ATI RN
ATI RN Nursing Care of Children 2020 Questions
Extract:
A nurse is planning care for a client who has a prescription for extremity restraints to both wrists.
Question 1 of 5
Which of the following actions should the nurse include in the plan of care? (Select all that apply.)
Correct Answer: A,B,E
Rationale: Securing restraints with three fingers' space, assessing skin, and padding prominences prevent injury and ensure safety.
Extract:
A nurse is providing instruction to a client who has diabetes mellitus about foot care.
Question 2 of 5
Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Applying lotion while avoiding toe areas prevents dryness and fungal infections, critical for diabetic foot care.
Extract:
A nurse is caring for a client who reports a pain level of 5 on a scale from 0 to 10 and refuses pain medications.
Question 3 of 5
Which of the following is an appropriate response by the nurse?
Correct Answer: A
Rationale: A back massage is a non-pharmacological intervention that respects the client's preference and may alleviate pain.
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 planning care to prevent skin breakdown for a client who is immobile and has urinary incontinence.
Question 5 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.