ATI RN
ATI RN Nursing Care of Children 2020 Questions
Extract:
A nurse is completing a dressing change on a client who has a surgical wound drain.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Using a separate sterile swab for each stroke prevents cross-contamination during wound cleaning.
Extract:
A nurse is assessing the visual acuity of a client who wears glasses using a Snellen chart.
Question 2 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 at a long-term care facility is providing change-of-shift report to an oncoming nurse about a client who has shingles.
Question 3 of 5
Which of following information should nurse include in report?
Correct Answer: D
Rationale: Including contact precautions for shingles ensures infection control for staff and other clients.
Extract:
A nurse is caring for a client who is receiving enteral feedings via NG tube.
Question 4 of 5
Which of the following actions should the nurse take prior to administering the formula?
Correct Answer: A
Rationale: Checking gastric residual volume ensures proper digestion and reduces aspiration risk before feeding.
Extract:
A nurse is planning care for a client who has a prescription for extremity restraints to both wrists.
Question 5 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.