ATI RN
Client Safety in Nursing Questions
Question 1 of 5
A nurse manager observes an unknown man in a laboratory coat making copies of a client's medical record. Which of the following actions should the nurse plan to take first?
Correct Answer: B
Rationale: The correct answer is B: Approach the man and ask why he is making copies. This is the first action the nurse should take to immediately address the situation and gather more information. By approaching the man, the nurse can assess the situation directly and potentially stop any unauthorized access to the client's medical record. This action allows for a real-time response and may prevent any further breach of confidentiality. Other choices are incorrect because: A: Notifying hospital security as the first action may cause a delay in addressing the situation directly. C: Informing the nursing supervisor may be appropriate but should not be the first action as it does not address the immediate concern. D: Reporting the observation to the nurse caring for the client may not be effective in stopping the unauthorized access and protecting the client's confidentiality.
Question 2 of 5
The school nurse is teaching the faculty the most effective methods to prevent the spread of lice (Pediculus Humanus Capitis) in the school. The information that would be most important to include is reflected in which of these statements?
Correct Answer: C
Rationale: The correct answer is C: "Children should not share hats, scarves, and combs." This statement is important because lice are primarily spread through direct contact with infested individuals or by sharing personal items like hats, scarves, and combs. By emphasizing the importance of not sharing these items, the school can help prevent the spread of lice among students. A: "The treatment medication requires reapplication in 8 to 10 days." While this information may be relevant, it is more focused on treatment rather than prevention. B: "Bedding and clothing can be boiled or steamed to kill lice." While this is a valid method to kill lice, it is not the most important information for preventing the spread of lice in a school setting. D: "Nit combs are necessary to comb lice eggs (nits) out of children's hair." While nit combs are useful for removing lice eggs, it is not as crucial as emphasizing
Question 3 of 5
A parent calls the hospital hot line and is connected to the triage nurse. The caller proclaims: 'I found my child with odd stuff coming from the mouth and an unmarked bottle nearby.' Which of these comments would be the best tool for the nurse to determine if the child has swallowed a corrosive substance?
Correct Answer: A
Rationale: Rationale: Asking the child if the mouth is burning or if there is throat pain is the best tool for the nurse to determine if the child has swallowed a corrosive substance because it directly assesses the immediate symptoms related to ingestion of such substances. Corrosive substances can cause burning sensations in the mouth and throat, indicating potential damage. This question helps the nurse quickly assess the severity of the situation and determine the need for urgent medical intervention. Summary: - Option A is correct as it directly addresses symptoms of corrosive substance ingestion. - Option B is incorrect as it focuses on pulse and breathing, not specific to corrosive substance ingestion. - Option C is irrelevant to assessing corrosive substance ingestion. - Option D is not as direct as Option A in addressing immediate symptoms of corrosive substance ingestion.
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: Step 1: Address the issue directly - "I need to talk to you about unit expectations regarding delegating and completing tasks." Step 2: Establish clear expectations and guidelines for delegation and task completion. Step 3: Provide an opportunity for the staff nurse to understand the concerns and improve behavior. Step 4: Promotes open communication and professional development. Summary: Option A is correct as it addresses the issue constructively, focuses on resolving the conflict through communication and setting clear expectations. Options B, C, and D are incorrect as they involve negative or threatening language, which can escalate the conflict rather than resolve it.
Question 5 of 5
A nurse is planning care for four clients and is assigning tasks to a licensed practical nurse (LPN) and an assistive personnel (AP). Which of the following tasks should the nurse assign to the LPN?
Correct Answer: C
Rationale: The correct answer is C: Reinforce teaching to a client to begin taking enoxaparin at home following a hip arthroplasty. Assigning this task to the LPN is appropriate because it involves medication education, which falls within the scope of practice for an LPN. LPNs are trained to provide patient education and reinforce teaching related to medications. This task does not involve making clinical judgments or assessments beyond the scope of an LPN's practice. Choices A, B, and D are incorrect: A: Completing an admission assessment for a client with COPD requires critical thinking and assessment skills that are typically within the scope of a registered nurse, not an LPN. B: Measuring intake and output for a client with an indwelling urinary catheter involves monitoring for potential complications and assessing the need for interventions, which are responsibilities of a registered nurse. D: Developing a plan of care for a client with cholecystitis also requires critical thinking and assessment skills that exceed