ATI RN
Client Safety ATI Chapter 13 Questions
Question 1 of 9
Which pulse site should the nurse recommend the client use for home monitoring?
Correct Answer: C
Rationale: The radial pulse is the most accessible and commonly used site for home monitoring. It is easy for clients to locate and measure on their own.
Question 2 of 9
A nurse manager is reviewing the admission history of four adults who were admitted to the medical-surgical unit during the shift. Which of the following situations is the nurse required to disclose information to an outside agency about the client or the client's circumstances?
Correct Answer: A
Rationale: Physical signs of dependent adult abuse include skeletal fractures, as well as burns, bruises, welts, and lacerations. Nurses are responsible for reporting suspicion of dependent adult abuse to the proper legal authorities within the state. It is important for the nurse to note that a competent older adult has the right to make his or her own decisions about pursuing legal action. Unless a client has been found to be legally incompetent, he or she is not classified as a dependent adult.
Question 3 of 9
A nurse is assessing clients who have intravenous therapy prescribed. Which assessment finding for a client with a peripherally inserted central catheter (PICC) requires immediate attention?
Correct Answer: D
Rationale: Upper extremity swelling could indicate infiltration, and the PICC will need to be removed. The initial dressing over the PICC site should be changed within 24 hours. This does not require immediate attention, but the swelling does. The dwell time for PICCs can be months or even years. Securement devices are being used more often now to secure the catheter in place and prevent complications such as phlebitis and infiltration. The IV should have one, but this does not take priority over the client whose arm is swollen.
Question 4 of 9
A school nurse has a 10 year-old child with a history of epilepsy with tonic-clonic seizures attending classes regularly. The school nurse should inform the teacher that if the child experiences a seizure in the classroom, the most important action to take during the seizure would be to
Correct Answer: D
Rationale: Providing support during seizures prevents head injuries and other complications.
Question 5 of 9
Which of the following is a common ethical principle in research involving human participants?
Correct Answer: B
Rationale: Informed consent is a fundamental ethical principle in research, ensuring participants understand the study's purpose and their rights.
Question 6 of 9
The primary focus of qualitative research is:
Correct Answer: B
Rationale: Qualitative research seeks to understand social phenomena by exploring individuals' experiences and the context in which they occur.
Question 7 of 9
BP checking, time is 8:30 am, the patient had just smoked. How many minutes will the patient return?
Correct Answer: B
Rationale: Patients should wait 30 minutes after smoking before having their blood pressure checked to ensure accuracy.
Question 8 of 9
A nurse is planning care for a client with anorexia nervosa. Which client goal is the priority?
Correct Answer: A
Rationale: Meeting physiological needs, such as adequate nutrition and weight gain, takes precedence over other goals.
Question 9 of 9
Three years old spiritual development
Correct Answer: A
Rationale: At three years old, children begin to understand symbolism, which is part of their spiritual development.