ATI RN
Client Health and Safety Responsibilities Questions
Question 1 of 5
The client is on CPAP for weaning from a mechanical ventilator. Assessment reveals a respiratory rate of 32/min, oxygen saturation of 88 percent, and use of accessory muscles. What should the nurse anticipate will occur?
Correct Answer: C
Rationale: The correct answer is C: The client will be placed back on full ventilatory support. Based on the assessment findings of a respiratory rate of 32/min, oxygen saturation of 88 percent, and use of accessory muscles, the client is showing signs of respiratory distress and not tolerating CPAP. The nurse should anticipate that the client will require full ventilatory support to manage their respiratory status effectively. Increasing FiO2 (choice A) may not be sufficient to address the underlying issue. Weaning should not continue (choice B) as the client is not tolerating CPAP. Extubation (choice D) is not appropriate given the client's current respiratory status.
Question 2 of 5
A volunteer assigned to the pediatric unit reports to the charge nurse for an assignment. Which of the following assignments is unsafe for the volunteer?
Correct Answer: A
Rationale: The correct answer is A. Transporting a school-age client who is in traction to another department is unsafe for a volunteer as it involves moving a patient with a specific medical condition that requires careful handling and knowledge of proper techniques to prevent injury. The volunteer may not be trained in how to safely transport a patient in traction, which could lead to harm for the patient. Choice B is incorrect because playing a computer video game with an adolescent who has sickle cell disease is a safe and appropriate activity for a volunteer to engage in to provide companionship and distraction for the patient. Choice C is incorrect because reading a book to a preschool client who has AIDS is a safe and appropriate activity that can help provide comfort and support to the patient. Choice D is incorrect because rocking an infant who was admitted for croup is a safe and appropriate activity that can help soothe the infant and provide comfort.
Question 3 of 5
A nurse is providing care for a surgeon on a medical-surgical unit. A nurse from another unit asks the nurse about the surgeon's medical diagnosis. The nurse responds that he is unable to provide the information requested. The nurse is displaying which of the following ethical principles?
Correct Answer: D
Rationale: The correct answer is D: Nonmaleficence. The nurse is upholding the principle of nonmaleficence by protecting the surgeon's right to privacy and confidentiality. By not disclosing the surgeon's medical diagnosis to another nurse, the nurse is preventing potential harm or breach of confidentiality. This demonstrates respect for the surgeon's autonomy and right to confidentiality. Summary: A: Utility - Not relevant in this scenario, as it pertains to maximizing benefits and minimizing harms for the majority. B: Paternalism - Not applicable here, as it involves making decisions for someone else's benefit without their consent. C: Justice - Not applicable in this context, as it relates to fairness and equitable distribution of resources or benefits.
Question 4 of 5
A nurse is assessing clients to determine care priorities. Which client should the nurse care for first?
Correct Answer: C
Rationale: The correct answer is C. The nurse should care for the client asking about his PCA pump containing morphine first because it involves a critical aspect of pain management. Morphine is a potent opioid that requires careful monitoring to prevent adverse effects like respiratory depression. Addressing the client's concerns promptly ensures safe and effective pain management. Choice A is incorrect because assisting with a bath is important but not as urgent as addressing a client's pain management needs. Choice B is incorrect as the client requesting a referral for home health services can wait as it is not an immediate health concern. Choice D is incorrect as addressing questions about a new prescription can be done after ensuring the client's immediate health needs are met.
Question 5 of 5
A nurse is caring for a client who is participating in a research study for an experimental chemotherapy medication. After three treatments, the experimental medication is discontinued due to evidence of rapidly advancing kidney failure. The nurse should understand discontinuing this medication demonstrates which of the following ethical principles?
Correct Answer: D
Rationale: The correct answer is D: Nonmaleficence. Nonmaleficence is the ethical principle of doing no harm. In this scenario, discontinuing the experimental chemotherapy medication after evidence of rapidly advancing kidney failure is in line with this principle. Continuing the medication would harm the client further, so stopping it is the right course of action. Incorrect choices: A: Veracity - Veracity is the principle of truth-telling. Stopping the medication is not related to truth-telling. B: Autonomy - Autonomy is the principle of respecting the client's right to make their own decisions. Stopping the medication for the client's safety is not against their autonomy. C: Fidelity - Fidelity is the principle of keeping promises. Stopping the medication does not violate any promises made to the client.