ATI RN
Client Health and Safety Responsibilities Questions
Question 1 of 5
A nurse walks in to a client who is in respiratory distress. The client has tracheal deviation to the right side. The nurse knows to prepare for which of the following emergent procedures?
Correct Answer: B
Rationale: The correct answer is B: Chest tube insertion on the left side. Tracheal deviation to the right side indicates tension pneumothorax, where air accumulates in the pleural space, displacing the mediastinum and trachea. Inserting a chest tube on the left side will decompress the pneumothorax, restoring normal breathing. Option A is incorrect because the chest tube should be inserted on the side opposite the deviation. Option C, intubation, is not the first-line treatment for tension pneumothorax. Option D, tracheostomy, is not indicated in this emergent scenario.
Question 2 of 5
A nurse is caring for a client who has severe head injuries and is declared brain dead. The transplant coordinator has spoken with the client's family about organ donation. The client's spouse states she is confused and does not know what she should do. Which of the following responses by the nurse is appropriate?
Correct Answer: B
Rationale: The correct answer is B: 'What do you think your spouse would have wanted?' Rationale: 1. This response shows empathy and respect for the spouse's feelings and autonomy. 2. It allows the spouse to reflect on the wishes and values of the brain-dead client. 3. It helps the spouse make a decision based on what the client would have wanted, rather than external pressures. Incorrect choices: A: A shortage of organs is not a valid reason to pressure the spouse into donating organs. C: Bringing up religion may only add unnecessary complexity to an already difficult decision. D: Emphasizing personal feelings may guilt-trip the spouse into making a decision that may not align with the client's wishes.
Question 3 of 5
A volunteer assigned to the pediatric unit reports to the charge nurse for an assignment. Which of the following assignments is unsafe for the volunteer?
Correct Answer: A
Rationale: The correct answer is A. Transporting a school-age client who is in traction to another department is unsafe for a volunteer as it involves moving a patient with a specific medical condition that requires careful handling and knowledge of proper techniques to prevent injury. The volunteer may not be trained in how to safely transport a patient in traction, which could lead to harm for the patient. Choice B is incorrect because playing a computer video game with an adolescent who has sickle cell disease is a safe and appropriate activity for a volunteer to engage in to provide companionship and distraction for the patient. Choice C is incorrect because reading a book to a preschool client who has AIDS is a safe and appropriate activity that can help provide comfort and support to the patient. Choice D is incorrect because rocking an infant who was admitted for croup is a safe and appropriate activity that can help soothe the infant and provide comfort.
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 protecting the surgeon's right to privacy and confidentiality. By not disclosing the surgeon's medical diagnosis to another nurse, the nurse is preventing potential harm or breach of confidentiality. This demonstrates respect for the surgeon's autonomy and right to confidentiality. Summary: A: Utility - Not relevant in this scenario, as it pertains to maximizing benefits and minimizing harms for the majority. B: Paternalism - Not applicable here, as it involves making decisions for someone else's benefit without their consent. C: Justice - Not applicable in this context, as it relates to fairness and equitable distribution of resources or benefits.
Question 5 of 5
A nurse is assessing clients to determine care priorities. Which client should the nurse care for first?
Correct Answer: C
Rationale: The correct answer is C. The nurse should care for the client asking about his PCA pump containing morphine first because it involves a critical aspect of pain management. Morphine is a potent opioid that requires careful monitoring to prevent adverse effects like respiratory depression. Addressing the client's concerns promptly ensures safe and effective pain management. Choice A is incorrect because assisting with a bath is important but not as urgent as addressing a client's pain management needs. Choice B is incorrect as the client requesting a referral for home health services can wait as it is not an immediate health concern. Choice D is incorrect as addressing questions about a new prescription can be done after ensuring the client's immediate health needs are met.