ATI RN
ATI RN Nursing Care of Children 2020 Questions
Extract:
A nurse is assessing an older adult client.
Question 1 of 5
Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: A decreased sense of balance is a normal age-related change due to alterations in the vestibular system, vision, and proprioception.
Extract:
A nurse is caring for a client who is nauseated and unable to eat after taking an antibiotic.
Question 2 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 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 3 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.
Extract:
A nurse is teaching a group of newly licensed nurses about the Braden scale.
Question 4 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.
Extract:
A nurse is caring for a client who has right-sided paralysis following a cerebrovascular accident.
Question 5 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.