ATI RN
ATI Pediatric Nursing n100 Exam Questions
Extract:
A client who presents with a sudden 5 lb. (2.3 kg) weight gain, bounding pulses, and a blood pressure of 174/94.
Question 1 of 5
The nurse is caring for a client who presents with a sudden 5 lb. (2.3 kg) weight gain, bounding pulses, and a blood pressure of 174/94. These clinical findings are indicative of:
Correct Answer: C
Rationale: Sudden weight gain, bounding pulses, and elevated blood pressure indicate excess fluid volume, as increased fluid enhances cardiac output.
Extract:
A client who is cognitively impaired.
Question 2 of 5
What would be the best nursing action to facilitate bladder continence for the client who is cognitively impaired?
Correct Answer: A
Rationale: Regular toileting reminders every 2 hours help prevent incontinence by prompting the client to void, addressing cognitive impairment challenges.
Extract:
A client diagnosed with dehydration.
Question 3 of 5
The nurse caring for a client diagnosed with dehydration recognizes that which of the following are appropriate nursing interventions? (SELECT ALL THAT APPLY)
Correct Answer: B,C,D
Rationale: Providing skin and mouth care prevents complications, monitoring intake/output assesses fluid balance, and daily weights track fluid status.
Extract:
A 66-year-old client who reports having a fever and feeling weak and dizzy with nausea and vomiting for three days.
Question 4 of 5
The nurse is assessing a 66-year-old client who reports having a fever and feeling weak and dizzy with nausea and vomiting for three days. The nurse observes a dry tongue and oral mucosa, and concentrated urine. To best assess the client's fluid status, which parameter(s) should the nurse check?
Correct Answer: B
Rationale: Orthostatic BP and pulse changes indicate volume depletion, directly assessing fluid status in suspected dehydration.
Extract:
A client's foot on the Admission Database.
Question 5 of 5
What is the best way for the nurse to document the assessment of a client's foot on the Admission Database?
Correct Answer: D
Rationale: Specific, objective documentation of four round, 2 cm lesions on the right foot's plantar aspect ensures clarity and accuracy.