ATI RN
Client Safety Nursing Questions
Question 1 of 5
An older client has been moved from home to a skilled nursing facility (SNF). Which client behavior requires immediate nursing intervention?
Correct Answer: B
Rationale: The correct answer is B because not using the walker poses a safety risk for the client, leading to falls or injuries. Immediate nursing intervention is needed to assess and address the client's refusal to use the walker. Choice A is incorrect because eating 80% of meals shows good appetite and does not require immediate intervention. Choice C is incorrect as watching TV with others is a social activity and not a cause for concern. Choice D is incorrect as wanting to wear own clothing is a normal preference and does not pose a risk to the client's safety.
Question 2 of 5
The nurse understands that the transdermal route is:
Correct Answer: B
Rationale: The correct answer is B: absorbed through the skin. Transdermal medications are applied to the skin and absorbed into the bloodstream. This route bypasses the digestive system and first-pass metabolism, providing a consistent drug level. Choices A, C, and D are incorrect as they describe different routes of drug administration that are not associated with the transdermal route.
Question 3 of 5
When chronic illnesses and disabilities are present, individuals benefit most from activities that:
Correct Answer: D
Rationale: The correct answer is D: help them maintain independence. Maintaining independence is crucial for individuals with chronic illnesses and disabilities to enhance their quality of life. It allows them to have a sense of control, self-reliance, and dignity. Independence also promotes physical and mental well-being by fostering self-esteem and reducing feelings of helplessness. Choices A, B, and C are important aspects as well, but independence is the foundation that enables individuals to engage in activities related to eating well, achieving financial stability, and preserving social interactions.
Question 4 of 5
The nurse takes vital signs (VS) of a new hospital client admitted for severe abdominal pain. Which step of the nursing process is this nurse performing?
Correct Answer: A
Rationale: The correct answer is A: Assessment. In this scenario, the nurse is collecting objective data (vital signs) and subjective information from the client to identify health issues. Assessment is the first step in the nursing process, focusing on gathering and analyzing data to make informed decisions. Planning (B) involves setting goals and interventions based on assessment findings. Implementation (C) is executing the planned interventions. Evaluation (D) is assessing the client's response to interventions. In this case, the nurse is in the initial phase of data collection, making assessment the correct answer.
Question 5 of 5
Which intervention takes priority for the client receiving hospice care?
Correct Answer: D
Rationale: The correct answer is D because assisting the client out of bed and into a chair promotes mobility and helps prevent complications such as pressure ulcers and muscle atrophy. This intervention also enhances the client's quality of life by providing them with social interaction and a change of scenery. Turning & repositioning (choice A) is important for preventing pressure ulcers but is not the priority for a client in hospice care who may not have a long prognosis. Providing small frequent nutritious meals (choice C) is also important but may not be the priority if the client has a decreased appetite or is not able to eat due to their condition.