ATI RN
ATI RN Nursing Care of Children 2020 Questions
Extract:
A nurse is assessing a client who is receiving a blood transfusion. The nurse notes lung crackles, hypoxia, and distended neck veins.
Question 1 of 5
Which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: A,C,E
Rationale: Stopping the transfusion, placing in high-Fowler's, and giving oxygen address circulatory overload symptoms.
Extract:
A nurse is preparing to administer a medication to a client.
Question 2 of 5
Which of the following should the nurse use as a client identifier?
Correct Answer: B
Rationale: A photograph is a reliable client identifier to ensure medication is administered to the correct person.
Extract:
A nurse is caring for a client who is immunocompromised.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Hand hygiene with alcohol-based rub reduces infection risk for immunocompromised clients.
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 4 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 preparing to bathe a client who has dementia.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Distractions like music or conversation reduce anxiety and resistance in clients with dementia during bathing.