ATI RN
ATI RN Nursing Care of Children 2020 Questions
Extract:
A nurse is assessing a client who is receiving continuous IV fluids through a peripheral IV.
Question 1 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 is preparing to apply a condom catheter for a client who is uncircumcised.
Question 2 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: Allowing space between the catheter and penis tip ensures proper urine flow and comfort.
Extract:
A nurse is preparing to administer several medications to a client.
Question 3 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 4 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 teaching a group of newly licensed nurses about the Braden scale.
Question 5 of 5
Which of the following responses by a newly licensed nurse indicates an understanding of the teaching?
Correct Answer: B
Rationale: The Braden scale assesses six elements: sensory perception, moisture, activity, mobility, nutrition, and friction/shear.