ATI RN
Client Safety Basic Concept Template Questions
Question 1 of 5
A nurse is delegating client care assignments for the shift. Which of the following tasks should the nurse delegate to an assistive personnel (AP)?
Correct Answer: C
Rationale: The correct answer is C: Measure and record intake and output for a client. This task can be safely delegated to an assistive personnel (AP) because it is a routine, non-invasive task that does not require critical thinking or nursing judgment. APs are trained to measure and record intake and output accurately under the supervision of a nurse. This task helps monitor a client's fluid balance and is important for assessing their overall health status. Choices A, B, and D are incorrect: A: Perform wound irrigation for a client - This task involves a higher level of skill and requires assessment and decision-making, making it inappropriate for delegation to an AP. B: Evaluate pain relief for a client following the administration of a pain medication - This task requires nursing judgment and assessment of the client's response to pain medication, which should be done by a nurse. D: Teach a client about low-sodium foods - Client education involves providing accurate information, assessing understanding, and addressing individual needs, which require
Question 2 of 5
When an infant car seat is properly installed, the infant should face:
Correct Answer: B
Rationale: The correct answer is B: Backward, so child faces the seat. Infants should always be placed in a rear-facing car seat as it provides the best protection in the event of a crash, supporting their head, neck, and spine. This position helps distribute crash forces evenly and reduces the risk of serious injury. Facing the seat also prevents the infant from being thrown forward in a sudden stop or collision. Choice A is incorrect because forward-facing seats are not safe for infants. Choice C is incorrect as side-facing positions are dangerous. Choice D is incorrect as infants should never be placed lying on their back in a car seat installed sideways.
Question 3 of 5
A charge nurse notes that a staff nurse delegates an unfair share of tasks to the assistive personnel (AP) and the nurses on next shift report the staff nurse frequently leaves tasks uncompleted. Which of the following statements should the charge nurse make to resolve this conflict?
Correct Answer: A
Rationale: The correct answer is A because it focuses on addressing the specific issue of delegating tasks unfairly and leaving tasks incomplete in a professional and solution-oriented manner. By discussing unit expectations regarding delegating and completing tasks, the charge nurse can clarify expectations, provide guidance, and set clear boundaries for the staff nurse to follow. Choice B is incorrect as it does not address the specific behaviors of unfair task delegation and incomplete tasks and instead relies on hearsay from other staff members. Choice C is incorrect as it jumps to a threat of informing the nurse manager without attempting to address the issue directly with the staff nurse first. Choice D is also incorrect as it uses accusatory language without providing constructive feedback or guidance on how to improve the situation.
Question 4 of 5
A nurse is caring for a client who is dying of metastatic breast cancer. She has a prescription for an opioid pain medication PRN. The nurse is concerned that administering a dose of pain medication might hasten the client's death. Which of the following ethical principles should the nurse use to support the decision not to administer the medication?
Correct Answer: B
Rationale: The correct answer is B: Nonmaleficence. Nonmaleficence is the ethical principle of doing no harm. In this scenario, the nurse should prioritize relieving the client's pain and suffering while ensuring that the medication does not cause harm or hasten death. Administering pain medication to provide comfort aligns with the principle of nonmaleficence. A: Utilitarianism focuses on maximizing overall good for the majority, which may conflict with the individual's well-being in this case. C: Fidelity relates to being faithful and keeping promises, which is not directly applicable to the situation of pain management. D: Veracity pertains to truth-telling, which is important in communication but not directly relevant to the decision of administering pain medication.
Question 5 of 5
A nurse is preparing to administer a soap suds enema to a client who has constipation. As the nurse explains the procedure, the client states, 'The doctor didn't tell me I was supposed to receive an enema.' Which of the following nursing actions is appropriate at this time?
Correct Answer: A
Rationale: The correct answer is A: Check the client's medical record for the provider's prescription. This is the appropriate action as it ensures the nurse follows the correct procedure and verifies if the enema was indeed prescribed by the provider. By checking the medical record, the nurse can confirm the order, ensuring patient safety and adherence to medical protocols. Choices B, C, and D are incorrect: B: Explaining to the client that the provider prescribed the procedure may not provide sufficient evidence or assurance to the client. It is crucial to verify the prescription through the medical record. C: Assuring the client that enemas are commonly prescribed for constipation does not address the client's specific concern about not being informed by the doctor. D: Informing the charge nurse that the client refused the enema is premature without confirming if the enema was actually prescribed by the provider. The nurse should verify the prescription before taking further action.