ATI RN
Health And Safety for Clients Questions
Question 1 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 is crucial for identifying root causes of errors and implementing targeted solutions. By analyzing the specific circumstances surrounding each error, the committee can uncover systemic issues, such as faulty processes or inadequate training, that contribute to errors. This approach allows for evidence-based interventions to be developed to prevent future occurrences. Option A is not the most effective initial strategy as simply providing an inservice may not address underlying systemic issues. Option B may be important but assessing competency without understanding the root causes of errors may not lead to sustainable improvements. Option D focuses on addressing errors after they occur rather than preventing them in the first place.
Question 2 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: The correct answer is A because it focuses on addressing the issue professionally and constructively. By discussing unit expectations regarding delegating and completing tasks, the charge nurse can set clear guidelines for fair task distribution. This approach promotes open communication and provides an opportunity for the staff nurse to improve. Choice B is incorrect as it focuses on hearsay and may lead to defensiveness. Choice C is incorrect as it escalates the situation prematurely and may create a hostile environment. Choice D is incorrect as it uses accusatory language, which can lead to confrontation rather than resolution.
Question 3 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 4 of 5
A staff nurse has applied for a promotion. The hiring manager insinuates that if there was a sexual relationship between the two of them, the nurse's promotion request would get increased consideration. Which of the following actions should the staff nurse take first?
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. A: The staff nurse should directly address the inappropriate behavior by clearly expressing discomfort and requesting it to stop immediately. 2. B: Reporting to the nurse manager may be necessary, but addressing the issue with the hiring manager first is essential. 3. C: Creating a document is important for documentation but addressing the behavior directly should be the immediate priority. 4. D: Seeking help is valuable, but addressing the hiring manager's behavior directly is crucial in this situation.
Question 5 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.