ATI RN
Client Health and Safety Specifications Questions
Question 1 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.
Question 2 of 5
Which of these clients would the nurse recommend keeping in the hospital during an internal disaster at that facility?
Correct Answer: C
Rationale: The correct answer is C because the elderly man with an acute exacerbation of ulcerative colitis has a condition that requires ongoing monitoring and treatment in a hospital setting. During an internal disaster, such as a natural disaster or fire, it is crucial to keep patients who are acutely ill or unstable in the hospital where they can receive immediate care. A: The adolescent with sepsis whose vital signs are stable can be managed in a less acute care setting. B: The middle-aged woman with a past uncomplicated myocardial infarction is stable and can be discharged or transferred to a lower level of care. D: The young adult in the second day of treatment for an acetaminophen overdose may need monitoring but is not as acutely ill as the elderly man with ulcerative colitis. In summary, choice C is correct because the elderly man requires ongoing medical care and monitoring during an internal disaster, while the other choices can be managed in a less acute care setting.
Question 3 of 5
A nurse is caring for a client who is dying of metastatic breast cancer. She has a prescription for an opioid pain medication PRN. The nurse is concerned that administering a dose of pain medication might hasten the client's death. Which of the following ethical principles should the nurse use to support the decision not to administer the medication?
Correct Answer: B
Rationale: The correct answer is B: Nonmaleficence. Nonmaleficence is the ethical principle of doing no harm. In this scenario, the nurse should prioritize the principle of nonmaleficence by ensuring that the client's pain is adequately managed to provide comfort without causing harm. Administering pain medication to alleviate suffering does not aim to hasten death but to promote the client's well-being. Utilitarianism (A) focuses on the greatest good for the greatest number, which may not apply in this individualized end-of-life care situation. Fidelity (C) pertains to keeping promises and being faithful, which is not directly relevant to the immediate decision about pain medication administration. Veracity (D) refers to truthfulness, which is important but not the primary ethical principle guiding the decision in this context.
Question 4 of 5
A nurse is caring for a client who falls in his room. After the nurse assesses the client, notifies the client's provider, and completes an incident report, which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Submit the incident report to the risk manager. This is the correct action because the risk manager is responsible for evaluating incidents and implementing measures to prevent future occurrences. Providing the report to the risk manager ensures that the incident is properly reviewed and appropriate actions are taken to prevent similar incidents in the future. A: Making a copy of the incident report for the provider is unnecessary as the provider has already been notified. C: Placing the incident report in the client's chart is not the best action as it may not reach the appropriate personnel for review and follow-up. D: Documenting in the chart that an incident report has been filed does not ensure that the incident will be appropriately reviewed and addressed by the risk management team.
Question 5 of 5
A nurse is participating in a disaster simulation in which a toxic substance is released into a crowded stadium. Which of the following activities would be the lowest priority for the nurse?
Correct Answer: C
Rationale: The lowest priority for the nurse in a disaster simulation scenario involving a toxic substance release is transferring a client to the discharge location (Choice C). This is because during such a crisis, immediate actions like preventing cross-contamination (Choice A), performing concise client assessment (Choice B), and maintaining a client tracking system (Choice D) are more critical in ensuring the safety and well-being of all individuals involved. Transferring a client, while important, can be done after addressing these more urgent tasks to minimize harm and effectively manage the situation.