ATI RN
Essentials Of Nursing Client Safety Questions
Question 1 of 5
A nurse is providing discharge teaching for a client who has a new prescription for home oxygen. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Do not adjust the oxygen flow rate. It is important not to adjust the oxygen flow rate without consulting the healthcare provider, as it can lead to inadequate oxygen delivery or oxygen toxicity. Option B is incorrect because oxygen equipment should be checked daily, not weekly, for safety. Option C is incorrect as unused oxygen tanks should be stored upright to prevent damage. Option D is incorrect as wool blankets can generate static electricity, which could be a fire hazard around oxygen. Therefore, the crucial instruction for the client is to not adjust the oxygen flow rate to ensure safe and effective oxygen therapy.
Question 2 of 5
Which approach is the best way to prevent infections when providing care to clients in the home setting?
Correct Answer: A
Rationale: The correct answer is A: Handwashing before and after examination of clients. Handwashing is crucial in preventing the spread of infections as it helps eliminate germs on the hands. Before examining clients, handwashing reduces the risk of transferring pathogens from one client to another. After examination, it helps protect the client and the caregiver from potential infections. Choice B is not the best approach as gloves can sometimes create a false sense of security and may not be as effective as proper handwashing. Choice C may help prevent cross-contamination between client belongings and the nurse's bag but does not directly address infection prevention during care provision. Choice D is specific to certain types of examinations and may not be necessary for all client interactions. Handwashing remains the most effective and universal preventive measure.
Question 3 of 5
After an explosion at a factory one of the employees approaches the nurse and says 'I am an unlicensed assistive personnel (UAP) at the local hospital.' Which of these tasks should the nurse assign first to this worker who wants to help care for the wounded workers?
Correct Answer: C
Rationale: Step 1: Palpating pulses is crucial to assess circulation and perfusion, which are vital in identifying potential life-threatening conditions in wounded individuals. Step 2: Assessing circulation takes priority over other tasks like taking temperatures, blood pressure, or checking alertness. Step 3: Palpating pulses provides immediate information on the patient's condition and guides further care decisions. Step 4: Other choices are secondary in urgency compared to assessing pulse status in this emergency scenario.
Question 4 of 5
A nurse is serving on a continuous quality improvement (CQI) committee that has been assigned to develop a program to reduce the number of medication administration errors following a sentinel event at the facility. Which of the following strategies should the committee plan to initiate first?
Correct Answer: C
Rationale: The correct answer is C: Review the events leading up to each medication administration error. This strategy should be initiated first because it focuses on identifying the root causes of the errors. By reviewing the events, the committee can understand why the errors occurred and implement targeted interventions to prevent them in the future. This proactive approach addresses the underlying issues in the medication administration process, leading to sustainable improvements. Choice A is incorrect because providing an inservice on medication administration to all nurses may not address the specific causes of the errors. Choice B is incorrect as requiring staff nurses to pass an examination may not necessarily prevent errors if the underlying system issues are not addressed. Choice D is also incorrect as developing a quality improvement program for nurses involved in errors is reactive rather than proactive, and does not prevent future errors.
Question 5 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: Correct Answer: A Rationale: 1. A is the correct answer because it addresses the behavior professionally and focuses on unit expectations, not personal attacks. 2. By discussing delegation and task completion expectations, it provides a constructive approach to resolving the conflict. 3. B is incorrect as it focuses on hearsay and does not offer a solution to the problem. 4. C is incorrect as it threatens rather than offering guidance on how to improve. 5. D is incorrect as it uses accusatory language and does not provide a pathway for improvement.