ATI RN
Client Safety Event ATI Quizlet Questions
Question 1 of 5
A nurse on a surgical unit is caring for a group of clients. Which of the following is the priority action of the nurse?
Correct Answer: B
Rationale: The correct answer is B: Assessing a client who experiences unilateral calf pain when ambulating. This is the priority action because unilateral calf pain can be a sign of deep vein thrombosis (DVT), a potentially life-threatening condition. The nurse should assess the client immediately to rule out DVT and prevent complications. Choice A is incorrect because taking a telephone prescription can be delegated to another qualified staff member, and it is not an urgent priority. Choice C is incorrect because reinforcing a dressing for an above-the-knee amputation, while important, is not as urgent as assessing for a potential DVT. Choice D is incorrect because reassuring the partner of a client with a closed head injury, while supportive, is not the priority compared to assessing a client with potential DVT.
Question 2 of 5
Several clients are admitted to an adult medical unit. For which client condition(s) would the nurse institute airborne precautions?
Correct Answer: B
Rationale: The correct answer is B because a positive PPD test with an abnormal chest x-ray indicates tuberculosis (TB), which is an airborne transmitted disease. Airborne precautions are required to prevent the spread of TB. Choice A is incorrect because AIDS with CMV does not require airborne precautions. CMV is primarily transmitted through body fluids. Choice C is incorrect because viral pneumonia, even with brown sputum, does not require airborne precautions as it is transmitted through respiratory droplets. Choice D is incorrect because advanced carcinoma of the lung with hemoptysis does not require airborne precautions as it is not an airborne transmitted disease.
Question 3 of 5
A client is diagnosed with methicillin resistant staphylococcus aureus pneumonia (MRSA). What type of isolation is most appropriate for this client?
Correct Answer: D
Rationale: The correct answer is D: Contact isolation. MRSA is primarily spread through direct contact with infected individuals or contaminated surfaces. Therefore, placing the client in contact isolation helps prevent the spread of the infection to others. A: Reverse isolation is used to protect immunocompromised patients from infections. B: Airborne isolation is for diseases spread through droplets in the air. C: Standard precautions are for all patients and do not specifically address MRSA. In summary, contact isolation is most appropriate for a client with MRSA pneumonia as it focuses on preventing direct transmission of the infection, unlike the other options which are not tailored to MRSA.
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 displaying the ethical principle of nonmaleficence by protecting the surgeon's right to privacy and confidentiality. By refusing to disclose the surgeon's medical diagnosis, the nurse is prioritizing the principle of doing no harm and preventing potential harm to the surgeon's well-being. This respects the surgeon's autonomy and confidentiality. Summary of other choices: A: Utility - This principle focuses on maximizing benefits for the greatest number of people. Not applicable in this scenario. B: Paternalism - This principle involves making decisions for someone else's best interest. Not applicable as the nurse is respecting the surgeon's autonomy. C: Justice - This principle involves fairness and equal treatment. Not relevant to the situation as it does not involve distribution of resources or treatment.
Question 5 of 5
A nurse is caring for a client who is dying. The nurse should incorporate the principle of nonmaleficence into practice by taking which of the following actions?
Correct Answer: C
Rationale: The correct answer is C because nonmaleficence means to do no harm. Withholding a dose of narcotic pain medication when the client has respiratory depression is essential to prevent harm and potential worsening of the client's condition. Choice A is not directly related to nonmaleficence. Choice B is important but not specific to avoiding harm. Choice D, while important for emotional support, does not directly address preventing harm or avoiding potential harm to the client.