ATI RN
Client Safety in Nursing Questions
Question 1 of 5
A nurse is planning a community diabetes mellitus management program. Which of the following goals should the nurse include for the program?
Correct Answer: B
Rationale: The correct answer is B because reducing the incidence of foot amputations is a specific and measurable goal in managing diabetes. This goal directly addresses a serious complication of diabetes and reflects the program's effectiveness in improving outcomes. Choices A, C, and D do not focus on measurable outcomes related to diabetes management, making them less relevant goals for the program. Providing proper foot care (choice A) is important but does not guarantee improved outcomes. Reserving a facility (choice C) and distributing materials (choice D) are logistical details rather than program goals.
Question 2 of 5
A nurse is teaching a newly licensed nurse about methods to reduce costs of client care. Which of the following statements by the newly licensed nurse indicates understanding of the teaching?
Correct Answer: C
Rationale: Rationale for Correct Answer (C): - Encouraging clients to receive annual flu immunization helps prevent flu-related illnesses, reducing healthcare costs associated with hospitalizations and treatments. - Annual flu immunization is a cost-effective preventive measure that can help avoid costly complications and reduce healthcare expenses in the long run. Summary of Incorrect Choices: - Choice A: Waiting to empty a colostomy bag until it is three-fourths full can lead to skin irritation and infection, increasing costs for treating complications. - Choice B: Delegating closed irrigation to assistive personnel can compromise quality of care and potentially lead to complications, increasing costs. - Choice D: Using sterile technique for ostomy care in clients with tracheostomy is irrelevant and does not contribute to cost reduction in client care.
Question 3 of 5
A nurse manager observes an unknown man in a laboratory coat making copies of a client's medical record. Which of the following actions should the nurse plan to take first?
Correct Answer: B
Rationale: The correct answer is B: Approach the man and ask why he is making copies. This is the first action the nurse should take to immediately address the situation and gather more information. By approaching the man, the nurse can assess the situation directly and potentially stop any unauthorized access to the client's medical record. This action allows for a real-time response and may prevent any further breach of confidentiality. Other choices are incorrect because: A: Notifying hospital security as the first action may cause a delay in addressing the situation directly. C: Informing the nursing supervisor may be appropriate but should not be the first action as it does not address the immediate concern. D: Reporting the observation to the nurse caring for the client may not be effective in stopping the unauthorized access and protecting the client's confidentiality.
Question 4 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' combines conventional explosives with radioactive material. Radiologic agents cause damage through exposure to ionizing radiation. The other choices are incorrect because: A: Chemical agents refer to toxic substances, B: Anthrax is a bacterial agent, and D: Sarin is a nerve agent. Thus, the nurse should prepare to care for a client exposed to a radiologic agent due to the nature of a 'dirty bomb' incident.
Question 5 of 5
The school nurse is teaching the faculty the most effective methods to prevent the spread of lice (Pediculus Humanus Capitis) in the school. The information that would be most important to include is reflected in which of these statements?
Correct Answer: C
Rationale: The correct answer is C: "Children should not share hats, scarves, and combs." This statement is important because lice are primarily spread through direct contact with infested individuals or by sharing personal items like hats, scarves, and combs. By emphasizing the importance of not sharing these items, the school can help prevent the spread of lice among students. A: "The treatment medication requires reapplication in 8 to 10 days." While this information may be relevant, it is more focused on treatment rather than prevention. B: "Bedding and clothing can be boiled or steamed to kill lice." While this is a valid method to kill lice, it is not the most important information for preventing the spread of lice in a school setting. D: "Nit combs are necessary to comb lice eggs (nits) out of children's hair." While nit combs are useful for removing lice eggs, it is not as crucial as emphasizing