ATI RN
Health And Safety for Clients Questions
Question 1 of 5
An RN is delegating care activities to a licensed practical nurse (LPN). Which of the following is the priority criterion the RN should consider when delegating?
Correct Answer: D
Rationale: The correct answer is D: State Nurse Practice Act for the LPN. The Nurse Practice Act outlines the scope of practice and legal responsibilities for LPNs, guiding RNs in making appropriate delegations. Agency policies (A) may vary and should align with legal regulations. Documented experience level (B) and skill level (C) are important but do not guarantee competency within legal boundaries. The State Nurse Practice Act ensures delegation is within the legal scope of the LPN's practice.
Question 2 of 5
A nurse in an emergency department receives report from an emergency responder who states a client is being transported following exposure to a 'dirty bomb'. The nurse should prepare to care for a client that has been exposed to which of the following types of agents?
Correct Answer: C
Rationale: The correct answer is C: Radiologic. A 'dirty bomb' is a type of radiologic agent that combines conventional explosives with radioactive material. The nurse should prepare to care for a client exposed to radiation. Radiologic agents can cause harmful effects on the body's cells and tissues. Chemical (choice A), Anthrax (choice B), and Sarin (choice D) are not typically associated with 'dirty bomb' exposure. Chemical agents refer to toxic substances, Anthrax is a bacterial infection, and Sarin is a nerve agent. Therefore, the correct choice is C as it specifically relates to radiologic exposure from a 'dirty bomb'.
Question 3 of 5
A charge nurse is providing an inservice for staff nurses on the use of new IV pumps. Which of the following actions should the charge nurse take to best evaluate staff competency with the new equipment?
Correct Answer: B
Rationale: The correct answer is B because allowing nurses to demonstrate proficiency during the workday is the most effective way to evaluate their competency with the new IV pumps. This method ensures hands-on experience and real-time application of knowledge. It allows the charge nurse to observe each nurse in action, identify any areas needing improvement, and provide immediate feedback. This approach is more practical and directly assesses the nurses' ability to use the equipment correctly. Choices A, C, and D are incorrect because: A: Asking nurses to read and sign a form only shows that they have acknowledged the procedure, but it does not demonstrate their actual competency in using the equipment. C: Requiring a written examination tests theoretical knowledge but does not assess practical skills in using the IV pumps. D: Verbally questioning the staff may not accurately reflect their hands-on competency and may not provide a comprehensive evaluation of their proficiency with the new equipment.
Question 4 of 5
After an explosion at a factory one of the employees approaches the nurse and says, “I am an unlicensed assistive personnel (UAP) at the local hospital.†Which of these tasks should the nurse assign first to this worker who wants to help care for the wounded workers?
Correct Answer: D
Rationale: The correct answer is D: Check alertness. This task should be assigned first because it is crucial to ensure that the unlicensed assistive personnel (UAP) is mentally and physically capable of providing assistance safely. Checking alertness helps determine if the worker is in a clear state of mind to follow instructions and make sound decisions in an emergency situation. This step is essential for the safety of both the UAP and the wounded workers. Explanation for other choices: A: Get temperatures - This task is important but not as critical as checking alertness in an emergency situation. B: Take blood pressure - Monitoring blood pressure may be important, but it is not the most immediate concern when assessing the UAP's ability to help. C: Palpate pulses - While assessing pulses is essential in healthcare, it is not as urgent as ensuring the UAP's alertness in this scenario.
Question 5 of 5
A school nurse has a 10-year-old child with a history of epilepsy with tonic-clonic seizures attending classes regularly. The school nurse should inform the teacher that if the child experiences a seizure in the classroom, the most important action to take during the seizure would be to:
Correct Answer: D
Rationale: The correct answer is D: Place the hands or a folded blanket under the head of the child. This action is important during a seizure to prevent injury to the child's head. Placing hands or a blanket under the head helps protect the child's head from hitting the ground and reduces the risk of head trauma. It is a crucial step in ensuring the safety and well-being of the child during a seizure. Moving on to why the other choices are incorrect: A: Moving chairs or desks is not necessary during a seizure and may not be feasible in a classroom setting. B: Noting the sequence of movements with the time lapse is not as important as ensuring the child's safety during the seizure. C: Providing privacy to minimize frightening other children is not the priority during a seizure; the focus should be on the safety and well-being of the child experiencing the seizure.