ATI RN
ATI RN Nursing Care of Children 2020 Questions
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 1 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 caring for a client who consumes 3 oz of milk, 2 oz of orange juice, 3 oz of tea, and 4 oz of water over a 4-hr period. The client is also receiving dextrose 5% in 0.45% sodium chloride 30 mL/hr by continuous IV infusion.
Question 2 of 5
Calculate the client's intake for that 4-hr period in ml.
Correct Answer: B
Rationale:
Total intake: (3 oz milk + 3 oz tea = 177.44 mL) + (2 oz juice = 59.15 mL) + (4 oz water = 118.29 mL) + (30 mL/hr × 4 hr = 120 mL) = 474.88 mL, rounded to 475 mL.
Extract:
A nurse is planning care for a client who has a prescription for extremity restraints to both wrists.
Question 3 of 5
Which of the following actions should the nurse include in the plan of care? (Select all that apply.)
Correct Answer: A,B,E
Rationale: Securing restraints with three fingers' space, assessing skin, and padding prominences prevent injury and ensure safety.
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 4 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 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.