Questions 58

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ATI RN Test Bank

ATI RN Nursing Care of Children 2020 Questions

Extract:

A nurse is caring for a client who is dying and having Cheyne-Stokes respirations.


Question 1 of 5

Which of the following respiratory findings should the nurse expect?

Correct Answer: A

Rationale: Cheyne-Stokes respirations involve cycles of deepening breaths followed by apnea, common in dying clients.

Extract:

A nurse is providing end-of-life care for a client.


Question 2 of 5

Which of the following actions should the nurse take?

Correct Answer: D

Rationale: Encouraging hygiene choices respects the client's autonomy and dignity, promoting comfort during end-of-life care.

Extract:

A nurse at an assisted living facility is preparing an in-service for residents about electrical safety.


Question 3 of 5

Which of the following instructions should the nurse include?

Correct Answer: B

Rationale: Grasping the plug to disconnect equipment prevents electrical shocks and cord damage.

Extract:

A nurse is monitoring a client who is receiving continuous IV fluid therapy via a peripheral vein in the left forearm.


Question 4 of 5

Which of the following findings indicates that the client has developed phlebitis at the IV site?

Correct Answer: C

Rationale: Erythema along the vein indicates inflammation, a key sign of phlebitis due to IV catheter irritation.

Extract:

A nurse is caring for a client who is agitated and threatening to harm others. The nurse places the client in restraints without notifying the provider or obtaining a prescription.


Question 5 of 5

This situation represents which of the following torts?

Correct Answer: A

Rationale: Placing restraints without a prescription unlawfully restricts the client's freedom, constituting false imprisonment.

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