ATI RN
ATI Client Safety Event Quizlet Questions
Question 1 of 5
To facilitate palpation of thyroid gland, the nurse instructs the client to:
Correct Answer: A
Rationale: Step 1: Swallowing elevates the thyroid gland, making it easier to palpate. Step 2: Swallowing also moves the thyroid gland closer to the skin surface. Step 3: This helps the nurse accurately assess the size, shape, and texture of the thyroid gland. Step 4: Holding breath, flexing, or hyperextending the neck does not provide optimal access for palpation. Summary: Swallowing is the correct choice as it enhances visibility and accessibility for thyroid gland palpation, while the other options do not provide the same benefits.
Question 2 of 5
The nurse auscultates an extra sound over the left lower lobe. The nurse should:
Correct Answer: D
Rationale: The correct answer is D: notify healthcare provider (HCP). This is the most appropriate action as hearing an extra sound could indicate a potential abnormality such as a crackle or wheeze. Notifying the HCP promptly allows for further assessment and appropriate intervention if needed. Choice A: Documenting the finding is important, but not the most immediate action when an abnormal sound is heard. Choice B: Asking the client to cough may not address the underlying cause of the extra sound and delay necessary intervention. Choice C: Reassessing in one hour could be too delayed for a potentially serious issue and may lead to worsening of the condition. Therefore, notifying the HCP is the best course of action for timely intervention and ensuring patient safety.
Question 3 of 5
The nurse is caring for a female client with diarrhea. What information does the nurse teach the client about perineal care?
Correct Answer: A
Rationale: The correct answer is A: Clean the perineal area from the front to back. This is crucial to prevent the spread of bacteria from the anal area to the vaginal area, reducing the risk of urinary tract infections. Cleaning from front to back maintains hygiene and minimizes the risk of cross-contamination. B: Wearing gloves is not necessary for routine perineal care, unless there are open wounds or the nurse is at risk of exposure to bodily fluids. C: Bathing the perineal area with mild soap and water is generally recommended, but the direction of cleaning is more important to prevent infections. D: Inserting any suppository medication prior to cleaning the perineal area is not advisable as it may lead to contamination of the medication and reduce its effectiveness.
Question 4 of 5
A patient's family member is considering having her mother placed in a nursing center. The nurse has talked with the family before and knows that this is a difficult decision. Which of the following criteria does the nurse recommend in choosing a nursing center? (Select all that apply.)
Correct Answer: B
Rationale: The correct answer is B: Adequate staffing is available on all shifts. This is crucial in ensuring the safety and well-being of the residents. Sufficient staffing levels mean that residents will receive timely care, attention, and assistance when needed, reducing the risk of adverse events. Shortages in staffing can lead to neglect, medication errors, and compromised quality of care. This criterion should be a top priority for the family member when selecting a nursing center. Incorrect options: A: The center needs to be clean, and rooms should look like a hospital room. While cleanliness is important, the appearance of a hospital room may not be the most critical factor in ensuring quality care. C: Social activities are available for all residents. While social activities are beneficial for residents' mental and emotional well-being, they are not as essential as adequate staffing for ensuring the safety and health of the residents. D: The center provides three meals daily with a set menu and serving schedule. While nutrition is important, it is not
Question 5 of 5
A child's immunization may cause discomfort during administration, but the benefits of protection from disease, both for the individual and society, outweigh the temporary discomforts. Which principle is involved in this situation?
Correct Answer: B
Rationale: The correct principle involved in this situation is beneficence. Beneficence is the ethical principle that emphasizes the duty to do good and promote the well-being of others. In this case, the administration of immunizations may cause discomfort to the child, but the benefits of protection from diseases outweigh this temporary discomfort. By choosing to immunize the child, the healthcare provider is acting in the child's best interest to prevent future harm from potentially deadly diseases. This decision aligns with the principle of beneficence. A: Fidelity pertains to being faithful and keeping promises, which is not directly relevant to this situation. C: Nonmaleficence is the principle of doing no harm, but in this case, the temporary discomfort of immunization is outweighed by the long-term benefits. D: Respect for autonomy refers to respecting an individual's right to make their own decisions, which is not the primary focus in this scenario.