ATI RN
ATI RN Nursing Care of Children 2020 Questions
Extract:
A nurse is testing a client for conduction deafness by performing the Weber's test.
Question 1 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 tracheostomy.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Securing ties with one finger's space ensures the tracheostomy tube is stable without compromising circulation.
Extract:
A nurse in an acute care facility is preparing to transfer a client to a long-term care facility.
Question 3 of 5
Which of the following information should the nurse include in the hand-off report?
Correct Answer: D
Rationale: Pain medication effectiveness is critical for continuity of care, reflecting the client's current condition and needs.
Extract:
A nurse is providing teaching to a client who is to self-administer an ophthalmic solution.
Question 4 of 5
Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Pressing the inner corner prevents systemic absorption, enhancing the drops' effectiveness and safety.
Extract:
A nurse is speaking with the partner of a client who is unconscious and has a do-not resuscitate (DNR) order in place. The partner requests CPR.
Question 5 of 5
Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Acknowledging the partner's feelings provides emotional support while respecting the client's DNR wishes.