ATI RN
Essentials Of Nursing Client Safety Questions
Question 1 of 5
A nurse is teaching a group of newly hired nurses about the requirements for disaster planning. Which of the following statements by one of the newly hired nurses indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A because holding disaster drills on a regular basis is essential for preparedness and practice. Regular drills help ensure that staff are familiar with protocols and can respond effectively during a real disaster. Choice B is incorrect because while drills are important, they cannot fully replicate the chaos and urgency of a real disaster situation. Choice C is incorrect because typically an incident commander should be a designated leader with specific training and experience in disaster management, not just a staff nurse. Choice D is incorrect because triaging victims is usually done by trained personnel such as nurses or emergency medical technicians, not necessarily by physicians.
Question 2 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: D
Rationale: The correct answer is D: Check alertness. This task should be assigned first because assessing the worker's alertness ensures they are mentally capable and focused to provide assistance safely. This step is crucial in a crisis situation to prevent any potential errors or harm to the wounded workers. Incorrect Choices: A: Get temperatures - This can wait as it is not as urgent as ensuring the worker is alert. B: Take blood pressure - This is important but not as critical as checking alertness in this scenario. C: Palpate pulses - While important, checking alertness takes precedence in ensuring immediate readiness for providing care.
Question 3 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 4 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 5 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.