ATI RN
ATI Nursing Care of Children
1. Which is considered a block to effective communication?
- A. Using silence
- B. Using clichés
- C. Directing the focus
- D. Defining the problem
Correct answer: B
Rationale: Using clichés is a communication block because it can come across as dismissive or insincere, hindering meaningful dialogue.
2. A nurse is caring for a client who is 1 day postoperative following a total knee replacement. Which of the following findings should the nurse report to the provider?
- A. Heart rate of 88/min
- B. Serous drainage on the dressing
- C. Temperature 37.3°C (99.1°F)
- D. Calf pain on dorsiflexion
Correct answer: D
Rationale: The correct answer is D. Calf pain on dorsiflexion following knee surgery may indicate a complication such as deep vein thrombosis, which is a serious condition requiring medical attention. Reporting this finding promptly is crucial to prevent further complications. Choices A, B, and C are within normal range for a client post knee surgery and do not typically indicate immediate complications that require urgent reporting.
3. A client is 24 hr postoperative following an abdominal aortic aneurysm resection. Which of the following findings is a priority to report?
- A. Serosanguineous drainage on dressing
- B. Abdominal distention
- C. Absent bowel sounds
- D. Urine output of 20 mL/hr
Correct answer: D
Rationale: Urine output less than 30 mL/hr is indicative of decreased kidney function, potentially due to inadequate perfusion or other complications post-aneurysm resection. This finding requires immediate reporting to prevent further complications such as acute kidney injury. Serosanguineous drainage on the dressing, abdominal distention, and absent bowel sounds are also important postoperative assessments but are not as critical as impaired kidney function in this scenario.
4. Which monosaccharide is the most sweet?
- A. Glucose
- B. Dextrose
- C. Fructose
- D. Sucrose
Correct answer: C
Rationale: Fructose is the sweetest of the monosaccharides. Note that glucose and dextrose are the same, and sucrose is a disaccharide, not a monosaccharide.
5. In consideration of the steps in applying the bag technique, which side of the paper lining of the CHN bag is considered clean to make a non-contaminated work area?
- A. The lower lip
- B. The outer surface
- C. The upper tip
- D. The inside surface
Correct answer: B
Rationale: Nursing interventions should be grounded in a deep understanding of the physiological processes involved, ensuring that care provided is both effective and efficient.
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