ATI RN
Client Safety Quizlet Questions
Question 1 of 5
An RN from the maternal-newborn unit is being floated to a medical-surgical unit. Which of the following clients should the charge nurse on the medical-surgical unit plan to assign to the RN?
Correct Answer: C
Rationale: The correct answer is C because the RN from the maternal-newborn unit would have experience in postoperative care and would be familiar with the care needs of a client one-day postoperative following a total abdominal hysterectomy. This assignment aligns with the nurse's skill set and background, ensuring safe and competent care delivery. Choice A is incorrect because a client with terminal end-stage renal disease would require specialized care typically provided by nurses with nephrology experience. Choice B is incorrect as acute pancreatitis management often requires specific interventions and monitoring that may not be within the RN's expertise from a maternal-newborn unit. Choice D is also incorrect as a client who had a stroke may require neurological assessments and interventions that the RN may not be prepared to provide.
Question 2 of 5
A nurse is triaging clients following a mass casualty event. Which of the following clients should the nurse assess first?
Correct Answer: C
Rationale: The nurse should assess the client with severe respiratory stridor and a deviated trachea first because this indicates a compromised airway, which is the priority in emergency situations. Airway compromise can quickly lead to respiratory distress and potentially respiratory failure. Assessing and managing the airway takes precedence over other injuries to ensure the client's ability to breathe. The other choices, such as open fracture, head injury with seizures, and a small burn, while important, do not pose an immediate threat to the client's airway and can be addressed after ensuring airway patency.
Question 3 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 4 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 5 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.