ATI RN
Client Health and Safety Responsibilities 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: The correct answer is B. Glyburide is not recommended during breastfeeding as it can pass into breast milk and potentially affect the baby's blood sugar levels. This could be harmful to the infant. Choice A is unrelated to glyburide use. Choice C, getting a flu shot, is not a contraindication for taking glyburide. Choice D, being allergic to shellfish, does not directly impact the use of glyburide for diabetes.
Question 2 of 5
A newly admitted adult client has a diagnosis of hepatitis A. The charge nurse should reinforce to the staff members that the most significant routine infection control strategy, in addition to handwashing, is which of these?
Correct Answer: D
Rationale: The correct answer is D: Have gloves on while handling bedpans with feces. Rationale: Hepatitis A is primarily spread through fecal-oral route. Wearing gloves while handling bedpans with feces is crucial to prevent the transmission of the virus. Handwashing alone may not be sufficient to prevent cross-contamination. Summary of other choices: A: Placing signs does not directly prevent the spread of hepatitis A. B: Using a mask with a shield is not the most significant routine infection control measure for hepatitis A transmission. C: Wearing a gown for soiled linens does not address the primary mode of transmission for hepatitis A.
Question 3 of 5
A parent calls the hospital hotline 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. Asking the child if the mouth is burning or if there is throat pain helps determine if the child has swallowed a corrosive substance. Corrosive substances can cause burning sensations in the mouth and throat. This question directly addresses the symptoms associated with ingesting corrosive substances. Choice B is incorrect because taking the child's pulse and checking for breathing difficulties do not directly assess for ingestion of a corrosive substance. Choice C is incorrect because the color of the child's lips and nails and voiding status are not specific indicators of corrosive substance ingestion. Choice D is incorrect because vomiting, diarrhea, and stomach cramps are common symptoms of various conditions and not specific to corrosive substance ingestion.
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 of doing no harm. In this scenario, the nurse should prioritize relieving the client's pain and suffering, as alleviating pain is a fundamental aspect of nursing care. Administering the opioid pain medication PRN is aimed at providing comfort and improving the client's quality of life, not hastening death. By following the principle of nonmaleficence, the nurse is acting in the best interest of the client's well-being. A: Utilitarianism focuses on maximizing overall good for the majority, which may conflict with the individual client's well-being. C: Fidelity pertains to being faithful and keeping promises, but in this case, the priority is the client's comfort. D: Veracity is about truthfulness, which is important, but in this context, the focus is on pain management and comfort care.
Question 5 of 5
A charge nurse is making assignments for nursing personnel who will be caring for clients during the oncoming shift. Which of the following factors should the charge nurse consider?
Correct Answer: A
Rationale: The correct answer is A: The complexity of the client's condition. The charge nurse should consider this factor to ensure that each client receives appropriate care based on their individual needs. It is crucial to match the level of expertise and skills of the nursing personnel with the complexity of the client's condition to ensure safe and effective care. While preferences of the assigned nurse (B) and shift schedules of the personnel (C) are important considerations, they should not take precedence over the client's needs. Assignments should prioritize client safety and quality of care. The availability of unit resources (D) is also important, but it should not be the primary factor in making assignments. The complexity of the client's condition should guide resource allocation to ensure optimal care delivery.