ATI RN
Health And Safety for Clients Questions
Question 1 of 5
A nurse is planning to delegate tasks to the AP. Which task is appropriate to delegate?
Correct Answer: A
Rationale: The correct answer is A. The task of accompanying a client with depression to occupational therapy is appropriate to delegate to an Advanced Practice (AP) nurse as it aligns with the AP's scope of practice and requires providing support and assistance to the client. The AP can offer emotional support, ensure safety during transportation, and facilitate the client's participation in therapy. Choice B is incorrect because assessing a hypomanic client for exhaustion requires clinical judgment and knowledge beyond the scope of an AP. Choice C is inappropriate as checking the position of a client in soft wrist restraints involves assessing for safety and proper restraint use, which should be done by a licensed nurse. Choice D is also incorrect as setting limits with a client experiencing mania involves therapeutic communication and complex decision-making, which are responsibilities of a licensed healthcare provider.
Question 2 of 5
An RN is delegating care activities to a licensed practical nurse (LPN). Which of the following is the priority criterion the RN should consider when delegating?
Correct Answer: D
Rationale: The correct answer is D: State Nurse Practice Act for the LPN. The Nurse Practice Act outlines the scope of practice and legal responsibilities for LPNs, guiding RNs in making appropriate delegations. Agency policies (A) may vary and should align with legal regulations. Documented experience level (B) and skill level (C) are important but do not guarantee competency within legal boundaries. The State Nurse Practice Act ensures delegation is within the legal scope of the LPN's practice.
Question 3 of 5
A nurse and an assistive personnel (AP) are providing care for four clients who were admitted to the medical-surgical unit on the previous shift. The nurse should delegate meal assistance for which of the following clients to the AP?
Correct Answer: A
Rationale: The correct answer is A because a client with a lumbosacral spinal tumor may require assistance with meals due to potential mobility limitations. Guillain-Barre syndrome (choice B) affects the peripheral nervous system, requiring close monitoring. ALS (choice C) is a progressive motor neuron disease, necessitating comprehensive care. Systemic sclerosis (choice D) involves thickening of the skin and internal organs, which may impact swallowing and digestion. Delegating meal assistance to the AP for a client with a lumbosacral spinal tumor aligns with the AP's scope of practice and the client's specific care needs.
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' is a type of radiologic agent that combines conventional explosives with radioactive material. The nurse should prepare to care for a client exposed to radiation. Radiologic agents can cause harmful effects on the body's cells and tissues. Chemical (choice A), Anthrax (choice B), and Sarin (choice D) are not typically associated with 'dirty bomb' exposure. Chemical agents refer to toxic substances, Anthrax is a bacterial infection, and Sarin is a nerve agent. Therefore, the correct choice is C as it specifically relates to radiologic exposure from a 'dirty bomb'.
Question 5 of 5
A charge nurse is providing an inservice for staff nurses on the use of new IV pumps. Which of the following actions should the charge nurse take to best evaluate staff competency with the new equipment?
Correct Answer: B
Rationale: The correct answer is B because allowing nurses to demonstrate proficiency during the workday is the most effective way to evaluate their competency with the new IV pumps. This method ensures hands-on experience and real-time application of knowledge. It allows the charge nurse to observe each nurse in action, identify any areas needing improvement, and provide immediate feedback. This approach is more practical and directly assesses the nurses' ability to use the equipment correctly. Choices A, C, and D are incorrect because: A: Asking nurses to read and sign a form only shows that they have acknowledged the procedure, but it does not demonstrate their actual competency in using the equipment. C: Requiring a written examination tests theoretical knowledge but does not assess practical skills in using the IV pumps. D: Verbally questioning the staff may not accurately reflect their hands-on competency and may not provide a comprehensive evaluation of their proficiency with the new equipment.