ATI RN
Client Safety Nursing Questions
Question 1 of 5
Following a tornado, a nurse is determining which of the clients assigned to her care can be discharged to free up beds for injured clients. Which of the following clients should the nurse recommend for discharge?
Correct Answer: A
Rationale: The correct answer is A. The young adult client with Crohn's disease preoperative for an ileostomy can be recommended for discharge as the surgery is planned and stable. - Choice B: The adolescent with a spontaneous pneumothorax may need further monitoring and care due to the severity of the condition. - Choice C: The middle adult postoperative from an open laminectomy requires close monitoring for complications and pain management. - Choice D: The older adult with diabetic ketoacidosis and a pH of 7.32 still needs treatment and monitoring for stabilization.
Question 2 of 5
A nurse is planning a community diabetes mellitus management program. What goal should the nurse include?
Correct Answer: B
Rationale: The correct answer is B because reducing the incidence of foot amputations is a crucial goal in managing diabetes mellitus. This goal focuses on preventing severe complications and improving quality of life for clients. Choice A is too specific and may not address the overall goal of preventing complications. Choice C does not relate directly to client outcomes. Choice D, while important for education, does not specifically address the health outcome of reducing foot amputations. Thus, B is the most appropriate goal for a community diabetes management program.
Question 3 of 5
A nurse on a medical-surgical unit is planning to delegate tasks to an adult volunteer. Which of the following tasks should the charge nurse avoid assigning to the volunteer?
Correct Answer: D
Rationale: The correct answer is D because observing a postoperative client who is confused requires specialized training and knowledge to assess the client's condition accurately. The volunteer may not have the skills to recognize and respond to signs of complications or changes in the client's condition. Choice A is appropriate as delivering meal trays is a simple task. Choice B is acceptable as assisting a client with visual impairment is within the volunteer's capabilities. Choice C is also suitable as delivering a routine urine specimen does not require specialized training. In summary, choice D is the correct answer as it involves monitoring a potentially complex medical situation beyond the volunteer's scope.
Question 4 of 5
A nurse is caring for a group of clients. She plans to delegate obtaining morning vital signs to an assistive personnel (AP) on her team. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: The correct answer is B: Determine the time frame the AP should report the results. This is important as it ensures timely reporting of vital signs, allowing the nurse to monitor clients' health status promptly. Verifying educational preparation (A) is crucial but should occur prior to assigning tasks, not necessarily before delegating every task. Observing the AP (C) may not be necessary if the AP is competent and has been properly trained. Asking the AP to prioritize a specific client (D) is not the best choice as all clients' vital signs should be assessed in a timely manner.
Question 5 of 5
A charge nurse is reviewing the list of tasks that have been delegated to the assistive personnel (AP) by the staff nurse. Which of the following tasks should the charge nurse reassign to a licensed nurse?
Correct Answer: C
Rationale: The correct answer is C because the task of removing and cleaning the cannula of a client with a new tracheostomy requires specialized knowledge and skills that only a licensed nurse should perform. This task involves potential risks such as accidental decannulation or infection if not done correctly. The other choices (A, B, D) can be safely delegated to assistive personnel as they do not involve procedures that require nursing assessment, critical thinking, or specialized skills. Transporting a client, providing a back rub, and performing oral hygiene are tasks that can be safely performed by assistive personnel under the supervision of a licensed nurse.