ATI RN
Client Safety Basic Concept Template Questions
Question 1 of 5
A nurse is caring for several clients. For which of the following situations should the nurse complete an incident report?
Correct Answer: C
Rationale: Step-by-step rationale for why choice C is correct: 1. Incident reports are used to document unexpected or adverse events. 2. A missing personal item, such as dentures, can impact a client's well-being. 3. It is essential to investigate and address the situation promptly. 4. Completing an incident report ensures proper documentation and follow-up. Summary of why other choices are incorrect: A. Identifying broken equipment is important but does not directly impact a client's safety or well-being. B. Staff attendance issues should be reported through appropriate channels but may not require an incident report. D. Disagreements with supervisors are common workplace issues but do not warrant an incident report unless they involve patient safety.
Question 2 of 5
While caring for a client, the nurse experiences a needle stick injury. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The correct answer is C: Wash the site of injury with soap and water. This is the first action the nurse should take to minimize the risk of infection. Washing the site immediately helps remove any potential pathogens. It is crucial to act promptly in order to reduce the risk of transmission. Incorrect choices: A: Completing an incident report can be important but should not be the first step in this situation. B: Requesting the risk manager to obtain consent for HIV testing from the client is not the immediate priority. D: Consenting to postexposure treatment with antiretroviral medications is important, but washing the site of injury should come first to prevent infection.
Question 3 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 4 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 5 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.