ATI RN
Client Safety Event ATI Quizlet Questions
Question 1 of 5
A nurse on a medical-surgical unit is providing care for a group of clients. The nurse should delegate collection of which of the following specimens to the assistive personnel (AP)?
Correct Answer: D
Rationale: The correct answer is D. Delegating the collection of a random stool specimen to assistive personnel is appropriate because it is a non-invasive procedure that does not require specialized training. The AP can simply provide the client with a specimen container and instruct them on how to collect the sample. The other choices involve more invasive procedures or specific skills that should be performed by licensed healthcare providers. A: Collection of wound drainage for culture requires sterile technique. B: Collection of urine from an indwelling catheter involves proper technique to prevent infection. C: Collection of blood for PaCO2 requires venipuncture skills and knowledge of blood gas analysis.
Question 2 of 5
A nurse is providing care for a surgeon on a medical-surgical unit. A nurse from another unit asks the nurse about the surgeon's medical diagnosis. The nurse responds that he is unable to provide the information requested. The nurse is displaying which of the following ethical principles?
Correct Answer: D
Rationale: The correct answer is D: Nonmaleficence. The nurse is displaying the ethical principle of nonmaleficence by refusing to disclose the surgeon's medical diagnosis without consent, as it could potentially harm the surgeon's privacy and confidentiality. Nonmaleficence emphasizes the obligation to avoid causing harm or injury to others. By respecting the surgeon's right to privacy, the nurse is upholding this principle. A: Utility is the principle of maximizing benefits for the greatest number of people, which is not relevant in this scenario. B: Paternalism involves making decisions for others based on what is believed to be in their best interest, but in this case, the nurse is respecting the surgeon's autonomy. C: Justice is about fairness and equal treatment, which is not directly applicable to the nurse's response in this situation.
Question 3 of 5
An assistive personnel (AP) reports to the nurse that a client who is 3 days postoperative following an abdominal hysterectomy has a dressing that is saturated with blood. Which of the following tasks should the nurse delegate to the AP?
Correct Answer: B
Rationale: The correct answer is B: Obtain vital signs. The priority in this situation is to assess the client's vital signs to determine the severity of the bleeding and the client's overall condition. The AP can assist by obtaining vital signs, which is within their scope of practice and does not require interpretation. Changing the abdominal dressing (A) should be done by a nurse to assess the wound and control bleeding. Palpating for bladder distention (C) and observing the incision site (D) require more specialized assessment skills and should be done by the nurse.
Question 4 of 5
A nurse on the pediatric unit is providing room assignments for children who are to be admitted to the unit. The nurse should plan to place a child who is postoperative from an appendectomy with which of the following clients?
Correct Answer: D
Rationale: The correct answer is D. A child post-appendectomy requires close monitoring for complications like infection or bleeding. Placing them with a child with a new diagnosis of type 1 diabetes mellitus would be appropriate as both may need monitoring and interventions related to their conditions. Choices A, B, and C involve conditions that do not directly relate to post-appendectomy care and would not benefit from being placed together.
Question 5 of 5
A nurse is teaching a class on torts. The nurse should include which of the following situations as an example of negligence?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates negligence by failing to promptly report a concerning finding, which could lead to harm. The nurse's delay in notifying the provider increases the risk of complications for the client. Option B involves deception and administration of medication without consent, which is a violation of the client's autonomy and not negligence. Option C involves inappropriate use of restraints against a competent client's wishes, violating autonomy and not negligence. Option D involves a threat of restraints to enforce dietary restrictions, which is not appropriate but also not a clear example of negligence.