Upgrade to remove ads
Only $35.99/year

ATI Fundamentals Safety

Terms in this set (20)

A nurse is assisting with teaching a class about warning signs from a co-worker that might indicate future workplace violence. Which of the following behaviors should the nurse include?
A. Legitimate absenteeism
B. Strict adherence to facility policies
C. Consistent adequate work performance
D. Frequent reports of not being treated fairly
D. Frequent reports of not being treated fairly

The nurse should include that persistent complaining and voicing that they are not being treated fairly is a warning sign for possible future workplace violence by a co-worker.
A nurse is caring for a client who has a prescription for wrist restraints. Which of the following actions should the nurse take?
A. Tie the restraints to the siderails on the client's bed.
B. Remove the restraints with each vital sign check.
C. Use a square knot to secure the restraints.
D. Make sure one finger can fit under the restraints.
B. Remove the restraints with each vital sign check.

The nurse should remove the restraints and check the client's skin and circulation with each vital sign and at least every 2 hr to monitor for client injury.
A nurse is caring for a client who is experiencing a seizure. Which of the following actions should the nurse take?
A. Record the time and length of the seizure.
B. Restrain the client's extremities.
C. Place the client in the prone position.
D. Monitor the client's hemoglobin level.
A. Record the time and length of the seizure.

The nurse should monitor the length of time of the seizure to evaluate the type of seizure and determine treatment required.
A nurse is caring for a client who has an indwelling urinary catheter in place. Which of the following actions is the priority for the nurse to take to reduce the client's risk of developing a healthcare-associated infection?
A. Wipe down the client's bedside table with an antiseptic wipe.
B. Conduct informal audits of medical records to identify the number of healthcare-associated infections.
C. Perform hand hygiene.
D. Reinforce teaching with the client on ways to reduce hospital infection.
C. Perform hand hygiene.

According to evidence-based practice, hand hygiene among medical professionals, clients, and visitors is the priority intervention to reduce the risk for the client to develop a healthcare-associated infection.
A nurse is planning to use the identity, situation, background, assessment, recommendation, read back (ISBARR) tool to communicate with a provider about a client. Which of the following information is included in the assessment component of ISBARR?
A. The client's admitting diagnosis
B. The client's medical history
C. The client's laboratory test results
D. The client's response to treatment
C. The client's laboratory test results

General client impression and significant findings such as diagnostic tests, laboratory results, and vital signs are included in the assessment component of the ISBARR communication tool.
A nurse is checking a client's allergy bracelet before administering a medication and finds the client is allergic to that medication. The nurse does not administer the medication to the client. This is an example of which of the following unexpected events?
A. Near-miss event
B. Client safety event
C. Adverse event
D. Sentinel event
A. Near-miss event

A near-miss event is an error that could have harmed the client which almost occurs, but was caught and avoided. The nurse noted the client had an allergy to the medication prior to administering it, avoiding harm to the client.
A nurse is assisting with conducting a home hazard assessment for a client who has dementia. Which of the following findings indicates an understanding of home safety?
A. An extension cord is secured under a rug.
B. The edges of stairs are marked with brightly colored tape.
C. A toaster is plugged in when not in use.
D. The water heater is set to 55° C (131° F).
B. The edges of stairs are marked with brightly colored tape.

The nurse should instruct the client to mark edges of stairs with brightly colored tape to alert the client of the steps and reduce the risk of fall.
A nurse is assisting with teaching a class about hospital-acquired injuries. The nurse should include that which of the following is a hospital-acquired injury? (Select all that apply.)
A. Blood transfusion incompatibility
B. Wrong site surgery
C. Ineffective insulin usage
D. Dysphagia following a stroke
E. Dehydration due to diarrhea
A. Blood transfusion incompatibility is correct. The nurse should identify that a blood transfusion incompatibility is a hospital-acquired injury that can occur to a client while in the hospital.

B. Wrong site surgery is correct. The nurse should identify that a wrong site surgery is a hospital-acquired injury that can occur to a client while in the hospital.

C. Ineffective insulin usage is correct. The nurse should identify that ineffective insulin usage is a hospital-acquired injury that can occur to a client while in the hospital.
A nurse discovers a small fire in a client's room. After removing the client to safety, which of the following actions should the nurse take next?
A. Extinguish the fire.
B. Close the windows in the client's room.
C. Close the client's door.
D. Activate the fire alarm.
D. Activate the fire alarm.

The greatest risk to this client is injury from a fire. Therefore, the next action the nurse should take is to activate the emergency fire alarm to alert emergency responders to extinguish the fire.
A nurse is assisting with teaching a class about events that require an occurrence report. Which of the following events should the nurse include? (Select all that apply.)
A. A client's visitor falls in the hallway.
B. A nurse forgets their computer password.
C. A client develops an unexpected reaction to a medication.
D. A client's dentures are lost.
E. An antibiotic was administered to a client 30 min after the scheduled time.
A. A client's visitor falls in the hallway is correct. The nurse should include that a fall by a client's visitor is an unexpected event that requires an occurrence report.

C. A client develops an unexpected reaction to a medication is correct. The nurse should include that an unexpected reaction to a medication is an unexpected event that requires an occurrence report.

D. A client's dentures are lost is correct. The nurse should include that a loss of a client's dentures is an unexpected event that requires an occurrence report.
A nurse is preparing to conduct a fall risk screening on a client. Which of the following variables will the nurse use to evaluate the client? (Select all that apply.)
A. Fall history
B. Medical diagnosis
C. Use of assistive devices
D. Mental status
E. Do-not-resuscitate status
A. Fall history is correct. A client who has fallen recently is at an increased risk for a fall.

B. Medical diagnosis is correct. Certain medical diagnoses, such as a stroke, increase the client's risk for a fall.

C. Use of assistive devices is correct. The use of assistive devices to ambulate is used to calculate the client's risk for falls. The score for assistive devices would range from 0 to 30.

D. Mental status is correct. A client who is disoriented is at greater risk for a fall.
A nurse is assisting with preparing a poster about fire safety for a community health fair. The nurse should include on the poster that which of the following components contains needed elements for a fire to occur? (Select all that apply.) (Select all that apply.)
A. Carbon dioxide
B. Nitrogen
C. Cooking oil
D. Oxygen
E. Heat
C. Cooking oil is correct. The nurse should include cooking oil on the poster as a flammable element. A component required for a fire to burn is a combustible material such as wood, paper, oil, gasoline, or paints.

D. Oxygen is correct. The nurse should include oxygen on the poster as an essential element needed for fire to occur.

E. Heat is correct. The nurse should include heat on the poster as an essential element needed for fire to occur.
A nurse is assisting with emergency care of a client who has been exposed to a chemical toxin. Which of the following actions should the nurse take?
A. Rinse the client's skin with water.
B. Remove the client's clothing by pulling it over their head.
C. Dispose of the client's clothing in a single biohazard bag.
D. Prepare to administer potassium iodide to the client.
A. Rinse the client's skin with water.

The nurse should have the client shower to remove the chemical toxin from their skin, hair, and eyes to reduce the effects of exposure.
A nurse is preparing to administer medications to a client. Which of the following information should the nurse use to identify the client? (Select all that apply.)
A. The client's full name
B. The client's date of birth
C. The client's telephone number
D. The client's diagnosis
E. The client's room number
A. The client's full name is correct. The nurse should identify that the client's first and last name are unique to the client and can be used to identify the client prior to administering medications. The nurse should use two acceptable identifiers to reduce the risk for a medication error.

B. The client's date of birth is correct. The nurse should identify that the client's date of birth is unique to the client and can be used to identify the client prior to administering medications. The nurse should use two acceptable identifiers to reduce the risk for a medication error.

C. The client's telephone number is correct. The nurse should identify that the client's telephone number is unique to the client and is one standard identifier that can be used as to identify the client prior to administering medications.
A nurse is assisting with teaching a newly licensed nurse about using a lift device to transfer a client. Which of the following actions by the nurse indicates an understanding of the teaching? (Select all that apply.)
A. Locks the brakes on the client's bed
B. Checks the maximum weight of the lift before using it
C. Places the client on the edge of the sling
D. Uses the lift without assistance from another team member
E. Performs a safety check before lifting the client
A. Locks the brakes on the client's bed is correct. The nurse should secure the brakes on the client's bed to keep the bed from moving while transferring the client.

B. Checks the maximum weight of the lift before using it is correct. The nurse should check the maximum weight of the lift to make sure the client is not too heavy to reduce the risk for injury to the client or the nurse.

D. Performs a safety check before lifting the client is correct. The nurse should perform a safety check before lifting the client to make sure the client is transferred safely.
A nurse is planning to assist in implementing the Transforming Care at the Beside plan on a medical-surgical unit. Which of the following interventions should the nurse include in the plan?
A. Require nurses to spend 50% of their time at the bedside of clients.
B. Perform change-of-shift report at the nurses' station.
C. Complete client rounds every 4 hr.
D. Use a standardized communication tool.
D. Use a standardized communication tool.

The Transforming Care at the Bedside plan recommends using a standardized communication tool, such as the Identity, Situation, Background, Assessment, Recommendation, and Readback (ISBARR) tool. Using a standardized communication tool enhances communication, which results in improved client outcomes.
A nurse is assisting with teaching a class about evidence-based protocols established by the CDC to prevent healthcare-associated infections (HAIs). Which of the following infections should the nurse include? (Select all that apply.)
A. Influenza infection
B. Catheter-associated urinary tract infection
C. Mycobacterium tuberculosis infection
D. Central line-associated bloodstream infection
E. Surgical site infection
B. Catheter-associated urinary tract infection is correct. The nurse should identify that catheter-associated infections are HAIs that the CDC has established evidence-based protocols to prevent. HAIs are infections that occur to clients who are being treated for other clinical conditions.

D. Central line-associated bloodstream infection is correct. The nurse should identify that central line-associated infections are HAIs that the CDC has established evidence-based protocols to prevent. HAIs are infections that occur to clients who are being treated for other clinical conditions.

E. Surgical site infection is correct. The nurse should identify that surgical site infections are HAIs that the CDC has established evidence-based protocols to prevent. HAIs are infections that occur to clients who are being treated for other clinical conditions.
A nurse is assisting with teaching a newly licensed nurse about electrical safety. Which of the following actions by the newly licensed nurse indicates an understanding of the teaching?
A. The nurse plugs in a sequential compression device with wet hands.
B. The nurse holds onto the plug to unplug a client's electronic blood pressure machine.
C. The nurse rolls the client's bed over an electrical cord.
D. The nurse uses an extension cord to plug in a client's smart infusion pump.
B. The nurse holds onto the plug to unplug a client's electronic blood pressure machine.

The nurse should instruct the newly licensed nurse to hold onto the plug, rather than the cord, to unplug electric cords. Pulling on the cord can damage the cord, and result in an electric shock that could injure the nurse or the client.
A nurse is preparing to administer a premixed medication to a client. The nurse should check the label for which of the following information? (Select all that apply.)
A. The date the medication was mixed
B. The client's age
C. The client's room number
D. The dose of the mixed medication
E. The time the medication was mixed
A. The date the medication was mixed is correct. The nurse should check the label of the premixed medication for the date the medication was mixed to make sure the mixed medication has not expired.

D. The dose of the mixed medication is correct. The nurse should check the label of the premixed medication for the dose of the medication to reduce the risk for medication error.

E. The time the medication was mixed is correct. The nurse should check the label of the premixed medication for the time the medication was mixed to make sure the mixed medication has not expired.
A nurse is caring for a client who is at risk for suicide. Which of the following actions should the nurse take? (Select all that apply.)
A. Place the client on round-the-clock surveillance.
B. Remove objects from the room that the client could use to harm themselves.
C. Search items brought into the client's room by visitors.
D. Refrain from asking the client if they intend to harm themselves.
E. Screen the client for suicidal ideation.
A. Place the client on round-the-clock surveillance is correct. The nurse should place the client on round-the-clock surveillance to reduce the risk of client injury.

B. Remove objects from the room that the client could use to harm themselves is correct. The nurse should remove any objects in the client's room that the client could use to harm themselves to reduce the risk of client injury.

C. Search items brought into the client's room by visitors is correct. The nurse should search and remove any items brought into the client's room by visitors that the client could use to harm themselves to reduce the risk of client injury.

E. Screen the client for suicidal ideation is correct. The nurse should screen the client for suicidal ideation using a validated screening tool to assess the client and provide interventions to protect the client from injury.
Students also viewed