ATI RN
Client Safety Basic Concept Template Questions
Question 1 of 5
When an infant car seat is properly installed, the infant should face:
Correct Answer: B
Rationale: The correct answer is B: Backward, so child faces the seat. Infants should always be placed in a rear-facing car seat as it provides the best protection in the event of a crash, supporting their head, neck, and spine. This position helps distribute crash forces evenly and reduces the risk of serious injury. Facing the seat also prevents the infant from being thrown forward in a sudden stop or collision. Choice A is incorrect because forward-facing seats are not safe for infants. Choice C is incorrect as side-facing positions are dangerous. Choice D is incorrect as infants should never be placed lying on their back in a car seat installed sideways.
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 relieving the client's pain and suffering while ensuring that the medication does not cause harm or hasten death. Administering pain medication to provide comfort aligns with the principle of nonmaleficence. A: Utilitarianism focuses on maximizing overall good for the majority, which may conflict with the individual's well-being in this case. C: Fidelity relates to being faithful and keeping promises, which is not directly applicable to the situation of pain management. D: Veracity pertains to truth-telling, which is important in communication but not directly relevant to the decision of administering pain medication.
Question 3 of 5
A nurse is preparing to administer a soap suds enema to a client who has constipation. As the nurse explains the procedure, the client states, 'The doctor didn't tell me I was supposed to receive an enema.' Which of the following nursing actions is appropriate at this time?
Correct Answer: A
Rationale: The correct answer is A: Check the client's medical record for the provider's prescription. This is the appropriate action as it ensures the nurse follows the correct procedure and verifies if the enema was indeed prescribed by the provider. By checking the medical record, the nurse can confirm the order, ensuring patient safety and adherence to medical protocols. Choices B, C, and D are incorrect: B: Explaining to the client that the provider prescribed the procedure may not provide sufficient evidence or assurance to the client. It is crucial to verify the prescription through the medical record. C: Assuring the client that enemas are commonly prescribed for constipation does not address the client's specific concern about not being informed by the doctor. D: Informing the charge nurse that the client refused the enema is premature without confirming if the enema was actually prescribed by the provider. The nurse should verify the prescription before taking further action.
Question 4 of 5
In a research study, which of the following is a primary advantage of using a control group?
Correct Answer: B
Rationale: The correct answer is B: To minimize the effects of confounding variables. By using a control group, researchers can compare the effects of the independent variable in the experimental group without interference from other variables. This helps isolate the true impact of the independent variable and strengthens the internal validity of the study. Option A is incorrect as the control group does not directly increase the sample size. Option C is incorrect as the purpose of the control group is not just for comparison, but to control for extraneous variables. Option D is incorrect because random sampling pertains to how participants are selected, whereas the control group's purpose is to control for variables beyond sampling.
Question 5 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 or preventing harm. In this scenario, the nurse should prioritize relieving the client's pain and suffering, which is in line with the principle of nonmaleficence. Administering pain medication to provide comfort and alleviate suffering is not considered harmful in this context. A: Utilitarianism focuses on maximizing overall happiness or well-being, which may conflict with the individual's right to comfort and pain relief in this case. C: Fidelity refers to being faithful or keeping promises, which is not directly applicable to the situation of providing pain relief to a dying patient. D: Veracity pertains to truthfulness and honesty, which is not directly related to the decision of administering pain medication in this scenario.