ATI RN
Client Safety Nursing Questions
Question 1 of 5
A nurse in a provider's office is collecting a health history from a client who has a new prescription for glyburide to treat type 2 diabetes mellitus. Which of the following statements by the client indicates a contraindication for taking this medication?
Correct Answer: B
Rationale: Correct Answer: B Rationale: 1. Glyburide is not recommended during breastfeeding as it can transfer to the baby through breast milk. 2. Breastfeeding while taking glyburide can lead to hypoglycemia in the infant. 3. It is crucial for the nurse to advise against breastfeeding while on glyburide to ensure the safety of the baby. Summary: A: Strep throat history is unrelated to glyburide use. C: Getting a flu shot does not contraindicate the use of glyburide. D: Shellfish allergy does not impact the use of glyburide.
Question 2 of 5
When an infant car seat is properly installed, the infant should face
Correct Answer: B
Rationale: Correct Answer: B Rationale: 1. Rear-facing position is safest for infants in a car crash. 2. It reduces the risk of injury to the infant's head, neck, and spine. 3. The car seat is designed to absorb and distribute crash forces in this position. 4. Facing forward increases the risk of injury in the event of a collision. Summary: A: Incorrect - Forward-facing position is not safe for infants. C: Incorrect - Sensory stimulation is not a primary concern for infant car seat orientation. D: Incorrect - Installing the seat sideways is unsafe and not recommended for infant car seats.
Question 3 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 upholding the principle of nonmaleficence by not disclosing the surgeon's medical diagnosis, as it could potentially harm the surgeon's privacy and confidentiality. Nonmaleficence means to do no harm and to prevent harm. The other choices are incorrect because: A: Utility - This principle focuses on maximizing benefits for the greatest number of people. Not disclosing the surgeon's diagnosis does not directly relate to maximizing benefits. B: Paternalism - This principle involves making decisions for someone else's best interest without their consent. The nurse's actions are not paternalistic as they are respecting the surgeon's right to privacy. C: Justice - This principle focuses on fairness and equal treatment. Not disclosing the diagnosis does not directly relate to justice in this scenario.
Question 4 of 5
A nurse is caring for a client who is dying of metastatic breast cancer. She has a prescription for an opioid pain medication PRN. The nurse is concerned that administering a dose of pain medication might hasten the client's death. Which of the following ethical principles should the nurse use to support the decision not to administer the medication?
Correct Answer: B
Rationale: The correct answer is B: Nonmaleficence. Nonmaleficence is the ethical principle that emphasizes the duty to do no harm. In this scenario, the nurse should prioritize the client's comfort and pain management without causing harm, even if the medication could potentially hasten death. Administering pain medication in this situation aligns with nonmaleficence by ensuring the client's well-being and quality of life. A: Utilitarianism focuses on maximizing overall happiness and may conflict with the individual's best interest in this case. C: Fidelity refers to the obligation to fulfill commitments, which is not directly applicable to the decision of administering pain medication. D: Veracity pertains to truthfulness and honesty, which is not the primary concern in this situation where pain management and nonmaleficence take precedence.
Question 5 of 5
The most appropriate statistical test for comparing the means of two independent groups is:
Correct Answer: B
Rationale: The correct answer is B: Independent t-test. This test is used to compare the means of two independent groups. It assumes the data is normally distributed and has equal variances. It calculates the t-statistic by comparing the means and standard errors of the two groups. Other choices are incorrect because: A) Paired t-test is used for dependent groups, not independent. C) Chi-square test is used for categorical data analysis, not comparing means. D) ANOVA is used for comparing means of three or more groups, not just two.