Questions 66

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ATI Pediatric Nursing n100 Exam Questions

Extract:

A client who expresses concerns about sexual orientation.


Question 1 of 5

The nurse is caring for a client who expresses concerns about sexual orientation. When using the PLISSIT model, which step will the nurse take first?

Correct Answer: B

Rationale: Communicating an open, accepting attitude establishes a safe space, encouraging the client to discuss concerns freely per the PLISSIT model.

Extract:

Nurse Z is extremely attentive to their client's emotional & spiritual needs, spending up to 45 minutes each day providing psychosocial support.


Question 2 of 5

Nurse Z is extremely attentive to their client's emotional & spiritual needs. The nurse spends up to 45 minutes each day providing the psychosocial support. As a result, the nurse does not plan enough time to perform assessments or give medications on time. This nurse is liable for:

Correct Answer: A

Rationale: Poor time management is evident as excessive focus on psychosocial support leads to insufficient time for essential tasks like assessments and medication administration.

Extract:

A client being treated for a fluid volume excess.


Question 3 of 5

A nurse is caring for a client being treated for a fluid volume excess. Which clinical finding validates the client's fluid status?

Correct Answer: D

Rationale: Strong, bounding pedal pulses indicate adequate perfusion, consistent with fluid volume excess, as increased fluid volume enhances cardiac output.

Extract:

A client who has a fluid volume deficit with a diagnosis of gastroenteritis.


Question 4 of 5

The physician has ordered replacement fluids for a client who has a fluid volume deficit with a diagnosis of gastroenteritis. The nurse would expect the use of which type of fluids initially upon admission?

Correct Answer: A

Rationale: Isotonic fluids expand intravascular volume without causing significant fluid shifts, suitable for initial rehydration in gastroenteritis.

Extract:

A client with a calcium level of 6.3 mg/dL.


Question 5 of 5

A lab technician calls to tell the nurse that their client's calcium level is 6.3 mg/dL. How will the nurse proceed with this information? (SELECT ALL THAT APPLY)

Correct Answer: A,C,D,E

Rationale: Reading back ensures accuracy, confirming client identity prevents errors, reporting hypocalcemia (6.3 mg/dL) to the physician is urgent, and documenting in the medical record ensures continuity of care.

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