ATI RN
Client Health and Safety Responsibilities Questions
Question 1 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 2 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.
Question 3 of 5
A nurse is caring for a client who is participating in a research study for an experimental chemotherapy medication. After three treatments, the experimental medication is discontinued due to evidence of rapidly advancing kidney failure. The nurse should understand discontinuing this medication demonstrates which of the following ethical principles?
Correct Answer: D
Rationale: The correct answer is D: Nonmaleficence. Nonmaleficence is the ethical principle of doing no harm. In this scenario, discontinuing the experimental chemotherapy medication after evidence of rapidly advancing kidney failure is in line with this principle. Continuing the medication would harm the client further, so stopping it is the right course of action. Incorrect choices: A: Veracity - Veracity is the principle of truth-telling. Stopping the medication is not related to truth-telling. B: Autonomy - Autonomy is the principle of respecting the client's right to make their own decisions. Stopping the medication for the client's safety is not against their autonomy. C: Fidelity - Fidelity is the principle of keeping promises. Stopping the medication does not violate any promises made to the client.
Question 4 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: The correct answer is B because fluctuating blood pressure and pulse indicate a potential unstable condition requiring close monitoring and immediate intervention, necessitating the oncoming nurse to assume total care. A: Family presence doesn't necessarily indicate the need for total care. C: Past thoughts of suicide require assessment and monitoring, but not necessarily total care. D: Client's job is irrelevant to the current care needs and doesn't mandate total care assumption.
Question 5 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.