Questions 58

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ATI RN Test Bank

ATI RN Nursing Care of Children 2020 Questions

Extract:

A nurse is preparing to administer several medications to a client.


Question 1 of 5

Which of the following data should the nurse plan to use to confirm the client's identity?

Correct Answer: C

Rationale: The name of the next of kin is a unique identifier verifiable through the medical record for client confirmation.

Extract:

A nurse is preparing to administer a medication to a client.


Question 2 of 5

Which of the following should the nurse use as a client identifier?

Correct Answer: B

Rationale: A photograph is a reliable client identifier to ensure medication is administered to the correct person.

Extract:

A nurse is caring for a client who has a chest tube following thoracic surgery.


Question 3 of 5

Which of the following tasks should the nurse delegate to assistive personnel?

Correct Answer: D

Rationale: Assisting with menu selection is a routine, unskilled task suitable for delegation to assistive personnel, unlike tasks requiring nursing judgment or teaching.

Extract:

A nurse is assessing a client who is receiving continuous IV fluids through a peripheral IV.


Question 4 of 5

Which of the following findings indicates to the nurse that the client is experiencing fluid overload?

Correct Answer: D

Rationale: Crackles in the lungs indicate pulmonary edema, a hallmark of fluid overload from excessive IV fluid administration.

Extract:

A nurse hangs a bag of dextrose 5% in water 1,000 mL at 0800 to run at 125 mL/hr. At 1200, the nurse notices the bag is empty.


Question 5 of 5

Which of the following interventions should the nurse take first?

Correct Answer: D

Rationale: Assessing vital signs first checks for fluid overload, a potential complication from rapid IV infusion.

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