A nurse on a medical-surgical unit is preparing to contact a provider about a client's condition. The client is 6 hr postoperative from a total hysterectomy. The nurse notes the client's postoperative oxygen saturation is 94% and her apical heart rate is 110. The nurse should include information about the client's oxygen saturation level and heart rate in which component of the SBAR report?

Questions 74

ATI RN

ATI RN Test Bank

Client Safety Quizlet Questions

Question 1 of 5

A nurse on a medical-surgical unit is preparing to contact a provider about a client's condition. The client is 6 hr postoperative from a total hysterectomy. The nurse notes the client's postoperative oxygen saturation is 94% and her apical heart rate is 110. The nurse should include information about the client's oxygen saturation level and heart rate in which component of the SBAR report?

Correct Answer: C

Rationale: Rationale: 1. In SBAR communication, "Assessment" includes vital signs and objective data. 2. The client's oxygen saturation and heart rate are objective assessment findings. 3. Reporting these values under "Assessment" helps the provider understand the client's current physiological status accurately. 4. This information aids the provider in making informed decisions regarding the client's care. Summary: A. Situation focuses on the current problem or issue. B. Background provides context and relevant history. D. Recommendation offers suggestions or requests.

Question 2 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 root causes of errors and understand contributing factors. By analyzing the events leading up to each error, the committee can pinpoint system weaknesses, communication breakdowns, or training gaps that may have led to the errors. This information is crucial for developing targeted interventions to prevent future errors. A: Providing an inservice on medication administration to all nurses may be beneficial, but without understanding the specific causes of errors, the inservice may not address the underlying issues that need to be corrected. B: Requiring staff nurses to demonstrate competency through an examination is important, but it is more effective as a follow-up step once the root causes of errors have been identified and addressed. D: Developing a quality improvement program for nurses involved in errors is important, but it is more effective after understanding the specific issues that need to be addressed through reviewing the events leading up to errors

Question 3 of 5

A nurse is planning care for a client who has anorexia nervosa. The nurse should make which of the following client goals the priority?

Correct Answer: A

Rationale: The correct answer is A because attaining a healthy weight is crucial in treating anorexia nervosa to address malnutrition and restore physical health. Weight restoration is a primary goal to prevent serious medical complications and improve overall well-being. Choices B, C, and D are important aspects of treatment but may not be as critical as achieving a healthy weight for a client with anorexia nervosa. Making positive statements about body image, feeling in control of behavior, and identifying family changes are important for the client's mental and emotional well-being, but without addressing the physical aspect of malnutrition, the client's health remains at risk.

Question 4 of 5

An RN from the maternal-newborn unit is being floated to a medical-surgical unit. Which of the following clients should the charge nurse on the medical-surgical unit plan to assign to the RN?

Correct Answer: C

Rationale: The correct answer is C because the RN from the maternal-newborn unit would have experience in postoperative care and would be familiar with the care needs of a client one-day postoperative following a total abdominal hysterectomy. This assignment aligns with the nurse's skill set and background, ensuring safe and competent care delivery. Choice A is incorrect because a client with terminal end-stage renal disease would require specialized care typically provided by nurses with nephrology experience. Choice B is incorrect as acute pancreatitis management often requires specific interventions and monitoring that may not be within the RN's expertise from a maternal-newborn unit. Choice D is also incorrect as a client who had a stroke may require neurological assessments and interventions that the RN may not be prepared to provide.

Question 5 of 5

A nurse tells another nurse that she thinks he did not provide adequate care for a client who underwent hip arthroplasty. Which of the following responses by the nurse demonstrates assertiveness?

Correct Answer: A

Rationale: Answer A is correct as it demonstrates assertiveness by acknowledging the concern raised and seeking clarification in a non-defensive manner. By expressing openness to feedback and asking for more information, the nurse shows a willingness to address the issue constructively. This approach promotes communication and collaboration in resolving the situation. Answer B is incorrect as it responds defensively and shifts the focus to criticizing the accuser rather than addressing the concern raised. Answer C is incorrect as it does not address the issue at hand and does not demonstrate assertiveness in seeking to understand the specific concerns raised. Answer D is incorrect as it assumes a defensive stance and implies a personal attack, which is not conducive to resolving the issue professionally.

Access More Questions!

ATI RN Basic


$89/ 30 days

ATI RN Premium


$150/ 90 days

Similar Questions