ATI RN
ATI RN Nursing Care of Children 2020 Questions
Extract:
A nurse is caring for a client who is receiving enteral feedings via NG tube.
Question 1 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 to prevent skin breakdown for a client who is immobile and has urinary incontinence.
Question 2 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale: An alternating pressure mattress redistributes pressure, preventing skin breakdown in immobile clients.
Extract:
A nurse is caring for a client who has a tracheostomy.
Question 3 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 is preparing to insert a peripheral IV catheter into a client's arm.
Question 4 of 5
Which of the following actions should the nurse take to help dilate the vein?
Correct Answer: B
Rationale: Dangling the arm increases venous pressure via gravity, promoting vein dilation for IV insertion.
Extract:
A nurse is caring for a client who is dying and having Cheyne-Stokes respirations.
Question 5 of 5
Which of the following respiratory findings should the nurse expect?
Correct Answer: A
Rationale: Cheyne-Stokes respirations involve cycles of deepening breaths followed by apnea, common in dying clients.