ATI RN
Client Safety Quizlet Questions
Question 1 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.
Question 2 of 5
A nurse is receiving change-of-shift report at the start of the shift. Which of the following statements by the nurse giving report indicates to the oncoming nurse that she should assume total care for the client, rather than assigning tasks to the assistive personnel (AP)?
Correct Answer: B
Rationale: Correct Answer: B. The client's blood pressure and pulse have been fluctuating throughout the day. Rationale: 1. Fluctuating vital signs indicate instability and require close monitoring by a licensed nurse. 2. This situation necessitates continuous assessment and potential intervention by the nurse. 3. Assigning tasks to an assistive personnel may not ensure adequate monitoring and timely intervention. 4. The other choices do not directly indicate the need for total care by the nurse.
Question 3 of 5
A client is scheduled to receive an oral solution of radioactive iodine (131I). In order to reduce hazards, the priority information for the nurse to include in client teaching is which of these statements?
Correct Answer: A
Rationale: The correct answer is A. The priority is to reduce radiation exposure to others. The rationale is as follows: 1. "In the initial 48 hours, avoid contact with children and pregnant women": This is crucial as they are more vulnerable to radiation. 2. "Flush the commode twice after urination or defecation": This helps minimize contamination. 3. Choice B focuses on personal hygiene but doesn't address radiation exposure to others. 4. Choice C is incorrect as family members can be exposed to radiation through bodily fluids. 5. Choice D does not address the need to minimize radiation exposure to others.
Question 4 of 5
The parents of a toddler who is being treated for pesticide poisoning ask: 'Why is activated charcoal used? What does it do?' What is the nurse's best response?
Correct Answer: A
Rationale: The correct answer is A because activated charcoal works by adsorbing (not absorbing) toxins in the stomach, preventing their absorption into the bloodstream. This helps decrease the body's absorption of the poison, reducing its harmful effects. Choice B is incorrect because charcoal does not form a compound with the poison, but rather binds to it. Choice C is incorrect because activated charcoal does not help eliminate poison from the body but instead prevents its absorption. Choice D is incorrect because it mentions inactivation of toxins, which is not the primary mechanism of action for activated charcoal in poisoning cases.
Question 5 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 the root causes of the errors, understand the contributing factors, and implement targeted interventions to prevent future errors. By reviewing the events, the committee can analyze system weaknesses, identify areas for improvement, and implement evidence-based practices to enhance medication safety. Other choices are incorrect because: A: Providing an inservice on medication administration to all nurses may be beneficial, but it does not address the specific issues that led to the errors. B: Requiring staff nurses to demonstrate competency through an examination is important, but it is more effective after identifying and addressing the root causes of errors. D: Developing a quality improvement program for nurses involved in errors is essential, but it is more effective after understanding the underlying reasons for the errors.