ATI RN
ATI RN Nursing Care of Children 2020 Questions
Extract:
A nurse is teaching a group of newly licensed nurses about the Braden scale.
Question 1 of 5
Which of the following responses by a newly licensed nurse indicates an understanding of the teaching?
Correct Answer: B
Rationale: The Braden scale assesses six elements: sensory perception, moisture, activity, mobility, nutrition, and friction/shear.
Extract:
A nurse is caring for a client who has a chest tube following thoracic surgery.
Question 2 of 5
Which of the following tasks should the nurse delegate to assistive personnel?
Correct Answer: D
Rationale: Assisting with menu selection is a routine, unskilled task suitable for delegation to assistive personnel, unlike tasks requiring nursing judgment or teaching.
Extract:
A nurse is assessing a client who is receiving continuous IV fluids through a peripheral IV.
Question 3 of 5
Which of the following findings indicates to the nurse that the client is experiencing fluid overload?
Correct Answer: D
Rationale: Crackles in the lungs indicate pulmonary edema, a hallmark of fluid overload from excessive IV fluid administration.
Extract:
A nurse manager is performing a quality improvement assessment to determine the source of a recurrence of Clostridium difficile on a unit.
Question 4 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 providing teaching about preventing back strain to the caregiver of a client who is immobile and requires assistance to reposition in bed.
Question 5 of 5
Which of the following statements by the caregiver indicates an understanding of the teaching?
Correct Answer: A
Rationale: Tightening abdominal muscles supports proper body mechanics, reducing back strain during lifting.