ATI RN
Health and Safety for Clients Questions
Question 1 of 5
Incident report is important for:
Correct Answer: B
Rationale: Reporting incidents helps identify systemic issues for improvement.
Question 2 of 5
A nurse delegates care to an unlicensed assistive personnel (UAP). Which statement should the nurse include when delegating hygiene for a client who has a vascular access device?
Correct Answer: D
Rationale: The correct answer is D because using a plastic bag to cover the extremity with the device helps protect the vascular access device from getting wet during the client's bath, reducing the risk of infection. This method allows for proper hygiene while maintaining the integrity of the device. A: Providing a bed bath instead of letting the client take a shower is not necessary specifically for a client with a vascular access device. It does not address the protection of the device during bathing. B: Using sterile technique when changing the dressing is important but not relevant to delegating hygiene care for a client with a vascular access device during bathing. C: Disconnecting the intravenous fluid tubing prior to the client's bath can lead to complications such as air embolism or infection. It is not a recommended practice.
Question 3 of 5
A client diagnosed with psychosis NOS (not otherwise specified) tells a nurse about voices telling him to kill the president. Which nursing diagnosis should the nurse prioritize for this client?
Correct Answer: C
Rationale: The correct answer is C, Risk for violence: directed toward others. This is the priority because the client is experiencing command auditory hallucinations to harm someone. The nurse must prioritize assessing and managing the risk of harm to others. Disturbed sensory perception (A) focuses on alterations in sensory input and is not the priority. Altered thought processes (B) refers to disorganized thinking and is not as critical as the risk of violence. Risk for injury (D) is too broad and does not specifically address the immediate threat of harm to others. Therefore, the nurse should prioritize addressing the potential for violence towards others to ensure the safety of the client and others.
Question 4 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 5 of 5
The nurse cares for a patient who works in a high stress profession but loves the job. Which term best describes this client's psychological state?
Correct Answer: B
Rationale: The correct answer is B: Eustress. Eustress refers to positive stress that motivates an individual and enhances their performance. In this case, the patient loves their job despite its high stress nature, indicating that the stress is perceived as positive and beneficial. Distress (choice A) is negative stress that can be harmful. Psychological stress (choice C) is a broad term encompassing various stressors. Situational stress (choice D) is stress triggered by specific situations, not necessarily related to the individual's perception of the stress as positive or negative.