ATI RN
Health And Safety for Clients Questions
Question 1 of 5
A nurse in an emergency department receives report from an emergency responder who states a client is being transported following exposure to a 'dirty bomb'. The nurse should prepare to care for a client that has been exposed to which of the following types of agents?
Correct Answer: C
Rationale: The correct answer is C: Radiologic. A 'dirty bomb' is a type of radiologic agent that combines conventional explosives with radioactive material. The nurse should prepare to care for a client exposed to radiation. Radiologic agents can cause harmful effects on the body's cells and tissues. Chemical (choice A), Anthrax (choice B), and Sarin (choice D) are not typically associated with 'dirty bomb' exposure. Chemical agents refer to toxic substances, Anthrax is a bacterial infection, and Sarin is a nerve agent. Therefore, the correct choice is C as it specifically relates to radiologic exposure from a 'dirty bomb'.
Question 2 of 5
After an explosion at a factory one of the employees approaches the nurse and says, “I am an unlicensed assistive personnel (UAP) at the local hospital.†Which of these tasks should the nurse assign first to this worker who wants to help care for the wounded workers?
Correct Answer: D
Rationale: The correct answer is D: Check alertness. This task should be assigned first because it is crucial to ensure that the unlicensed assistive personnel (UAP) is mentally and physically capable of providing assistance safely. Checking alertness helps determine if the worker is in a clear state of mind to follow instructions and make sound decisions in an emergency situation. This step is essential for the safety of both the UAP and the wounded workers. Explanation for other choices: A: Get temperatures - This task is important but not as critical as checking alertness in an emergency situation. B: Take blood pressure - Monitoring blood pressure may be important, but it is not the most immediate concern when assessing the UAP's ability to help. C: Palpate pulses - While assessing pulses is essential in healthcare, it is not as urgent as ensuring the UAP's alertness in this scenario.
Question 3 of 5
A school nurse has a 10-year-old child with a history of epilepsy with tonic-clonic seizures attending classes regularly. The school nurse should inform the teacher that if the child experiences a seizure in the classroom, the most important action to take during the seizure would be to:
Correct Answer: D
Rationale: The correct answer is D: Place the hands or a folded blanket under the head of the child. This action is important during a seizure to prevent injury to the child's head. Placing hands or a blanket under the head helps protect the child's head from hitting the ground and reduces the risk of head trauma. It is a crucial step in ensuring the safety and well-being of the child during a seizure. Moving on to why the other choices are incorrect: A: Moving chairs or desks is not necessary during a seizure and may not be feasible in a classroom setting. B: Noting the sequence of movements with the time lapse is not as important as ensuring the child's safety during the seizure. C: Providing privacy to minimize frightening other children is not the priority during a seizure; the focus should be on the safety and well-being of the child experiencing the seizure.
Question 4 of 5
A parent calls the hospital hot line 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 because asking the child if the mouth is burning or if there is throat pain can help determine if a corrosive substance has been swallowed. Corrosive substances can cause immediate pain and burning sensation in the mouth and throat. This information is crucial for assessing the severity of the situation and providing appropriate care. Choice B is incorrect because taking the child's pulse and checking for breathing difficulties do not directly help in identifying if a corrosive substance has been ingested. Choice C is incorrect because the color of the child's lips and nails and voiding habits are not specific indicators of corrosive substance ingestion. Choice D is incorrect because symptoms like vomiting, diarrhea, and stomach cramps can be caused by various factors and may not specifically indicate ingestion of a corrosive substance.
Question 5 of 5
A nurse is triaging clients in the emergency department. Which of the following clients should the nurse ask the provider to care for first?
Correct Answer: C
Rationale: The correct answer is C. The school-age child with acute epiglottitis should be cared for first due to the potential for airway compromise and respiratory distress, as evidenced by drooling and absence of spontaneous cough. This is an emergency situation that requires immediate intervention to prevent airway obstruction and ensure adequate oxygenation. Choice A is not the priority as a pulse oximetry reading of 95% is adequate, and the child is already receiving oxygen. Choice B, the toddler with otitis media, can be managed with antipyretics and antibiotics for the ear infection but does not have an immediate life-threatening condition. Choice D, the adolescent with sickle cell disease and pain, should receive pain medication but does not have an acute airway emergency like the child with epiglottitis. It is crucial to prioritize care based on the urgency and potential severity of the condition to ensure the best outcomes for the patients.