ATI RN
ATI RN Nursing Care of Children 2020 Questions
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 1 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 planning to delegate client care to an assistive personnel (AP).
Question 2 of 5
Which of the following tasks should the nurse plan to delegate to the AP?
Correct Answer: B
Rationale: Recording output is a routine task suitable for delegation, unlike tasks requiring nursing judgment or skills.
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 monitoring a client who is receiving continuous IV fluid therapy via a peripheral vein in the left forearm.
Question 4 of 5
Which of the following findings indicates that the client has developed phlebitis at the IV site?
Correct Answer: C
Rationale: Erythema along the vein indicates inflammation, a key sign of phlebitis due to IV catheter irritation.
Extract:
A nurse is preparing to check a client's blood pressure.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A cuff width of about 60% of arm circumference ensures accurate blood pressure readings.