ATI RN
ATI RN Nursing Care of Children 2020 Questions
Extract:
A nurse is caring for a client who is scheduled to have his alanine aminotransferase (ALT) level checked.
Question 1 of 5
Which of the following is an appropriate response by the nurse?
Correct Answer: C
Rationale: ALT is a liver enzyme; elevated levels indicate liver dysfunction, making this test specific to liver function assessment.
Extract:
A nurse in an acute care facility is preparing to transfer a client to a long-term care facility.
Question 2 of 5
Which of the following information should the nurse include in the hand-off report?
Correct Answer: D
Rationale: Pain medication effectiveness is critical for continuity of care, reflecting the client's current condition and needs.
Extract:
A nurse is preparing to apply a condom catheter for a client who is uncircumcised.
Question 3 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: Allowing space between the catheter and penis tip ensures proper urine flow and comfort.
Extract:
A nurse is monitoring a client who is receiving continuous IV fluid therapy via a peripheral vein in the left forearm.
Question 4 of 5
Which of the following findings indicates that the client has developed phlebitis at the IV site?
Correct Answer: C
Rationale: Erythema along the vein indicates inflammation, a key sign of phlebitis due to IV catheter irritation.
Extract:
A nurse is caring for a client who has a chest tube following thoracic surgery.
Question 5 of 5
Which of the following tasks should the nurse delegate to assistive personnel?
Correct Answer: D
Rationale: Assisting with menu selection is a routine, unskilled task suitable for delegation to assistive personnel, unlike tasks requiring nursing judgment or teaching.