ATI RN
ATI RN Nursing Care of Children 2020 Questions
Extract:
A nurse is planning to provide discharge instructions to a client who does not speak the same language as the nurse.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Using a professional interpreter ensures accurate and confidential communication, adhering to best practices for patient education.
Extract:
A visitor reports to a nurse that she slipped and fell in a client's room. The visitor denies any injury, but is walking with a slight limp.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Completing an incident report documents the event for safety, risk management, and legal purposes without involving the client's medical record.
Extract:
A nurse is assessing a client who is receiving a blood transfusion. The nurse notes lung crackles, hypoxia, and distended neck veins.
Question 3 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 on a medical-surgical unit is caring for a client who reports difficulty sleeping at night.
Question 4 of 5
Which of the following findings should indicate to the nurse that the client has sleep deprivation?
Correct Answer: C
Rationale: Decreased judgment is a hallmark of sleep deprivation, affecting decision-making and concentration.
Extract:
A nurse is caring for a client who reports a pain level of 5 on a scale from 0 to 10 and refuses pain medications.
Question 5 of 5
Which of the following is an appropriate response by the nurse?
Correct Answer: A
Rationale: A back massage is a non-pharmacological intervention that respects the client's preference and may alleviate pain.