ATI RN
Essentials Of Nursing Client Safety Questions
Question 1 of 5
The nurse notes on the admission form that the client has indicated 'no religious preference.' What does this indicate to the nurse about the client?
Correct Answer: A
Rationale: Step 1: 'No religious preference' implies the client does not adhere to a specific religious faith. Step 2: This suggests the client does not follow the tenets or beliefs of any particular religion. Step 3: Therefore, choice A is correct as it aligns with the client's lack of affiliation with a specific faith. Summary: Choice A is correct because the client's statement indicates a lack of alignment with a specific religious faith, ruling out choices B, C, and D which make assumptions about the client's beliefs or actions.
Question 2 of 5
Which consultation or referral by the nurse is most appropriate for a client who is obese and demonstrates poor wound healing?
Correct Answer: B
Rationale: The correct answer is B: Nutritional consult. Obesity can impair wound healing due to poor circulation and increased inflammation. A nutritional consult can address dietary factors that may be contributing to poor wound healing, such as nutrient deficiencies or excess caloric intake. Podiatry referral focuses on foot care, not the root cause of poor wound healing in this case. Pulmonologist referral is unrelated unless there are underlying respiratory issues. Physical therapy may be beneficial for mobility but does not directly address the nutritional aspect affecting wound healing.
Question 3 of 5
When auscultating a client's abdomen, how long should the nurse listen before concluding the bowel sounds are absent?
Correct Answer: B
Rationale: The correct answer is B: 5 minutes. The nurse should listen for 5 minutes before concluding bowel sounds are absent because it allows sufficient time to accurately assess bowel activity. Listening for only 1 minute (A) may not provide a comprehensive understanding. Listening for 10 minutes (C) or 15 minutes (D) is excessive and unnecessary, as bowel sounds are usually heard within the first few minutes. Therefore, 5 minutes strikes a balance between thorough assessment and efficient use of time.
Question 4 of 5
The nurse researcher distributed an explanatory brochure to participants in the study for full disclosure. Which of the following principles is the researcher protecting?
Correct Answer: A
Rationale: The correct answer is A: Informed consent. By distributing an explanatory brochure to participants, the nurse researcher is ensuring that participants are fully informed about the study, its purpose, risks, benefits, and their rights before agreeing to participate. This upholds the principle of informed consent, which is essential in research ethics to protect participants' autonomy and right to make voluntary, informed decisions about participating. Summary: B: Freedom from harm - While important, distributing an explanatory brochure does not directly relate to protecting participants from harm. C: Privacy - Although privacy is crucial in research, ensuring privacy is not the primary focus of distributing an explanatory brochure. D: Justice - While justice is a key principle in research ethics, distributing a brochure does not directly relate to ensuring fairness in participant selection or treatment.
Question 5 of 5
A 63-year-old patient is retiring from his job at an accounting firm where he was in a management role for the past 20 years. He has been with the same company for 42 years and was a dedicated employee. His wife is a homemaker. She raised their five children, babysits for her grandchildren as needed, and belongs to numerous church committees. What are the major concerns for this patient? (Select all that apply.)
Correct Answer: A
Rationale: Step 1: The patient retiring from a management role after 20 years indicates a significant change in his daily routine and identity. Step 2: Being a dedicated employee for 42 years, work has likely been a major part of his life. The loss of his work role can lead to a sense of loss, purposelessness, and identity crisis. Step 3: Social isolation (choice B) may be a concern, but the question emphasizes the patient's work role and dedication, making choice A more critical. Step 4: The wife's employment status (choice C) and household tasks division (choice D) are not directly related to the patient's major concerns. Summary: The major concern for the patient is the loss of his work role, which can impact his sense of purpose and identity. Social isolation, the wife's employment, and household tasks division are not as significant in this context.