ATI RN
Client Health and Safety Specifications Questions
Question 1 of 5
The nurse is assigned to a client newly diagnosed with active tuberculosis. Which of these interventions would be a priority for the nurse to implement?
Correct Answer: D
Rationale: The correct answer is D. The priority intervention for a client with active tuberculosis is to place them in a negative pressure private room and have all who enter the room use masks with shields. This is crucial to prevent the spread of tuberculosis to others. Coughing can release infectious droplets into the air, so containing these droplets within a negative pressure room is essential. Choices A and B focus on managing the client's cough but do not address the spread of infection to others. Choice C emphasizes hand hygiene, which is important but not as critical as airborne precautions in this scenario.
Question 2 of 5
A nurse is caring for a client who is dying of metastatic breast cancer. She has a prescription for an opioid pain medication PRN. The nurse is concerned that administering a dose of pain medication might hasten the client's death. Which of the following ethical principles should the nurse use to support the decision not to administer the medication?
Correct Answer: B
Rationale: The correct answer is B: Nonmaleficence. Nonmaleficence is the ethical principle of doing no harm. In this scenario, the nurse should prioritize the principle of nonmaleficence by ensuring that the client's pain is adequately managed to provide comfort without causing harm. Administering pain medication to alleviate suffering does not aim to hasten death but to promote the client's well-being. Utilitarianism (A) focuses on the greatest good for the greatest number, which may not apply in this individualized end-of-life care situation. Fidelity (C) pertains to keeping promises and being faithful, which is not directly relevant to the immediate decision about pain medication administration. Veracity (D) refers to truthfulness, which is important but not the primary ethical principle guiding the decision in this context.
Question 3 of 5
A nurse is caring for a client who falls in his room. After the nurse assesses the client, notifies the client's provider, and completes an incident report, which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Submit the incident report to the risk manager. This is the correct action because the risk manager is responsible for evaluating incidents and implementing measures to prevent future occurrences. Providing the report to the risk manager ensures that the incident is properly reviewed and appropriate actions are taken to prevent similar incidents in the future. A: Making a copy of the incident report for the provider is unnecessary as the provider has already been notified. C: Placing the incident report in the client's chart is not the best action as it may not reach the appropriate personnel for review and follow-up. D: Documenting in the chart that an incident report has been filed does not ensure that the incident will be appropriately reviewed and addressed by the risk management team.
Question 4 of 5
A nurse is participating in a disaster simulation in which a toxic substance is released into a crowded stadium. Which of the following activities would be the lowest priority for the nurse?
Correct Answer: C
Rationale: The lowest priority for the nurse in a disaster simulation scenario involving a toxic substance release is transferring a client to the discharge location (Choice C). This is because during such a crisis, immediate actions like preventing cross-contamination (Choice A), performing concise client assessment (Choice B), and maintaining a client tracking system (Choice D) are more critical in ensuring the safety and well-being of all individuals involved. Transferring a client, while important, can be done after addressing these more urgent tasks to minimize harm and effectively manage the situation.
Question 5 of 5
The term 'ethical validity' refers to:
Correct Answer: B
Rationale: The correct answer is B: The ethical soundness of the research methodology. Ethical validity in research refers to ensuring that the study is conducted in an ethical manner, following ethical guidelines and protecting the rights and well-being of participants. This is crucial for maintaining the integrity and credibility of the research. Explanation: 1. Accuracy of findings (A) refers to the reliability and precision of the data collected, not ethics. 2. Replicability (C) pertains to the ability of other researchers to reproduce the study's results, not ethics. 3. Statistical significance (D) relates to the likelihood that the results are not due to chance, not ethics. In summary, choice B is correct because ethical validity is specifically concerned with the moral principles and standards governing research practices.