ATI RN
ATI RN Nursing Care of Children 2020 Questions
Extract:
A nurse is providing end-of-life care for a client.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Encouraging hygiene choices respects the client's autonomy and dignity, promoting comfort during end-of-life care.
Extract:
A nurse hangs a bag of dextrose 5% in water 1,000 mL at 0800 to run at 125 mL/hr. At 1200, the nurse notices the bag is empty.
Question 2 of 5
Which of the following interventions should the nurse take first?
Correct Answer: D
Rationale: Assessing vital signs first checks for fluid overload, a potential complication from rapid IV infusion.
Extract:
A nurse is testing a client for conduction deafness by performing the Weber's test.
Question 3 of 5
Which of the following actions should the nurse take when performing this test?
Correct Answer: C
Rationale: Placing the tuning fork on the head's midline assesses for lateralization, indicating conduction or sensorineural hearing loss.
Extract:
A nurse is caring for a client who has a chest tube following thoracic surgery.
Question 4 of 5
Which of the following tasks should the nurse delegate to assistive personnel?
Correct Answer: D
Rationale: Assisting with menu selection is a routine, unskilled task suitable for delegation to assistive personnel, unlike tasks requiring nursing judgment or teaching.
Extract:
A nurse is providing care for a client who is to undergo a total laryngectomy.
Question 5 of 5
Which of the following interventions is the nurse's priority?
Correct Answer: C
Rationale: Reviewing the use of an artificial larynx pre-surgery facilitates post-operative communication, reducing anxiety.