ATI RN
ATI RN Nursing Care of Children 2020 Questions
Extract:
A nurse is caring for a client who has right-sided paralysis following a cerebrovascular accident.
Question 1 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 assessing a client who is receiving a blood transfusion. The nurse notes lung crackles, hypoxia, and distended neck veins.
Question 2 of 5
Which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: A,C,E
Rationale: Stopping the transfusion, placing in high-Fowler's, and giving oxygen address circulatory overload symptoms.
Extract:
A nurse is providing teaching to a client who is to self-administer an ophthalmic solution.
Question 3 of 5
Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Pressing the inner corner prevents systemic absorption, enhancing the drops' effectiveness and safety.
Extract:
A nurse is preparing to administer several medications to a client.
Question 4 of 5
Which of the following data should the nurse plan to use to confirm the client's identity?
Correct Answer: C
Rationale: The name of the next of kin is a unique identifier verifiable through the medical record for client confirmation.
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 5 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.