ATI RN
ATI RN Nursing Care of Children 2020 Questions
Extract:
A nurse is providing care for a client who is to undergo a total laryngectomy.
Question 1 of 5
Which of the following interventions is the nurse's priority?
Correct Answer: C
Rationale: Reviewing the use of an artificial larynx pre-surgery facilitates post-operative communication, reducing anxiety.
Extract:
A nurse is caring for a client who is dying and having Cheyne-Stokes respirations.
Question 2 of 5
Which of the following respiratory findings should the nurse expect?
Correct Answer: A
Rationale: Cheyne-Stokes respirations involve cycles of deepening breaths followed by apnea, common in dying clients.
Extract:
A nurse is preparing to bathe a client who has dementia.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Distractions like music or conversation reduce anxiety and resistance in clients with dementia during bathing.
Extract:
A nurse is caring for a client who is receiving enteral feedings via NG tube.
Question 4 of 5
Which of the following actions should the nurse take prior to administering the formula?
Correct Answer: A
Rationale: Checking gastric residual volume ensures proper digestion and reduces aspiration risk before feeding.
Extract:
A nurse is caring for a client who has restraints to each extremity.
Question 5 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.