ATI RN
ATI RN Nursing Care of Children 2020 Questions
Extract:
A nurse is preparing to palpate a client's systolic blood pressure using the brachial artery.
Question 1 of 5
After applying the blood pressure cuff to the client's arm, identify the sequence of steps the nurse should follow. (Move the steps into the box on the right, placing them in order of performance. Use all steps.)
Correct Answer: C,A,B,D
Rationale: Palpating the pulse, inflating the cuff, deflating until the pulse returns, and stopping palpation accurately measure systolic pressure.
Extract:
A nurse is reviewing client confidentiality with a newly licensed nurse.
Question 2 of 5
Which of the following examples as a violation of HIPAA?
Correct Answer: D
Rationale: Discussing a client's transfer with an unrelated nurse violates HIPAA by sharing information without a care-related need.
Extract:
A nurse is planning care for a client who is scheduled for an intravenous pyelogram (IVP).
Question 3 of 5
Which of the following actions is appropriate for the nurse to include?
Correct Answer: A
Rationale: Bowel cleansing ensures clear visualization of the urinary tract during an IVP by removing obscuring fecal matter.
Extract:
A nurse is assessing the visual acuity of a client who wears glasses using a Snellen chart.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Testing with glasses first reflects the client's usual visual acuity for accurate assessment.
Extract:
A nurse is testing a client for conduction deafness by performing the Weber's test.
Question 5 of 5
Which of the following actions should the nurse take when performing this test?
Correct Answer: C
Rationale: Placing the tuning fork on the head's midline assesses for lateralization, indicating conduction or sensorineural hearing loss.