ATI RN
ATI RN Nursing Care of Children 2020 Questions
Extract:
A nurse in an emergency department is assessing a client who reports right lower quadrant pain, nausea, and vomiting for the past 48 hr.
Question 1 of 5
Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Palpating the abdomen first assesses for appendicitis signs like rebound tenderness, critical for timely diagnosis.
Extract:
A nurse is planning to provide discharge instructions to a client who does not speak the same language as the nurse.
Question 2 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 nurse is completing a dressing change on a client who has a surgical wound drain.
Question 3 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 conducting the Weber's test on a client.
Question 4 of 5
Which of the following is an appropriate action for the nurse to take?
Correct Answer: D
Rationale: Weber's test involves placing a tuning fork on the forehead to compare bone conduction in both ears for hearing loss.
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.