ATI RN
Client Safety Quizlet Questions
Question 1 of 5
A nurse is triaging clients following a mass casualty event. Which of the following clients should the nurse assess first?
Correct Answer: C
Rationale: The nurse should assess the client with severe respiratory stridor and a deviated trachea first because this indicates a compromised airway, which is the priority in emergency situations. Airway compromise can quickly lead to respiratory distress and potentially respiratory failure. Assessing and managing the airway takes precedence over other injuries to ensure the client's ability to breathe. The other choices, such as open fracture, head injury with seizures, and a small burn, while important, do not pose an immediate threat to the client's airway and can be addressed after ensuring airway patency.
Question 2 of 5
A client is scheduled to receive an oral solution of radioactive iodine (131I). In order to reduce hazards, the priority information for the nurse to include in client teaching is which of these statements?
Correct Answer: A
Rationale: The correct answer is A. The priority is to reduce radiation exposure to others. The rationale is as follows: 1. "In the initial 48 hours, avoid contact with children and pregnant women": This is crucial as they are more vulnerable to radiation. 2. "Flush the commode twice after urination or defecation": This helps minimize contamination. 3. Choice B focuses on personal hygiene but doesn't address radiation exposure to others. 4. Choice C is incorrect as family members can be exposed to radiation through bodily fluids. 5. Choice D does not address the need to minimize radiation exposure to others.
Question 3 of 5
The parents of a toddler who is being treated for pesticide poisoning ask: 'Why is activated charcoal used? What does it do?' What is the nurse's best response?
Correct Answer: A
Rationale: The correct answer is A because activated charcoal works by adsorbing (not absorbing) toxins in the stomach, preventing their absorption into the bloodstream. This helps decrease the body's absorption of the poison, reducing its harmful effects. Choice B is incorrect because charcoal does not form a compound with the poison, but rather binds to it. Choice C is incorrect because activated charcoal does not help eliminate poison from the body but instead prevents its absorption. Choice D is incorrect because it mentions inactivation of toxins, which is not the primary mechanism of action for activated charcoal in poisoning cases.
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 allows the committee to identify the root causes of the errors, understand the contributing factors, and implement targeted interventions to prevent future errors. By reviewing the events, the committee can analyze system weaknesses, identify areas for improvement, and implement evidence-based practices to enhance medication safety. Other choices are incorrect because: A: Providing an inservice on medication administration to all nurses may be beneficial, but it does not address the specific issues that led to the errors. B: Requiring staff nurses to demonstrate competency through an examination is important, but it is more effective after identifying and addressing the root causes of errors. D: Developing a quality improvement program for nurses involved in errors is essential, but it is more effective after understanding the underlying reasons for the errors.
Question 5 of 5
A nurse overhears two assistive personnel (AP) discussing a hospitalized client while in the cafeteria. Which of the following is the priority nursing action?
Correct Answer: A
Rationale: The correct answer is A. The priority nursing action is to address the situation immediately by quietly telling the APs that discussing a client's information in a public area is not appropriate due to maintaining patient confidentiality. This action directly addresses the issue at hand and educates the individuals involved on the importance of patient privacy. B is incorrect because it is not addressing the immediate situation and may not prevent further breaches of confidentiality. C is incorrect as completing an incident report is not necessary in this situation as it does not involve harm to the patient. D is incorrect as documenting in a personal log does not address the issue or prevent future occurrences.