ATI RN
ATI RN Nursing Care of Children 2020 Questions
Extract:
A nurse manager is performing a quality improvement assessment to determine the source of a recurrence of Clostridium difficile on a unit.
Question 1 of 5
Which of the following nursing actions is a possible source of infection?
Correct Answer: C
Rationale: Alcohol-based hand rubs are ineffective against C. difficile spores; soap and water are required.
Extract:
A nurse is caring for a client who has right-sided paralysis following a cerebrovascular accident.
Question 2 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.
Extract:
A nurse is planning to delegate client care to an assistive personnel (AP).
Question 3 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 insert a peripheral IV catheter into a client's arm.
Question 4 of 5
Which of the following actions should the nurse take to help dilate the vein?
Correct Answer: B
Rationale: Dangling the arm increases venous pressure via gravity, promoting vein dilation for IV insertion.
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.