ATI RN
Health And Safety for Clients Questions
Question 1 of 5
During an admission assessment, a nurse notes that a client diagnosed with schizophrenia has allergies to penicillin, prochlorperazine (Compazine), and bee stings. Based on this assessment data, which antipsychotic medication would be contraindicated?
Correct Answer: D
Rationale: The correct answer is D: because of a cross-sensitivity to penicillin. This is because the client has a known allergy to penicillin, which could indicate a potential cross-sensitivity to other medications, including clozapine. Clozapine is associated with a risk of agranulocytosis, a serious blood disorder, and individuals with known allergies may be at higher risk for adverse reactions. Haloperidol (A) is not contraindicated based on the client's allergies. Choice B is irrelevant to the question, as the contraindication is related to allergies, not age.
Question 2 of 5
Rather than simply providing physical care to patients, hospice was designed to:
Correct Answer: A
Rationale: The correct answer is A: improve a patient's quality of life. Hospice care focuses on enhancing the quality of life for patients with life-limiting illnesses through holistic care, symptom management, and emotional support. This includes addressing physical, emotional, social, and spiritual needs. Providing better psychosocial care (B) is part of improving quality of life, but not the primary goal of hospice. Reducing hospital bills for families (C) is not the main purpose of hospice, as it is more about providing comfort and support rather than financial benefits. Allowing families control over decision making for alert elders (D) is important in healthcare but is not specifically related to the core purpose of hospice care.
Question 3 of 5
The nurse's knowledge about spirituality begins with the nurse:
Correct Answer: A
Rationale: The correct answer is A because self-awareness is crucial for a nurse to understand how their own beliefs may influence their interactions with clients. Researching all popular religions (B) may not be necessary for providing spiritual care. Sharing personal faith (C) can be inappropriate and imposing. Providing prayers and religious articles (D) assumes all clients share the same beliefs. Therefore, A is the best choice for starting the nurse's knowledge about spirituality.
Question 4 of 5
Which area of a client's space does the nurse function most often during physical assessment?
Correct Answer: C
Rationale: The correct answer is C: Intimate. During a physical assessment, the nurse functions most often in the intimate area of the client's space, which includes areas such as the client's body and personal belongings. This is where the nurse performs tasks like taking vital signs, conducting physical examinations, and assessing for any abnormalities. The intimate space allows the nurse to gather detailed and sensitive information necessary for providing appropriate care. Choices A, B, and D are incorrect because the nurse does not primarily function in the public (Choice A), social (Choice B), or personal (Choice D) areas of the client's space during a physical assessment.
Question 5 of 5
Before administering a prescribed electrolyte supplement, the nurse reviews a client's electrolyte panel: What should the nurse do next? Electrolytes Na+ = 143 mEq/L Cl- = 101 mEq/L K+ = 5.7 mEq/L Ca++ = 9.3 mEq/L Mg ++ = 2.6 mEq/L
Correct Answer: D
Rationale: Step 1: Analyze the electrolyte panel. The potassium level is high at 5.7 mEq/L. Step 2: High potassium levels can be dangerous (hyperkalemia). Step 3: The nurse should hold the potassium chloride (KCl) supplement to prevent further elevation of potassium levels. Step 4: Re-checking the BMP (choice A) is unnecessary as the issue is clear from the electrolyte panel. Step 5: Administering calcium carbonate (choice B) is not indicated for high potassium levels. Step 6: Administering potassium chloride (KCl) (choice C) is contraindicated due to the already high potassium level.