ATI RN
Client Safety Questions
Question 1 of 5
A nurse is preparing discharge instructions for a client receiving oxygen at home. What should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Do not adjust the oxygen flow rate. This is crucial for maintaining the prescribed oxygen therapy and preventing potential harm to the client. Adjusting the flow rate without medical guidance can lead to inadequate oxygenation or oxygen toxicity. Incorrect Choices: B: Checking oxygen equipment weekly is important for safety but not directly related to the client's immediate oxygen use. C: Storing oxygen tanks horizontally is incorrect as they should be stored upright to prevent leaks. D: Using wool blankets to reduce static is not recommended as they can generate static electricity, posing a risk of fire near oxygen.
Question 2 of 5
A nurse checks with assistive personnel on the unit throughout the shift to determine if they are completing tasks. The nurse is demonstrating which of the following rights of delegation?
Correct Answer: D
Rationale: The correct answer is D: Right supervision. The nurse checking in with assistive personnel to ensure tasks are completed is an example of proper supervision, which is one of the rights of delegation. Supervision involves overseeing and guiding the work of others to ensure tasks are being carried out correctly and safely. This helps maintain accountability and quality of care. Summary of other choices: A: Right circumstances - This refers to ensuring the task is appropriate for delegation based on factors such as patient condition and complexity. B: Right communication - This involves clear and effective communication of tasks, responsibilities, and expectations between the nurse and assistive personnel. C: Right person - This focuses on selecting the most qualified and competent individual to perform the delegated task based on their skill level and training.
Question 3 of 5
A nurse is caring for four clients on a medical-surgical unit. Which of the following clients should the nurse assess first?
Correct Answer: B
Rationale: The correct answer is B. The nurse should assess the client who had an indwelling urinary catheter removed 5 hours ago and has not voided first. This is because urinary retention can lead to complications like urinary tract infection or bladder distention. It is important to monitor and address this promptly to prevent further issues. A: While a green gastric aspirate with a pH of 5.3 may indicate potential issues, it is not as urgent as urinary retention. C: A capillary refill time of 4 seconds in a client with COPD is concerning but does not require immediate attention compared to urinary retention. D: Fruity breath odor in a client with late-stage cirrhosis may indicate hepatic encephalopathy, which is serious, but urinary retention takes precedence due to the risk of immediate complications.
Question 4 of 5
A charge nurse hears a provider speaking to a staff nurse in anger concerning incorrect supplies that are available to perform a procedure. Which of the following statements by the charge nurse is appropriate?
Correct Answer: C
Rationale: The correct answer is C because it demonstrates empathy and acknowledges the staff nurse's feelings of frustration. By expressing understanding and empathy towards the staff nurse's situation, the charge nurse validates their emotions and shows support. This can help in de-escalating the situation and fostering a positive working relationship. Option A focuses more on the staff nurse's behavior rather than addressing the issue at hand. Option B offers a solution but does not address the emotional aspect of the situation. Option D places the blame on the staff nurse for not informing ahead of time, which can be counterproductive in resolving the immediate issue. Ultimately, option C is the most appropriate response in this scenario as it shows empathy and understanding towards the staff nurse's feelings.
Question 5 of 5
A nurse is preparing to witness informed consent for a client who is preoperative. The client asks the nurse, 'Are there other options besides surgery?' Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Rationale for correct answer (C): 1. The nurse should promote client autonomy and informed decision-making. 2. Asking if the client has discussed other treatments shows respect for client preferences. 3. It encourages the client to consider all options before making a decision. 4. This response supports the client in making an informed choice based on available treatments. Summary of incorrect choices: A: Incorrect because it dismisses the client's question and rushes the consent process. B: Incorrect as it imposes the nurse's opinion on the client, which is not appropriate. D: Incorrect because it assumes the client does not want surgery without exploring other options.