corrosive substance ingestion. - Option B is incorrect as it focuses on pulse and breathing, not specific to corrosive substance ingestion. - Option C is irrelevant to assessing corrosive substance ingestion. - Option D is not as direct as Option A in addressing immediate symptoms of corrosive substance ingestion.