ATI RN
ATI Pediatric Nursing n100 Exam Questions
Extract:
A 35-year-old male client shares that he has always thought of himself as being female, feeling anxious, embarrassed, and socially isolated.
Question 1 of 5
A 35-year-old male client shares with the nurse that he has always thought of himself as being female. The client feels anxious, embarrassed and socially isolated. How should the nurse respond to this client?
Correct Answer: B
Rationale: The correct answer is B. The nurse should provide information about support groups and community resources for questioning and/or transgender people. This response is appropriate as it addresses the client's feelings of anxiety, embarrassment, and social isolation by offering practical support and resources. It validates the client's experience and offers a proactive solution to help him navigate his feelings and find a sense of community. This response promotes the client's well-being and provides a safe space for the client to explore his identity.
Choices A, C, and D are incorrect. A does not offer practical support or resources, C assumes medication is the only solution without exploring other options, and D shifts the focus away from the client's experience to a personal anecdote.
Extract:
A client who presents with a sudden 5 lb. (2.3 kg) weight gain, bounding pulses, and a blood pressure of 174/94.
Question 2 of 5
The nurse is caring for a client who presents with a sudden 5 lb. (2.3 kg) weight gain, bounding pulses, and a blood pressure of 174/94. These clinical findings are indicative of:
Correct Answer: C
Rationale: The correct answer is C: excess fluid volume. The sudden weight gain, bounding pulses, and elevated blood pressure indicate fluid overload. Bounding pulses suggest increased blood volume, while the elevated blood pressure reflects increased fluid in the vascular system. The weight gain further supports excess fluid retention. Hypovolemic shock (
A) is characterized by low blood volume, not excessive fluid. Hemodilution (
B) refers to a decrease in blood concentration, not fluid overload. Deficient fluid volume (
D) would present with hypotension and decreased urine output.
Extract:
An elderly client after bilateral knee replacement surgery.
Question 3 of 5
After bilateral knee replacement surgery, an elderly client wants to go to a rehabilitation facility for additional physical therapy. That facility refuses to admit this client for insurance reasons. The nurse then calls the insurance company and strongly explains why this client needs to go to a rehabilitation facility. This is an example of:
Correct Answer: D
Rationale: The correct answer is D: advocacy. Advocacy involves speaking up on behalf of a client to ensure their needs are met. In this scenario, the nurse is advocating for the elderly client by calling the insurance company to argue for their admission to a rehabilitation facility for necessary physical therapy. This action aligns with the nurse's duty to promote the best interests of the client.
A: Responsibility does not fully capture the nurse's proactive and persuasive action in advocating for the client.
B: Confidentiality is not relevant to the situation described.
C: Social justice focuses on fairness and equality in society, which is not directly demonstrated in this scenario.
In summary, the most appropriate choice is D as it reflects the nurse's active intervention to support the client's well-being.
Extract:
A client who expresses concerns about sexual orientation.
Question 4 of 5
The nurse is caring for a client who expresses concerns about sexual orientation. When using the PLISSIT model, which step will the nurse take first?
Correct Answer: B
Rationale: The correct answer is B because in the PLISSIT model, which stands for Permission, Limited Information, Specific Suggestions, and Intensive Therapy, the first step is to provide permission for the client to discuss their concerns. By communicating an open, accepting attitude, the nurse creates a safe and non-judgmental environment for the client to express their feelings and concerns about sexual orientation. This step sets the foundation for further exploration and support.
Incorrect choices:
A: Providing information and commenting on alternatives (
A) comes later in the model after permission is established.
C: Referring the client to a sex therapist (
C) is not the first step and may be premature without fully assessing the client's needs.
D: Teaching the client about normal sexual health (
D) is also not the first step as it does not address the client's specific concerns about sexual orientation.
Extract:
A 60-year-old recovering from a heart attack.
Question 5 of 5
The nurse is prioritizing the day's interventions. Which client should be the first to be taught about the hazards of straining when having a bowel movement?
Correct Answer: B
Rationale: The correct answer is B: 60-year-old recovering from a heart attack. This client should be the first to be taught about the hazards of straining during a bowel movement due to the increased risk of causing strain on the heart, which is still in the recovery phase. Straining during bowel movements can lead to increased intra-abdominal pressure and potentially worsen the heart condition. The other choices are not the priority for this teaching intervention. A: The 17-year-old with an ankle cast does not have a direct correlation to the hazards of straining during bowel movements. C: The 80-year-old admitted for an infected tooth would not be the priority as the dental issue does not impact the heart directly. D: The 28-year-old new mother of twins is not the priority for this teaching intervention as there are no indications that her situation requires immediate education on this topic.