ATI RN
Client Health and Safety Specifications Questions
Question 1 of 5
A nurse has assigned client care activities to an assistive personnel (AP). Which of the following statements by the AP indicates a need for assistance in establishing priorities?
Correct Answer: A
Rationale: The correct answer is A because the AP's statement indicates a need for assistance in establishing priorities. Starting with room 1 and working way to room 10 does not consider the acuity of the clients' needs or urgency of tasks. This approach may lead to delays in providing care to clients with more critical needs. Option B demonstrates prioritizing based on a client's specific situation, which is appropriate. Option C shows planning for future discharges after immediate client needs are addressed. Option D indicates a logical sequence by starting with providing baths before breakfast to promote comfort and hygiene. Thus, A stands out as needing guidance on prioritization.
Question 2 of 5
A charge nurse plans to use effective change strategies when implementing a change in a nursing procedure on the medical-surgical unit. Which of the following actions should the charge nurse take during the moving stage of change?
Correct Answer: D
Rationale: The correct answer is D: Set a target date. During the moving stage of change, setting a target date is crucial to provide a clear timeline for the implementation of the change. This helps create a sense of urgency and accountability among staff, ensuring progress towards the desired change. Assessing the problem (A) is typically done in the unfreezing stage to understand the need for change. Using tactics to alert staff nurses that a change is needed (B) is more relevant to the unfreezing stage to gain buy-in. Evaluating the effectiveness of the change (C) is usually done in the refreezing stage to assess outcomes and make adjustments. Setting a target date (D) is essential during the moving stage to maintain focus and drive progress.
Question 3 of 5
A nurse manager has recently become aware of a conflict between the pharmacy and the staff nurses regarding sending and receiving medications. Which of the following actions should the nurse take first to resolve the conflict?
Correct Answer: C
Rationale: The correct answer is C: Identify the problem. This is the first step that should be taken to resolve any conflict effectively. By identifying the root cause of the conflict, the nurse manager can gain a clear understanding of the issues at hand. Once the problem is identified, the nurse manager can then proceed to brainstorm solutions (B) based on the specific issues identified. Implementing a resolution (A) and evaluating the results (D) should come after the problem is fully understood and appropriate solutions have been developed. Therefore, choices A, B, and D are incorrect because they should follow the step of identifying the problem in order to effectively address the conflict between the pharmacy and staff nurses.
Question 4 of 5
The nurse is assigned to a client newly diagnosed with active tuberculosis. Which of these interventions would be a priority for the nurse to implement?
Correct Answer: D
Rationale: The correct answer is D. The priority intervention for a client with active tuberculosis is to place them in a negative pressure private room and have all who enter the room use masks with shields. This is crucial to prevent the spread of tuberculosis to others. Coughing can release infectious droplets into the air, so containing these droplets within a negative pressure room is essential. Choices A and B focus on managing the client's cough but do not address the spread of infection to others. Choice C emphasizes hand hygiene, which is important but not as critical as airborne precautions in this scenario.
Question 5 of 5
Which of these clients would the nurse recommend keeping in the hospital during an internal disaster at that facility?
Correct Answer: C
Rationale: The correct answer is C because the elderly man with an acute exacerbation of ulcerative colitis has a condition that requires ongoing monitoring and treatment in a hospital setting. During an internal disaster, such as a natural disaster or fire, it is crucial to keep patients who are acutely ill or unstable in the hospital where they can receive immediate care. A: The adolescent with sepsis whose vital signs are stable can be managed in a less acute care setting. B: The middle-aged woman with a past uncomplicated myocardial infarction is stable and can be discharged or transferred to a lower level of care. D: The young adult in the second day of treatment for an acetaminophen overdose may need monitoring but is not as acutely ill as the elderly man with ulcerative colitis. In summary, choice C is correct because the elderly man requires ongoing medical care and monitoring during an internal disaster, while the other choices can be managed in a less acute care setting.