ATI RN
Client Safety Questions
Question 1 of 5
A nurse checks with assistive personnel on the unit throughout the shift to determine if they are completing tasks. The nurse is demonstrating which of the following rights of delegation?
Correct Answer: D
Rationale: The correct answer is D: Right supervision. The nurse checking in with assistive personnel to ensure tasks are completed is an example of proper supervision, which is one of the rights of delegation. Supervision involves overseeing and guiding the work of others to ensure tasks are being carried out correctly and safely. This helps maintain accountability and quality of care. Summary of other choices: A: Right circumstances - This refers to ensuring the task is appropriate for delegation based on factors such as patient condition and complexity. B: Right communication - This involves clear and effective communication of tasks, responsibilities, and expectations between the nurse and assistive personnel. C: Right person - This focuses on selecting the most qualified and competent individual to perform the delegated task based on their skill level and training.
Question 2 of 5
A charge nurse hears a provider speaking to a staff nurse in anger concerning incorrect supplies that are available to perform a procedure. Which of the following statements by the charge nurse is appropriate?
Correct Answer: C
Rationale: The correct answer is C because it demonstrates empathy and acknowledges the staff nurse's feelings of frustration. By expressing understanding and empathy towards the staff nurse's situation, the charge nurse validates their emotions and shows support. This can help in de-escalating the situation and fostering a positive working relationship. Option A focuses more on the staff nurse's behavior rather than addressing the issue at hand. Option B offers a solution but does not address the emotional aspect of the situation. Option D places the blame on the staff nurse for not informing ahead of time, which can be counterproductive in resolving the immediate issue. Ultimately, option C is the most appropriate response in this scenario as it shows empathy and understanding towards the staff nurse's feelings.
Question 3 of 5
A nurse is preparing to witness informed consent for a client who is preoperative. The client asks the nurse, 'Are there other options besides surgery?' Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Rationale for correct answer (C): 1. The nurse should promote client autonomy and informed decision-making. 2. Asking if the client has discussed other treatments shows respect for client preferences. 3. It encourages the client to consider all options before making a decision. 4. This response supports the client in making an informed choice based on available treatments. Summary of incorrect choices: A: Incorrect because it dismisses the client's question and rushes the consent process. B: Incorrect as it imposes the nurse's opinion on the client, which is not appropriate. D: Incorrect because it assumes the client does not want surgery without exploring other options.
Question 4 of 5
The parents of a toddler being treated for pesticide poisoning ask: 'Why is activated charcoal used? What does it do?'
Correct Answer: A
Rationale: The correct answer is A because activated charcoal works by adsorbing toxins in the stomach, preventing their absorption into the bloodstream. This helps decrease the body's absorption of the poison. Choice B is incorrect because charcoal does not form a compound with the poison. Choice C is incorrect because activated charcoal does not help to remove the poison from the body but rather prevents its absorption. Choice D is incorrect because it does not accurately describe the mechanism of action of activated charcoal in binding toxins. Overall, choice A is the most precise and scientifically accurate explanation of activated charcoal's function in cases of poisoning.
Question 5 of 5
Which of these clients is the priority for the nurse to report to the public health department within the next 24 hours?
Correct Answer: A
Rationale: The correct answer is A because Shigella is a highly contagious bacterial infection that can easily spread in the community. Infants are more vulnerable to severe complications from Shigella. Reporting this case promptly to the public health department can help prevent further spread of the infection. Choice B is incorrect because the presence of acid-fast bacillus smear does not necessarily indicate a communicable disease that requires immediate public health intervention. Choice C is incorrect because Pneumocystis carinii is an opportunistic infection typically seen in immunocompromised individuals, and while important for the individual's treatment, it does not pose an immediate public health threat. Choice D is incorrect because varicella zoster virus causes chickenpox and shingles, which are not reportable diseases to the public health department unless there is an outbreak situation.