ATI RN
Client Health and Safety Responsibilities Questions
Question 1 of 5
A nurse who is leading a team of nurse managers is planning to make a major announcement. The nurse should use which of the following nonverbal communication techniques to enhance the importance of the announcement?
Correct Answer: A
Rationale: The correct answer is A because standing up during the announcement can effectively signal to the team that something important is about to be shared. By changing position from sitting to standing, the nurse can capture the attention of the group and signal a shift in focus. This nonverbal cue can help to emphasize the importance of the announcement and create a sense of anticipation among the team members. Choices B, C, and D are incorrect because they do not effectively enhance the importance of the announcement. Crossing arms over the chest (B) can convey defensiveness or closed-off body language, which may not be conducive to fostering a positive reception to the message. Staring at individuals (C) can come across as aggressive or confrontational, potentially causing discomfort or resistance among the team. Leaning over the back of a chair (D) may appear casual or lack the gravitas needed to convey the significance of the announcement.
Question 2 of 5
A charge nurse is observing a nurse insert an indwelling urinary catheter into a female client. For which of the following actions by the nurse should the charge nurse intervene?
Correct Answer: A
Rationale: Correct Answer: A Rationale: - The nurse should not separate the client's labia with her dominant hand as it increases the risk of contaminating the sterile field. - Choice B is correct as lubricating the catheter helps with insertion. - Choice C is correct as providing perineal care ensures cleanliness. - Choice D is correct as applying a sterile drape maintains a sterile field. Summary: Choice A is incorrect because it violates sterile technique. Choices B, C, and D are correct actions that promote proper catheter insertion.
Question 3 of 5
A newly admitted adult client has a diagnosis of hepatitis A. The charge nurse should reinforce to the staff members that the most significant routine infection control strategy, in addition to handwashing, is which of these?
Correct Answer: D
Rationale: The correct answer is D: Have gloves on while handling bedpans with feces. Rationale: Hepatitis A is primarily spread through fecal-oral route. Wearing gloves while handling bedpans with feces is crucial to prevent the transmission of the virus. Handwashing alone may not be sufficient to prevent cross-contamination. Summary of other choices: A: Placing signs does not directly prevent the spread of hepatitis A. B: Using a mask with a shield is not the most significant routine infection control measure for hepatitis A transmission. C: Wearing a gown for soiled linens does not address the primary mode of transmission for hepatitis A.
Question 4 of 5
A parent calls the hospital hotline and is connected to the triage nurse. The caller proclaims: 'I found my child with odd stuff coming from the mouth and an unmarked bottle nearby.' Which of these comments would be the best tool for the nurse to determine if the child has swallowed a corrosive substance?
Correct Answer: A
Rationale: The correct answer is A. Asking the child if the mouth is burning or if there is throat pain helps determine if the child has swallowed a corrosive substance. Corrosive substances can cause burning sensations in the mouth and throat. This question directly addresses the symptoms associated with ingesting corrosive substances. Choice B is incorrect because taking the child's pulse and checking for breathing difficulties do not directly assess for ingestion of a corrosive substance. Choice C is incorrect because the color of the child's lips and nails and voiding status are not specific indicators of corrosive substance ingestion. Choice D is incorrect because vomiting, diarrhea, and stomach cramps are common symptoms of various conditions and not specific to corrosive substance ingestion.
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 of doing no harm. In this scenario, the nurse should prioritize relieving the client's pain and suffering, as alleviating pain is a fundamental aspect of nursing care. Administering the opioid pain medication PRN is aimed at providing comfort and improving the client's quality of life, not hastening death. By following the principle of nonmaleficence, the nurse is acting in the best interest of the client's well-being. A: Utilitarianism focuses on maximizing overall good for the majority, which may conflict with the individual client's well-being. C: Fidelity pertains to being faithful and keeping promises, but in this case, the priority is the client's comfort. D: Veracity is about truthfulness, which is important, but in this context, the focus is on pain management and comfort care.