ATI RN
ATI RN Nursing Care of Children 2020 Questions
Extract:
A nurse is caring for a client who consumes 3 oz of milk, 2 oz of orange juice, 3 oz of tea, and 4 oz of water over a 4-hr period. The client is also receiving dextrose 5% in 0.45% sodium chloride 30 mL/hr by continuous IV infusion.
Question 1 of 5
Calculate the client's intake for that 4-hr period in ml.
Correct Answer: B
Rationale:
Total intake: (3 oz milk + 3 oz tea = 177.44 mL) + (2 oz juice = 59.15 mL) + (4 oz water = 118.29 mL) + (30 mL/hr × 4 hr = 120 mL) = 474.88 mL, rounded to 475 mL.
Extract:
A nurse is planning an educational conference about informed consent.
Question 2 of 5
Which of the following information should the nurse include?
Correct Answer: B
Rationale: Informed consent requires disclosing risks, benefits, and alternatives, ensuring the client's voluntary decision.
Extract:
A nurse receives a new prescription over the telephone from a client's provider.
Question 3 of 5
Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Reading back the prescription ensures accuracy and prevents errors, a critical safety step in telephone orders.
Extract:
A nurse is preparing to administer a controlled substance to a client for pain management.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: A second nurse's signature when wasting controlled substances ensures accountability and prevents diversion, per regulatory standards.
Extract:
A nurse is assessing a client who is receiving a blood transfusion. The nurse notes lung crackles, hypoxia, and distended neck veins.
Question 5 of 5
Which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: A,C,E
Rationale: Stopping the transfusion, placing in high-Fowler's, and giving oxygen address circulatory overload symptoms.