ATI RN
ATI RN Nursing Care of Children 2020 Questions
Extract:
A nurse manager is performing a quality improvement assessment to determine the source of a recurrence of Clostridium difficile on a unit.
Question 1 of 5
Which of the following nursing actions is a possible source of infection?
Correct Answer: C
Rationale: Alcohol-based hand rubs are ineffective against C. difficile spores; soap and water are required.
Extract:
A nurse is preparing to bathe a client who has dementia.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Distractions like music or conversation reduce anxiety and resistance in clients with dementia during bathing.
Extract:
A nurse is preparing to check a client's blood pressure.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A cuff width of about 60% of arm circumference ensures accurate blood pressure readings.
Extract:
A nurse is speaking with the partner of a client who is unconscious and has a do-not resuscitate (DNR) order in place. The partner requests CPR.
Question 4 of 5
Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Acknowledging the partner's feelings provides emotional support while respecting the client's DNR wishes.
Extract:
A nurse in an emergency department is assessing a client who reports right lower quadrant pain, nausea, and vomiting for the past 48 hr.
Question 5 of 5
Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Palpating the abdomen first assesses for appendicitis signs like rebound tenderness, critical for timely diagnosis.