ATI RN
Health And Safety for Clients Questions
Question 1 of 5
The nurse's knowledge about spirituality begins with the nurse:
Correct Answer: A
Rationale: The correct answer is A because self-awareness is crucial for a nurse to understand how their own beliefs may influence their interactions with clients. Researching all popular religions (B) may not be necessary for providing spiritual care. Sharing personal faith (C) can be inappropriate and imposing. Providing prayers and religious articles (D) assumes all clients share the same beliefs. Therefore, A is the best choice for starting the nurse's knowledge about spirituality.
Question 2 of 5
Before administering a prescribed electrolyte supplement, the nurse reviews a client's electrolyte panel: What should the nurse do next? Electrolytes Na+ = 143 mEq/L Cl- = 101 mEq/L K+ = 5.7 mEq/L Ca++ = 9.3 mEq/L Mg ++ = 2.6 mEq/L
Correct Answer: D
Rationale: Step 1: Analyze the electrolyte panel. The potassium level is high at 5.7 mEq/L. Step 2: High potassium levels can be dangerous (hyperkalemia). Step 3: The nurse should hold the potassium chloride (KCl) supplement to prevent further elevation of potassium levels. Step 4: Re-checking the BMP (choice A) is unnecessary as the issue is clear from the electrolyte panel. Step 5: Administering calcium carbonate (choice B) is not indicated for high potassium levels. Step 6: Administering potassium chloride (KCl) (choice C) is contraindicated due to the already high potassium level.
Question 3 of 5
The nurse, who is performing a peripheral vascular exam, is unable to palpate the posterior tibialis pulse. Which is the most appropriate nursing action?
Correct Answer: C
Rationale: The correct answer is C: Check pulse with a doppler. This is the most appropriate action because a doppler can detect the pulse even when it is difficult to palpate manually. This step ensures thorough assessment and accurate findings. Recording the finding (choice A) may leave out crucial information. Rechecking in 1 hour (choice B) is not necessary if a doppler can be used immediately. Notifying the healthcare provider (choice D) is premature before exploring all assessment options. Using a doppler is the best course of action to confirm the presence or absence of the posterior tibialis pulse accurately.
Question 4 of 5
The Health Information Portability and Privacy Act (HIPAA) influences nursing research primarily in the area related to:
Correct Answer: B
Rationale: The correct answer is B: protection of client. HIPAA primarily influences nursing research by ensuring the protection of patients' privacy and confidentiality. Researchers must comply with HIPAA regulations to safeguard patients' health information. This is crucial in maintaining trust and confidentiality in research. A: the cost of the study - HIPAA does not directly impact the cost of the study. C: what type of research method can be used - HIPAA does not dictate specific research methods. D: where the study may be published - HIPAA does not control where the study may be published.
Question 5 of 5
A nurse is participating in a health and wellness event at the local community center. A woman approaches and relates that she is worried that her widowed father is becoming more functionally impaired and may need to move in with her. The nurse inquires about his ability to complete activities of daily living (ADLs). ADLs include independence with: (Select all that apply.)
Correct Answer: B
Rationale: The correct answer is B: Toileting. ADLs are essential self-care activities that individuals perform daily to maintain their well-being. Toileting is one of the basic ADLs and refers to the ability to use the toilet independently. This is crucial for maintaining hygiene and overall health. The other choices are incorrect because: A: Driving is not typically considered an ADL. It falls under the category of instrumental activities of daily living (IADLs), which are more complex tasks related to independent living. C: Bathing is a fundamental ADL, but the question asks for activities that are included in ADLs and not for all possible ADLs. D: Daily exercise is important for overall health but is not specifically categorized as an ADL. It falls under the category of health-promoting activities.