ATI RN
Client Health and Safety Responsibilities Questions
Question 1 of 5
A nurse is assessing clients to determine care priorities. Which client should the nurse care for first?
Correct Answer: C
Rationale: The correct answer is C. The nurse should care for the client asking about his PCA pump containing morphine first because it involves a critical aspect of pain management. Morphine is a potent opioid that requires careful monitoring to prevent adverse effects like respiratory depression. Addressing the client's concerns promptly ensures safe and effective pain management. Choice A is incorrect because assisting with a bath is important but not as urgent as addressing a client's pain management needs. Choice B is incorrect as the client requesting a referral for home health services can wait as it is not an immediate health concern. Choice D is incorrect as addressing questions about a new prescription can be done after ensuring the client's immediate health needs are met.
Question 2 of 5
A nurse is receiving change-of-shift report at the start of the shift. Which of the following statements by the nurse giving report indicates to the oncoming nurse that she should assume total care for the client, rather than assigning tasks to the assistive personnel (AP)?
Correct Answer: B
Rationale: The correct answer is B because fluctuating blood pressure and pulse indicate a potential unstable condition requiring close monitoring and immediate intervention, necessitating the oncoming nurse to assume total care. A: Family presence doesn't necessarily indicate the need for total care. C: Past thoughts of suicide require assessment and monitoring, but not necessarily total care. D: Client's job is irrelevant to the current care needs and doesn't mandate total care assumption.
Question 3 of 5
A nurse who is leading a team of nurse managers is planning to make a major announcement. The nurse should use which of the following nonverbal communication techniques to enhance the importance of the announcement?
Correct Answer: A
Rationale: The correct answer is A because standing up during the announcement can effectively signal to the team that something important is about to be shared. By changing position from sitting to standing, the nurse can capture the attention of the group and signal a shift in focus. This nonverbal cue can help to emphasize the importance of the announcement and create a sense of anticipation among the team members. Choices B, C, and D are incorrect because they do not effectively enhance the importance of the announcement. Crossing arms over the chest (B) can convey defensiveness or closed-off body language, which may not be conducive to fostering a positive reception to the message. Staring at individuals (C) can come across as aggressive or confrontational, potentially causing discomfort or resistance among the team. Leaning over the back of a chair (D) may appear casual or lack the gravitas needed to convey the significance of the announcement.
Question 4 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 5 of 5
A charge nurse is observing a nurse insert an indwelling urinary catheter into a female client. For which of the following actions by the nurse should the charge nurse intervene?
Correct Answer: A
Rationale: Correct Answer: A Rationale: - The nurse should not separate the client's labia with her dominant hand as it increases the risk of contaminating the sterile field. - Choice B is correct as lubricating the catheter helps with insertion. - Choice C is correct as providing perineal care ensures cleanliness. - Choice D is correct as applying a sterile drape maintains a sterile field. Summary: Choice A is incorrect because it violates sterile technique. Choices B, C, and D are correct actions that promote proper catheter insertion.