ATI RN
Client Safety Quizlet Questions
Question 1 of 5
A nurse is planning care for a client who has anorexia nervosa. The nurse should make which of the following client goals the priority?
Correct Answer: A
Rationale: The correct answer is A because attaining a healthy weight is crucial in treating anorexia nervosa to address malnutrition and restore physical health. Weight restoration is a primary goal to prevent serious medical complications and improve overall well-being. Choices B, C, and D are important aspects of treatment but may not be as critical as achieving a healthy weight for a client with anorexia nervosa. Making positive statements about body image, feeling in control of behavior, and identifying family changes are important for the client's mental and emotional well-being, but without addressing the physical aspect of malnutrition, the client's health remains at risk.
Question 2 of 5
A nurse tells another nurse that she thinks he did not provide adequate care for a client who underwent hip arthroplasty. Which of the following responses by the nurse demonstrates assertiveness?
Correct Answer: A
Rationale: Answer A is correct as it demonstrates assertiveness by acknowledging the concern raised and seeking clarification in a non-defensive manner. By expressing openness to feedback and asking for more information, the nurse shows a willingness to address the issue constructively. This approach promotes communication and collaboration in resolving the situation. Answer B is incorrect as it responds defensively and shifts the focus to criticizing the accuser rather than addressing the concern raised. Answer C is incorrect as it does not address the issue at hand and does not demonstrate assertiveness in seeking to understand the specific concerns raised. Answer D is incorrect as it assumes a defensive stance and implies a personal attack, which is not conducive to resolving the issue professionally.
Question 3 of 5
A nurse is triaging clients following a mass casualty event. Which of the following clients should the nurse assess first?
Correct Answer: C
Rationale: The nurse should assess the client with severe respiratory stridor and a deviated trachea first because this indicates a compromised airway, which is the priority in emergency situations. Airway compromise can quickly lead to respiratory distress and potentially respiratory failure. Assessing and managing the airway takes precedence over other injuries to ensure the client's ability to breathe. The other choices, such as open fracture, head injury with seizures, and a small burn, while important, do not pose an immediate threat to the client's airway and can be addressed after ensuring airway patency.
Question 4 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: Correct Answer: B. The client's blood pressure and pulse have been fluctuating throughout the day. Rationale: 1. Fluctuating vital signs indicate instability and require close monitoring by a licensed nurse. 2. This situation necessitates continuous assessment and potential intervention by the nurse. 3. Assigning tasks to an assistive personnel may not ensure adequate monitoring and timely intervention. 4. The other choices do not directly indicate the need for total care by the nurse.
Question 5 of 5
A client is scheduled to receive an oral solution of radioactive iodine (131I). In order to reduce hazards, the priority information for the nurse to include in client teaching is which of these statements?
Correct Answer: A
Rationale: The correct answer is A. The priority is to reduce radiation exposure to others. The rationale is as follows: 1. "In the initial 48 hours, avoid contact with children and pregnant women": This is crucial as they are more vulnerable to radiation. 2. "Flush the commode twice after urination or defecation": This helps minimize contamination. 3. Choice B focuses on personal hygiene but doesn't address radiation exposure to others. 4. Choice C is incorrect as family members can be exposed to radiation through bodily fluids. 5. Choice D does not address the need to minimize radiation exposure to others.