ATI RN Nursing Care of Children A and B From
Esteemed Educators Worldwide Questions from
Top-Tier Universities With Detailed Answer
Rationale Complete Solutions for Each Question
A client is considering having a tubal ligation and reports being uncertain about if it is the
right thing to do. Which of the following action should the nurse take? - -correct ans- -
Discussed clients feelings about the procedure
A nurse should encourage the client to discuss any feelings or concerns about the
procedure
A nurse on a mental health unit is teaching a newly licensed nurse about clients rights.
Which of the following statements by the newly licensed nurse indicates an understanding
of the teaching? - -correct ans- -Clients on a mental health unit can refuse their medication
Regardless of the type of healthcare facility or admission status, clients maintain the right
to refuse medication
A nurse is receiving report from the assistive personnel (AP) assign to the nurses group of
clients. Which of the following statements from the AP indicates the client the nurse assess
first? - -correct ans- -The client who had an indwelling urinary catheter removed 8 hours
ago reports an inability to void
Not voiding for 6 to 8 hours after indwelling urinary catheter removal indicates this client is
at risk for urinary retention, which can cause urinary tract infection. Overdistention of the
bladder can cause damage to the mucosa. Therefore, the nurse should assess the client
first and report findings to the provider.
,A nurse manager needs to address an increased rate of client medication errors. Which of
the following statements represents an authoritarian approach to managing this issue?
A) Inform the staff of the penalties that can result from medication errors
B) encourage the staff to have two nurses verify medication orders to prevent errors
C) provide a suggestion box for the staff to submit ideas for error prevention
D) ask three experience nurses to help investigate common causes of these hours - -
correct ans- -A) is correct
A) The nurse manager is using penalties to promote behavior change; this is a
characteristic of authoritarian leadership
B) this is an example of using a democratic leadership style by offering constructive
feedback
C) this is an example of using laissez-faire leadership approach; this places emphasis on
group decision making
D) this is an example of using a democratic leadership style when consulting others to help
the decision making process
A charge nurse is preparing to observe a newly licensed nurse perform a routine abdominal
assessment. Which of the following action should the charge nurse expect the newly
licensed nurse to take? - -correct ans- -Place the client in a dorsal recumbent position for
the examination
To prepare the client for a routine abdominal assessment, the nurse should place the client
in a dorsal recumbent or supine position ensure the client relaxes their abdomen muscles
A nurse is caring for a client who reports vomiting and diarrhea for the past 6 hours. The
nurse should identify that which of the following assessments is the priority? - -correct
ans- -Obtain the client's serum potassium level.
, Because vomiting and diarrhea contribute to the loss of potassium through body fluids, the
greatest risk to the client is life-threatening cardiac dysrhythmias as a result of
hypokalemia; therefore, the nurse should identify that the priority assessment is the client
serum potassium level
An assistive personnel (AP) tell the charge nurse that it is unfair that they have to take care
of all the clients who are incontinent. Which of the following responses should the charge
nurse make? - -correct ans- -I delegate tasks to personnel based on their job descriptions
This response addresses the APs concerns and provide clear information about the charge
nurses responsibility when delegating tasks
A nurse is observing a newly licensed nurse perform a sterile dressing change on a client
who has a central venous catheter. Which of the following action should the newly licensed
nurse take? - -correct ans- -Pick up the first sterile glove by grasping the folded cuff edge
The nurse should pick up the first sterile gloves by grasping the folded Coffe edge, which is
the Palmer side, to prevent contamination of the outside of the gloves
The nurse is reviewing a clients clinical pathway upon discharge following a hip
arthroplasty. Which of the following information can assist the nurse in evaluating the cost
effectiveness of the care? - -correct ans- -length of clients stay
The clients clinical pathway is a standardized approach to assist the nurse to provide cost
effective client care and shorten the length of stay
Serving a newly licensed nurses use of time management skills. Which of the following
actions by the newly licensed nurse indicates effective use of the skill? - -correct ans- -
Groups tasks that are in the same location
Esteemed Educators Worldwide Questions from
Top-Tier Universities With Detailed Answer
Rationale Complete Solutions for Each Question
A client is considering having a tubal ligation and reports being uncertain about if it is the
right thing to do. Which of the following action should the nurse take? - -correct ans- -
Discussed clients feelings about the procedure
A nurse should encourage the client to discuss any feelings or concerns about the
procedure
A nurse on a mental health unit is teaching a newly licensed nurse about clients rights.
Which of the following statements by the newly licensed nurse indicates an understanding
of the teaching? - -correct ans- -Clients on a mental health unit can refuse their medication
Regardless of the type of healthcare facility or admission status, clients maintain the right
to refuse medication
A nurse is receiving report from the assistive personnel (AP) assign to the nurses group of
clients. Which of the following statements from the AP indicates the client the nurse assess
first? - -correct ans- -The client who had an indwelling urinary catheter removed 8 hours
ago reports an inability to void
Not voiding for 6 to 8 hours after indwelling urinary catheter removal indicates this client is
at risk for urinary retention, which can cause urinary tract infection. Overdistention of the
bladder can cause damage to the mucosa. Therefore, the nurse should assess the client
first and report findings to the provider.
,A nurse manager needs to address an increased rate of client medication errors. Which of
the following statements represents an authoritarian approach to managing this issue?
A) Inform the staff of the penalties that can result from medication errors
B) encourage the staff to have two nurses verify medication orders to prevent errors
C) provide a suggestion box for the staff to submit ideas for error prevention
D) ask three experience nurses to help investigate common causes of these hours - -
correct ans- -A) is correct
A) The nurse manager is using penalties to promote behavior change; this is a
characteristic of authoritarian leadership
B) this is an example of using a democratic leadership style by offering constructive
feedback
C) this is an example of using laissez-faire leadership approach; this places emphasis on
group decision making
D) this is an example of using a democratic leadership style when consulting others to help
the decision making process
A charge nurse is preparing to observe a newly licensed nurse perform a routine abdominal
assessment. Which of the following action should the charge nurse expect the newly
licensed nurse to take? - -correct ans- -Place the client in a dorsal recumbent position for
the examination
To prepare the client for a routine abdominal assessment, the nurse should place the client
in a dorsal recumbent or supine position ensure the client relaxes their abdomen muscles
A nurse is caring for a client who reports vomiting and diarrhea for the past 6 hours. The
nurse should identify that which of the following assessments is the priority? - -correct
ans- -Obtain the client's serum potassium level.
, Because vomiting and diarrhea contribute to the loss of potassium through body fluids, the
greatest risk to the client is life-threatening cardiac dysrhythmias as a result of
hypokalemia; therefore, the nurse should identify that the priority assessment is the client
serum potassium level
An assistive personnel (AP) tell the charge nurse that it is unfair that they have to take care
of all the clients who are incontinent. Which of the following responses should the charge
nurse make? - -correct ans- -I delegate tasks to personnel based on their job descriptions
This response addresses the APs concerns and provide clear information about the charge
nurses responsibility when delegating tasks
A nurse is observing a newly licensed nurse perform a sterile dressing change on a client
who has a central venous catheter. Which of the following action should the newly licensed
nurse take? - -correct ans- -Pick up the first sterile glove by grasping the folded cuff edge
The nurse should pick up the first sterile gloves by grasping the folded Coffe edge, which is
the Palmer side, to prevent contamination of the outside of the gloves
The nurse is reviewing a clients clinical pathway upon discharge following a hip
arthroplasty. Which of the following information can assist the nurse in evaluating the cost
effectiveness of the care? - -correct ans- -length of clients stay
The clients clinical pathway is a standardized approach to assist the nurse to provide cost
effective client care and shorten the length of stay
Serving a newly licensed nurses use of time management skills. Which of the following
actions by the newly licensed nurse indicates effective use of the skill? - -correct ans- -
Groups tasks that are in the same location
