ATI RN
Client Safety Basic Concept Template Questions
Question 1 of 5
A nurse in a provider's office is reviewing the laboratory findings for a client who is scheduled for surgery. Which of the following findings requires follow up by the nurse?
Correct Answer: B
Rationale: The correct answer is B because a platelet count of 60,000/mm3 is significantly low (normal range: 150,000-450,000/mm3) and can indicate a risk of bleeding during surgery. The nurse needs to follow up to ensure appropriate interventions are taken. A: A BUN of 15 mg/dL is within the normal range (7-20 mg/dL). C: A WBC count of 6,000/mm3 is within the normal range (4,500-11,000/mm3). D: A hemoglobin level of 14 g/dL is within the normal range for males (13.5-17.5 g/dL) and females (12.0-15.5 g/dL).
Question 2 of 5
A charge nurse is planning to conduct a performance appraisal. What action is appropriate?
Correct Answer: B
Rationale: The correct answer is B because scheduling the appraisal at a convenient time for the staff ensures that the appraisal process is conducted in a respectful and considerate manner. This approach allows the staff member to be mentally prepared and fully engaged during the appraisal, leading to a more productive discussion. A: Informing the staff member prior to the change-of-shift report may not be appropriate as it could catch the staff member off guard and cause anxiety. C: Providing a chair across the desk for the staff member is a good practice but not as crucial as scheduling the appraisal at a convenient time. D: Ensuring the staff member has a copy of the appraisal form is important but not as critical as considering the staff member's convenience for the appraisal.
Question 3 of 5
A nurse is caring for an older adult client who has a terminal illness and is ventilator-dependent. The client is alert and oriented and he wants to discontinue use of the ventilator. The nurse should be aware that continued treatment against the client's wishes is a violation of which of the following ethical principles?
Correct Answer: B
Rationale: Correct Answer: B - Autonomy Rationale: 1. Autonomy is the ethical principle that respects an individual's right to make their own decisions. 2. In this scenario, the client is alert and oriented and has expressed the desire to discontinue the ventilator. 3. Continuing treatment against the client's wishes would violate the client's autonomy. 4. Veracity is the principle of truthfulness, fidelity is loyalty, and justice is fairness, none of which directly apply to this scenario.
Question 4 of 5
A nurse manager is providing an inservice program about delegation to assistive personnel (AP) with staff nurses on the unit. Which of the following statements by a staff nurse indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C because considering the AP's level of experience is a crucial aspect of delegation. By understanding the AP's competence, the nurse can assign tasks appropriately, ensuring safe and effective care delivery. This promotes accountability and quality outcomes. Statement A is incorrect because the nurse retains accountability for client outcomes even when delegating tasks. Statement B is incorrect as client education should be provided by licensed professionals. Statement D is incorrect as delegation should be done by the nurse based on the AP's competency level, not by the AP themselves.
Question 5 of 5
A nurse on a pediatric unit is caring for a child and his family. His parents define family as a husband, wife, and child. This definition is which type of family form?
Correct Answer: C
Rationale: The correct answer is C: Nuclear family. A nuclear family consists of two parents and their children, which aligns with the definition provided by the child's parents. This family form is characterized by a core unit of parents and children living together. A: Extended family includes relatives beyond the nuclear family, such as grandparents, aunts, uncles, and cousins. B: Blended family refers to a family structure that includes stepparents, stepsiblings, or half-siblings from previous relationships. D: Intergenerational family involves multiple generations living together or in close proximity, such as grandparents, parents, and children.