ATI RN
ATI RN Nursing Care of Children 2020 Questions
Extract:
A nurse is caring for a client who has a tracheostomy.
Question 1 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 caring for a client who has right-sided paralysis following a cerebrovascular accident.
Question 2 of 5
Which of the following prescriptions should the nurse anticipate to prevent a plantar flexion contracture of the affected extremity?
Correct Answer: D
Rationale: An ankle-foot orthotic maintains neutral foot positioning, preventing plantar flexion contractures post-stroke.
Extract:
A nurse is assessing the visual acuity of a client who wears glasses using a Snellen chart.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Testing with glasses first reflects the client's usual visual acuity for accurate assessment.
Extract:
A nurse is caring for a client who is nauseated and unable to eat after taking an antibiotic.
Question 4 of 5
Identify the steps the nurse should take to address the client's nausea. (Move the steps into the box on the right, placing them in order of performance. Use all steps.)
Correct Answer: C,D,A,B
Rationale: Identifying interventions, assessing risks, reviewing benefits, and selecting the best option follow a logical nursing process.
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 5 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.