ATI RN
Client Safety Basic Concept Template Questions
Question 1 of 5
You, the nurse, have been monitoring the client with subcutaneous emphysema around the shoulder and lower neck. You notice that the area has expanded and is traveling up the neck. Based on your knowledge, what should the nurse anticipate doing in the near future?
Correct Answer: D
Rationale: The correct answer is D: Assisting with tracheostomy insertion. Subcutaneous emphysema traveling up the neck suggests a potential airway compromise due to air leaking into surrounding tissues. Tracheostomy insertion may be necessary to establish a secure airway and prevent further complications. This intervention takes precedence over other options as it addresses the immediate threat to the client's airway and breathing. Options A, B, and C do not directly address the escalating subcutaneous emphysema and potential airway obstruction, making them less appropriate in this urgent situation.
Question 2 of 5
A nurse in a provider's office is reviewing the laboratory findings for a client who is scheduled for surgery. Which of the following findings requires follow up by the nurse?
Correct Answer: B
Rationale: The correct answer is B because a platelet count of 60,000/mm3 is significantly low (normal range: 150,000-450,000/mm3) and can indicate a risk of bleeding during surgery. The nurse needs to follow up to ensure appropriate interventions are taken. A: A BUN of 15 mg/dL is within the normal range (7-20 mg/dL). C: A WBC count of 6,000/mm3 is within the normal range (4,500-11,000/mm3). D: A hemoglobin level of 14 g/dL is within the normal range for males (13.5-17.5 g/dL) and females (12.0-15.5 g/dL).
Question 3 of 5
While caring for a client, the nurse experiences a needle stick injury. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The correct answer is C: Wash the site of injury with soap and water. This is the first action the nurse should take to minimize the risk of infection. Washing the site immediately helps remove any potential pathogens. It is crucial to act promptly in order to reduce the risk of transmission. Incorrect choices: A: Completing an incident report can be important but should not be the first step in this situation. B: Requesting the risk manager to obtain consent for HIV testing from the client is not the immediate priority. D: Consenting to postexposure treatment with antiretroviral medications is important, but washing the site of injury should come first to prevent infection.
Question 4 of 5
A charge nurse is planning to conduct a performance appraisal. What action is appropriate?
Correct Answer: B
Rationale: The correct answer is B because scheduling the appraisal at a convenient time for the staff ensures that the appraisal process is conducted in a respectful and considerate manner. This approach allows the staff member to be mentally prepared and fully engaged during the appraisal, leading to a more productive discussion. A: Informing the staff member prior to the change-of-shift report may not be appropriate as it could catch the staff member off guard and cause anxiety. C: Providing a chair across the desk for the staff member is a good practice but not as crucial as scheduling the appraisal at a convenient time. D: Ensuring the staff member has a copy of the appraisal form is important but not as critical as considering the staff member's convenience for the appraisal.
Question 5 of 5
A nurse is caring for an older adult client who has a terminal illness and is ventilator-dependent. The client is alert and oriented and he wants to discontinue use of the ventilator. The nurse should be aware that continued treatment against the client's wishes is a violation of which of the following ethical principles?
Correct Answer: B
Rationale: Correct Answer: B - Autonomy Rationale: 1. Autonomy is the ethical principle that respects an individual's right to make their own decisions. 2. In this scenario, the client is alert and oriented and has expressed the desire to discontinue the ventilator. 3. Continuing treatment against the client's wishes would violate the client's autonomy. 4. Veracity is the principle of truthfulness, fidelity is loyalty, and justice is fairness, none of which directly apply to this scenario.