ATI RN
ATI RN Nursing Care of Children 2020 Questions
Extract:
A nurse is caring for a client who has restraints to each extremity.
Question 1 of 5
Which of the following assessments should the nurse perform first?
Correct Answer: A
Rationale: Using the ABCDE framework, assessing peripheral pulses (circulation) is the priority to ensure adequate blood flow to restrained extremities.
Extract:
A nurse is assessing the visual acuity of a client who wears glasses using a Snellen chart.
Question 2 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 providing teaching about health promotion guidelines to a group of young adult male clients.
Question 3 of 5
Which of the following guidelines should the nurse include?
Correct Answer: D
Rationale: Regular dental exams every 6 months prevent oral diseases and promote overall health in young adults.
Extract:
A nurse is caring for a client who has right-sided paralysis following a cerebrovascular accident.
Question 4 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 providing instruction to a client who has diabetes mellitus about foot care.
Question 5 of 5
Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Applying lotion while avoiding toe areas prevents dryness and fungal infections, critical for diabetic foot care.