ATI RN
Client Health and Safety Responsibilities Questions
Question 1 of 5
If a nurse threatens to strike a client while rushing toward the person in an angry manner, which intentional tort has been committed?
Correct Answer: A
Rationale: The correct answer is A: Assault. Assault is the intentional act causing another person to fear that they will be physically harmed. In this scenario, the nurse's threatening behavior creates a reasonable fear of harm in the client. Battery involves actual physical contact, which is not present here. Negligence is the failure to exercise reasonable care, which is not applicable as the nurse's actions were intentional. Invasion of privacy involves intrusion into someone's private affairs, which is not the case in this scenario. Therefore, assault is the correct intentional tort in this situation.
Question 2 of 5
Which of the following clients may give consent to participate in a clinical trial?
Correct Answer: A
Rationale: The correct answer is A: An emancipated 16-year-old. Emancipated minors have legal capacity to consent to medical treatment, including participation in clinical trials. They are considered mature enough to make informed decisions. B: A 4-year-old child lacks the legal capacity to provide consent due to their age and immaturity. C: An incompetent adult lacks the capacity to make informed decisions and provide valid consent. D: An elder with dementia may lack the capacity to understand the risks and benefits of participating in a clinical trial.
Question 3 of 5
During a home health visit a nurse talks with a patient and his family caregiver about the patient's medications. The patient has hypertension and renal disease. Which of the following findings place him at risk for an adverse drug event? (Select all that apply.)
Correct Answer: B
Rationale: The correct answer is B. Taking a total of eight different medications during the day places the patient at risk for an adverse drug event due to the potential for drug interactions, side effects, and medication errors. With multiple medications, there is a higher risk of medication non-adherence and confusion. The other choices are incorrect because: A: Taking two medications for hypertension is a common practice and may not necessarily increase the risk of an adverse drug event. C: Having one physician who reviews all medications is a positive factor that can help prevent adverse drug events by ensuring proper coordination of care. D: The patient's health history of renal disease is important to consider when prescribing medications but does not directly place him at risk for an adverse drug event unless specific medications are contraindicated for renal disease.
Question 4 of 5
The client who smokes two (2) packs of cigarettes a day develops ARDS after a near-drowning. The client asks the nurse, 'What is happening to me? Why did I get this?' Which statement by the nurse is most appropriate?
Correct Answer: C
Rationale: The correct answer is C. The nurse should provide accurate information to the client. ARDS (Acute Respiratory Distress Syndrome) is characterized by fluid buildup in the lungs, leading to breathing difficulties. In this case, near-drowning caused lung injury, resulting in ARDS. Option A is incorrect as not everyone who almost drowns develops ARDS. Option B is incorrect as platelets do not enter the alveoli in ARDS; it is primarily caused by inflammation and damage to the alveoli. Option D is incorrect as while smoking can weaken the lungs, in this scenario, near-drowning was the direct cause of ARDS.
Question 5 of 5
Which assessment finding should cause the nurse to suspect the early onset of hypoxemia?
Correct Answer: A
Rationale: The correct answer is A: Restlessness. Restlessness is an early sign of hypoxemia due to the body's attempt to increase oxygen intake. Hypotension (B) is a late sign in hypoxemia. Central cyanosis (C) is a late sign when the lips and mucous membranes appear blue. Cardiac dysrhythmias (D) are also a late sign in hypoxemia due to inadequate oxygen supply to the heart. Restlessness is the earliest indicator of hypoxemia compared to the other options.