Questions 58

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ATI RN Nursing Care of Children 2020 Questions

Extract:

A nurse is conducting the Weber's test on a client.


Question 1 of 5

Which of the following is an appropriate action for the nurse to take?

Correct Answer: D

Rationale: Weber's test involves placing a tuning fork on the forehead to compare bone conduction in both ears for hearing loss.

Extract:

A nurse is planning care for a client who has a new prescription for parenteral nutrition (PN) in 20% dextrose and fat emulsions.


Question 2 of 5

Which of the following is an appropriate action to include in the plan of care?

Correct Answer: C

Rationale: PN with high dextrose requires a central venous line to prevent peripheral vein damage due to its hypertonic nature.

Extract:

A nurse is completing a dressing change on a client who has a surgical wound drain.


Question 3 of 5

Which of the following actions should the nurse take?

Correct Answer: A

Rationale: Using a separate sterile swab for each stroke prevents cross-contamination during wound cleaning.

Extract:

A nurse is planning to delegate client care to an assistive personnel (AP).


Question 4 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 providing care for a client who is to undergo a total laryngectomy.


Question 5 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.

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