ATI RN
ATI RN Nursing Care of Children 2020 Questions
Extract:
A nurse is preparing to bathe a client who has dementia.
Question 1 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.
Extract:
A nurse is preparing to palpate a client's systolic blood pressure using the brachial artery.
Question 2 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.
Extract:
A nurse is reviewing client confidentiality with a newly licensed nurse.
Question 3 of 5
Which of the following examples as a violation of HIPAA?
Correct Answer: D
Rationale: Discussing a client's transfer with an unrelated nurse violates HIPAA by sharing information without a care-related need.
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 new prescription for parenteral nutrition (PN) in 20% dextrose and fat emulsions.
Question 5 of 5
Which of the following is an appropriate action to include in the plan of care?
Correct Answer: C
Rationale: PN with high dextrose requires a central venous line to prevent peripheral vein damage due to its hypertonic nature.