ATI RN
Client Safety Basic Concept Template Questions
Question 1 of 5
A nurse manager is preparing an inservice program about managing conflict for the nurses on the unit. The nurse manager should identify which of the following examples as interpersonal conflict?
Correct Answer: D
Rationale: The correct answer is D because it involves conflict between individuals (experienced nurse vs. newly licensed nurse), making it interpersonal conflict. This conflict arises from uncivil behavior, impacting their professional relationship. In contrast: A: Disagreement on client weights is a task-related conflict, not interpersonal. B: Uncertainty about joining an organization is an internal conflict, not interpersonal. C: Preference for patient assignments based on personal circumstances is not directly interpersonal conflict.
Question 2 of 5
A nurse who is assigned to the emergency department needs to understand that gastric lavage is a priority in which situation?
Correct Answer: B
Rationale: The correct answer is B because ibuprofen tablets can cause severe toxicity if not removed promptly. Gastric lavage helps remove the ingested drug before it is fully absorbed, reducing its effects. Infants with botulism (choice A) require supportive care, not gastric lavage. Swallowing powdered plant food (choice C) may cause irritation but typically does not require gastric lavage. Ingesting vitamins (choice D) generally does not necessitate gastric lavage unless they are in a toxic amount.
Question 3 of 5
When an infant car seat is properly installed, the infant should face:
Correct Answer: B
Rationale: The correct answer is B: Backward, so child faces the seat. Infants should always be placed in a rear-facing car seat as it provides the best protection in the event of a crash, supporting their head, neck, and spine. This position helps distribute crash forces evenly and reduces the risk of serious injury. Facing the seat also prevents the infant from being thrown forward in a sudden stop or collision. Choice A is incorrect because forward-facing seats are not safe for infants. Choice C is incorrect as side-facing positions are dangerous. Choice D is incorrect as infants should never be placed lying on their back in a car seat installed sideways.
Question 4 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 specific issue of delegating tasks unfairly and leaving tasks incomplete in a professional and solution-oriented manner. By discussing unit expectations regarding delegating and completing tasks, the charge nurse can clarify expectations, provide guidance, and set clear boundaries for the staff nurse to follow. Choice B is incorrect as it does not address the specific behaviors of unfair task delegation and incomplete tasks and instead relies on hearsay from other staff members. Choice C is incorrect as it jumps to a threat of informing the nurse manager without attempting to address the issue directly with the staff nurse first. Choice D is also incorrect as it uses accusatory language without providing constructive feedback or guidance on how to improve the situation.
Question 5 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 relieving the client's pain and suffering while ensuring that the medication does not cause harm or hasten death. Administering pain medication to provide comfort aligns with the principle of nonmaleficence. A: Utilitarianism focuses on maximizing overall good for the majority, which may conflict with the individual's well-being in this case. C: Fidelity relates to being faithful and keeping promises, which is not directly applicable to the situation of pain management. D: Veracity pertains to truth-telling, which is important in communication but not directly relevant to the decision of administering pain medication.