ATI RN
Client Health and Safety Responsibilities Questions
Question 1 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: The correct answer is B because fluctuating blood pressure and pulse indicate a potential unstable condition requiring close monitoring and immediate intervention, necessitating the oncoming nurse to assume total care. A: Family presence doesn't necessarily indicate the need for total care. C: Past thoughts of suicide require assessment and monitoring, but not necessarily total care. D: Client's job is irrelevant to the current care needs and doesn't mandate total care assumption.
Question 2 of 5
A nurse in a provider's office is collecting a health history from a client who has a new prescription for glyburide to treat type 2 diabetes mellitus. Which of the following statements by the client indicates a contraindication for taking this medication?
Correct Answer: B
Rationale: The correct answer is B. Glyburide is not recommended during breastfeeding as it can pass into breast milk and potentially affect the baby's blood sugar levels. This could be harmful to the infant. Choice A is unrelated to glyburide use. Choice C, getting a flu shot, is not a contraindication for taking glyburide. Choice D, being allergic to shellfish, does not directly impact the use of glyburide for diabetes.
Question 3 of 5
A charge nurse is observing a nurse insert an indwelling urinary catheter into a female client. For which of the following actions by the nurse should the charge nurse intervene?
Correct Answer: A
Rationale: Correct Answer: A Rationale: - The nurse should not separate the client's labia with her dominant hand as it increases the risk of contaminating the sterile field. - Choice B is correct as lubricating the catheter helps with insertion. - Choice C is correct as providing perineal care ensures cleanliness. - Choice D is correct as applying a sterile drape maintains a sterile field. Summary: Choice A is incorrect because it violates sterile technique. Choices B, C, and D are correct actions that promote proper catheter insertion.
Question 4 of 5
A newly admitted adult client has a diagnosis of hepatitis A. The charge nurse should reinforce to the staff members that the most significant routine infection control strategy, in addition to handwashing, is which of these?
Correct Answer: D
Rationale: The correct answer is D: Have gloves on while handling bedpans with feces. Rationale: Hepatitis A is primarily spread through fecal-oral route. Wearing gloves while handling bedpans with feces is crucial to prevent the transmission of the virus. Handwashing alone may not be sufficient to prevent cross-contamination. Summary of other choices: A: Placing signs does not directly prevent the spread of hepatitis A. B: Using a mask with a shield is not the most significant routine infection control measure for hepatitis A transmission. C: Wearing a gown for soiled linens does not address the primary mode of transmission for hepatitis A.
Question 5 of 5
A parent calls the hospital hotline and is connected to the triage nurse. The caller proclaims: 'I found my child with odd stuff coming from the mouth and an unmarked bottle nearby.' Which of these comments would be the best tool for the nurse to determine if the child has swallowed a corrosive substance?
Correct Answer: A
Rationale: The correct answer is A. Asking the child if the mouth is burning or if there is throat pain helps determine if the child has swallowed a corrosive substance. Corrosive substances can cause burning sensations in the mouth and throat. This question directly addresses the symptoms associated with ingesting corrosive substances. Choice B is incorrect because taking the child's pulse and checking for breathing difficulties do not directly assess for ingestion of a corrosive substance. Choice C is incorrect because the color of the child's lips and nails and voiding status are not specific indicators of corrosive substance ingestion. Choice D is incorrect because vomiting, diarrhea, and stomach cramps are common symptoms of various conditions and not specific to corrosive substance ingestion.