ATI RN
ATI Nursing Care of Children
1. Which describe the feelings and behaviors of adolescents related to divorce? (Select all that apply.)
- A. Disturbed concept of sexuality
- B. All are applicable
- C. Worry about themselves, parents, or siblings
- D. Expression of anger, sadness, shame, or embarrassment
Correct answer: B
Rationale: Adolescents may withdraw from social interactions, worry about the impact of the divorce, and express strong emotions such as anger or sadness.
2. Which of the following best defines the role of a nurse educator?
- A. Provide direct patient care
- B. Conduct research on nursing practices
- C. Develop and implement educational programs for nursing staff
- D. Supervise nursing staff
Correct answer: C
Rationale: The role of a nurse educator primarily involves developing and implementing educational programs for nursing staff. While providing direct patient care and supervising nursing staff are essential functions in healthcare, these tasks are not the primary responsibilities of a nurse educator. Conducting research on nursing practices is typically associated with the role of a nurse researcher, not a nurse educator.
3. A nurse enters the hospital room of a client with reduced immunity. What observation requires further action by the nurse?
- A. The client is in a private room.
- B. The client has a vase of fresh flowers on the table
- C. The client has a dedicated vital signs machine
- D. There is hand sanitizer by the door
Correct answer: The client has a vase of fresh flowers on the table
Rationale:
4. What is the best intervention for a patient with suspected deep vein thrombosis (DVT)?
- A. Administer anticoagulants
- B. Apply compression stockings
- C. Encourage ambulation
- D. Monitor oxygen saturation
Correct answer: A
Rationale: The best intervention for a patient with suspected deep vein thrombosis (DVT) is to administer anticoagulants. Anticoagulants help prevent further clot formation and reduce the risk of complications such as pulmonary embolism. Applying compression stockings can help manage symptoms but does not address the underlying issue of clot formation. Encouraging ambulation is beneficial for overall circulation but may not be sufficient to treat DVT. Monitoring oxygen saturation is important, but it is not the primary intervention for suspected DVT.
5. A nurse is assessing a client who is postoperative following a thyroidectomy. Which of the following findings should the nurse report to the provider?
- A. Serum calcium level of 8 mg/dL.
- B. Urine output of 60 mL/hr.
- C. Heart rate of 110/min.
- D. Temperature of 37.5°C (99.5°F).
Correct answer: C
Rationale: The correct answer is C. A heart rate of 110/min is elevated and may indicate hypocalcemia, a potential complication following a thyroidectomy. Elevated heart rate can be a sign of hypocalcemia due to the close relationship between calcium levels and cardiac function. Option A, serum calcium level of 8 mg/dL, is within the normal range (8.5-10.5 mg/dL) and would not be a cause for concern post-thyroidectomy. Option B, urine output of 60 mL/hr, is within the normal range for urine output and not typically a priority finding post-thyroidectomy. Option D, a temperature of 37.5°C (99.5°F), is slightly elevated but not a critical finding post-thyroidectomy unless accompanied by other symptoms.
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