ATI RN
Client Health and Safety Specifications Questions
Question 1 of 5
A nurse is receiving change-of-shift report. Which task should the AP perform first?
Correct Answer: A
Rationale: The correct answer is A: Perform blood glucose monitoring before breakfast. This task should be done first as it is time-sensitive for the client's medication and meal planning. Monitoring blood glucose levels in the morning helps determine the appropriate insulin dosage or other medications needed for the day. Applying a condom catheter (B) can wait until after the blood glucose monitoring. Feeding a client with upper arm fractures (C) is important but not as time-sensitive as blood glucose monitoring. Delivering a urine specimen to the lab (D) is also important but can be done after the blood glucose monitoring. Prioritizing tasks based on client needs and urgency is crucial in providing safe and effective care.
Question 2 of 5
A nurse has assigned client care activities to an assistive personnel (AP). Which of the following statements by the AP indicates a need for assistance in establishing priorities?
Correct Answer: A
Rationale: The correct answer is A because the AP's statement indicates a need for assistance in establishing priorities. Starting with room 1 and working way to room 10 does not consider the acuity of the clients' needs or urgency of tasks. This approach may lead to delays in providing care to clients with more critical needs. Option B demonstrates prioritizing based on a client's specific situation, which is appropriate. Option C shows planning for future discharges after immediate client needs are addressed. Option D indicates a logical sequence by starting with providing baths before breakfast to promote comfort and hygiene. Thus, A stands out as needing guidance on prioritization.
Question 3 of 5
A client who is terminally ill tells a nurse on the medical-surgical unit that she feels hopeless. Which of the following statements by the nurse is appropriate?
Correct Answer: D
Rationale: The correct answer is D because it encourages therapeutic communication by focusing on the client's understanding of the illness, which can help address feelings of hopelessness. Asking the client to explain their understanding opens up the opportunity for clarification and support. Choice A focuses on the emotion only, not the underlying cause. Choice B dismisses the client's feelings. Choice C assumes the client should seek hospice care without exploring their current thoughts and feelings. Thus, D is the most appropriate response for effective client-centered care.
Question 4 of 5
A charge nurse plans to use effective change strategies when implementing a change in a nursing procedure on the medical-surgical unit. Which of the following actions should the charge nurse take during the moving stage of change?
Correct Answer: D
Rationale: The correct answer is D: Set a target date. During the moving stage of change, setting a target date is crucial to provide a clear timeline for the implementation of the change. This helps create a sense of urgency and accountability among staff, ensuring progress towards the desired change. Assessing the problem (A) is typically done in the unfreezing stage to understand the need for change. Using tactics to alert staff nurses that a change is needed (B) is more relevant to the unfreezing stage to gain buy-in. Evaluating the effectiveness of the change (C) is usually done in the refreezing stage to assess outcomes and make adjustments. Setting a target date (D) is essential during the moving stage to maintain focus and drive progress.
Question 5 of 5
A nurse manager has recently become aware of a conflict between the pharmacy and the staff nurses regarding sending and receiving medications. Which of the following actions should the nurse take first to resolve the conflict?
Correct Answer: C
Rationale: The correct answer is C: Identify the problem. This is the first step that should be taken to resolve any conflict effectively. By identifying the root cause of the conflict, the nurse manager can gain a clear understanding of the issues at hand. Once the problem is identified, the nurse manager can then proceed to brainstorm solutions (B) based on the specific issues identified. Implementing a resolution (A) and evaluating the results (D) should come after the problem is fully understood and appropriate solutions have been developed. Therefore, choices A, B, and D are incorrect because they should follow the step of identifying the problem in order to effectively address the conflict between the pharmacy and staff nurses.