ATI RN
ATI RN Nursing Care of Children 2020 Questions
Extract:
A nurse is planning care to prevent skin breakdown for a client who is immobile and has urinary incontinence.
Question 1 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale: An alternating pressure mattress redistributes pressure, preventing skin breakdown in immobile clients.
Extract:
A nurse is planning to provide discharge instructions to a client who does not speak the same language as the nurse.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Using a professional interpreter ensures accurate and confidential communication, adhering to best practices for patient education.
Extract:
A nurse is providing teaching to a client about the administration of clotrimazole vaginal suppositories.
Question 3 of 5
Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: Inserting the suppository high into the vagina ensures proper placement and dissolution for effective treatment.
Extract:
A nurse is preparing to administer several medications to a client.
Question 4 of 5
Which of the following data should the nurse plan to use to confirm the client's identity?
Correct Answer: C
Rationale: The name of the next of kin is a unique identifier verifiable through the medical record for client confirmation.
Extract:
A nurse is preparing to palpate a client's systolic blood pressure using the brachial artery.
Question 5 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.