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 preparing to apply a condom catheter for a client who is uncircumcised.
Question 2 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: Allowing space between the catheter and penis tip ensures proper urine flow and comfort.
Extract:
A nurse is preparing to palpate a client's systolic blood pressure using the brachial artery.
Question 3 of 5
After applying the blood pressure cuff to the client's arm, identify the sequence of steps the nurse should follow. (Move the steps into the box on the right, placing them in order of performance. Use all steps.)
Correct Answer: C,A,B,D
Rationale: Palpating the pulse, inflating the cuff, deflating until the pulse returns, and stopping palpation accurately measure systolic pressure.
Extract:
A nurse is caring for a client who reports that she has insomnia.
Question 4 of 5
Which of the following interventions is appropriate for the nurse to recommend?
Correct Answer: D
Rationale: A light carbohydrate snack increases serotonin, promoting sleep without stimulating the client.
Extract:
A nurse is caring for a client who is nauseated and unable to eat after taking an antibiotic.
Question 5 of 5
Identify the steps the nurse should take to address the client's nausea. (Move the steps into the box on the right, placing them in order of performance. Use all steps.)
Correct Answer: C,D,A,B
Rationale: Identifying interventions, assessing risks, reviewing benefits, and selecting the best option follow a logical nursing process.