ATI RN
Essentials Of Nursing Client Safety Questions
Question 1 of 5
A nurse is caring for a client who is preoperative. The nurse signs as a witness on the client's consent form. The nurse's signature on the consent form indicates which of the following?
Correct Answer: B
Rationale: Rationale for Correct Answer B: The nurse's signature on the consent form confirms the client appears competent to provide consent. This is important as it ensures the client has the capacity to make informed decisions about their care. The nurse assesses the client's ability to understand the information provided regarding the procedure and its risks and benefits. By signing as a witness, the nurse acknowledges that the client is mentally competent to provide consent. Summary of Incorrect Choices: A: Incorrect. The nurse's signature does not determine if the client has a mental illness. This falls under the purview of the healthcare provider, not the nurse. C: Incorrect. While the nurse may have explained the risks and benefits, this is not the sole purpose of the nurse's signature on the consent form. D: Incorrect. The nurse's signature does not indicate the client's spouse agrees with the procedure; this is not the nurse's role in the consent process.
Question 2 of 5
A nurse is delegating morning vital signs to an assistive personnel (AP). What action should the nurse take?
Correct Answer: B
Rationale: The correct answer is B because determining the time frame for reporting results is crucial in ensuring timely and effective communication of vital signs data. This step allows the nurse to promptly address any abnormal findings or changes in the patient's condition. A: Verifying the AP's educational preparation is important but not directly related to delegating morning vital signs. C: Observing the AP obtaining vital signs can be helpful for initial training but may not be necessary for every instance of delegation. D: Asking the AP to take vital signs of a post-surgery client first is not the most appropriate action as prioritization should be based on patient acuity, not the type of surgery.
Question 3 of 5
An assistive personnel (AP) tells the nurse manager that she observed a nurse on the unit removing a small amount of morphine from syringes prior to administering the medication to clients. Which of the following actions should the nurse manager take first?
Correct Answer: A
Rationale: The correct answer is A: Gather data about the nurse's work performance and attendance history. This is the first step because it allows the nurse manager to assess the situation comprehensively before taking any action. By gathering data, the nurse manager can determine the extent of the issue, whether it is an isolated incident or a pattern of behavior. This information will help in making an informed decision on how to proceed. Approaching the nurse (B) directly may not be appropriate without first understanding the full context of the situation. Notifying the risk manager (C) is premature without knowing the full extent of the issue. Referring the nurse to the board of nursing diversion program (D) should only be considered after gathering all relevant information about the nurse's actions.
Question 4 of 5
An RN is making nursing staff assignments for his team consisting of himself, two licensed practical nurses (LPNs), and an assistive personnel (AP). Which of the following clients should he assume responsibility for?
Correct Answer: C
Rationale: The correct answer is C because as an RN, the responsibility should be assumed for the client who is actively dying and requires IV pain medication. This client's condition is critical and requires the expertise and assessment skills of an RN to manage pain effectively. RNs have the knowledge and training to administer IV medications safely and to monitor the client's response closely. Choices A, B, and D can be safely managed by other team members such as LPNs or assistive personnel, as they do not require the specialized skills and assessment capabilities of an RN for immediate care.
Question 5 of 5
A nurse manager is preparing an inservice program for the nurses on the unit about the use of a new infusion pump. Which of the following teaching strategies is the most effective way to ensure that the staff can use the device correctly?
Correct Answer: B
Rationale: The correct answer is B: Demonstrate using the device and observe the staff returning the demonstration. This teaching strategy is the most effective because it incorporates both visual and hands-on learning, allowing the nurses to see the correct way to use the device and then practice it themselves under observation. This method is more engaging and interactive, leading to better retention and understanding. A: Providing a written procedure alone may not be as effective as hands-on demonstration for learning how to use a new device. C: Reminding staff to review the procedure manual is passive and may not ensure proper understanding and competency. D: Identifying differences in a written brochure may not be as effective as a demonstration in teaching the correct usage of the device.