ATI RN
Client Safety Nursing Questions
Question 1 of 5
A nurse on a quality control committee is evaluating the results of recently implemented measures designed to reduce client medication errors. Which of the following methods should the nurse use to evaluate the success of the changes?
Correct Answer: B
Rationale: The correct answer is B because comparing the number of medication errors before and after the action was implemented directly measures the effectiveness of the changes in reducing errors. This method provides concrete data on the impact of the measures. A: While establishing a benchmark is important, it does not directly measure the success of the changes in reducing errors. C: Staff satisfaction does not necessarily correlate with the effectiveness of the changes in reducing medication errors. D: Studying the time and money costs is important but does not directly evaluate the success of the changes in reducing errors.
Question 2 of 5
After an explosion at a factory one of the employees approaches the nurse and says, “I am an unlicensed assistive personnel (UAP) at the local hospital.†Which of these tasks should the nurse assign first to this worker who wants to help care for the wounded workers?
Correct Answer: D
Rationale: The correct answer is D: Check alertness. This is the first task that the nurse should assign to the unlicensed assistive personnel (UAP) because assessing the worker's alertness will help determine if they are mentally and physically capable of carrying out tasks safely. It is important to ensure the worker is not disoriented or impaired before assigning more complex tasks. Getting temperatures (A), taking blood pressure (B), and palpating pulses (C) are all important assessments as well, but checking alertness is the priority in this situation to ensure the safety of both the worker and the wounded individuals.
Question 3 of 5
When an infant car seat is properly installed, the infant should face
Correct Answer: B
Rationale: Correct Answer: B Rationale: 1. Rear-facing position is safest for infants in a car crash. 2. It reduces the risk of injury to the infant's head, neck, and spine. 3. The car seat is designed to absorb and distribute crash forces in this position. 4. Facing forward increases the risk of injury in the event of a collision. Summary: A: Incorrect - Forward-facing position is not safe for infants. C: Incorrect - Sensory stimulation is not a primary concern for infant car seat orientation. D: Incorrect - Installing the seat sideways is unsafe and not recommended for infant car seats.
Question 4 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 upholding the principle of nonmaleficence by not disclosing the surgeon's medical diagnosis, as it could potentially harm the surgeon's privacy and confidentiality. Nonmaleficence means to do no harm and to prevent harm. The other choices are incorrect because: A: Utility - This principle focuses on maximizing benefits for the greatest number of people. Not disclosing the surgeon's diagnosis does not directly relate to maximizing benefits. B: Paternalism - This principle involves making decisions for someone else's best interest without their consent. The nurse's actions are not paternalistic as they are respecting the surgeon's right to privacy. C: Justice - This principle focuses on fairness and equal treatment. Not disclosing the diagnosis does not directly relate to justice in this scenario.
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 that emphasizes the duty to do no harm. In this scenario, the nurse should prioritize the client's comfort and pain management without causing harm, even if the medication could potentially hasten death. Administering pain medication in this situation aligns with nonmaleficence by ensuring the client's well-being and quality of life. A: Utilitarianism focuses on maximizing overall happiness and may conflict with the individual's best interest in this case. C: Fidelity refers to the obligation to fulfill commitments, which is not directly applicable to the decision of administering pain medication. D: Veracity pertains to truthfulness and honesty, which is not the primary concern in this situation where pain management and nonmaleficence take precedence.