ATI RN
ATI Pediatrics Exam 1 Questions
Extract:
A client with upper motor neuron deficit related to a spinal cord injury.
Question 1 of 5
Which of the following manifestations can the nurse expect in a client with upper motor neuron deficit related to a spinal cord injury?
Correct Answer: D
Rationale: The correct answer is D: Spastic, involuntary voiding. In upper motor neuron deficits related to spinal cord injury, there is an interruption of inhibitory signals leading to spasticity in the bladder muscles, causing involuntary voiding. This occurs due to loss of supraspinal control over reflex pathways. Option A, leakage, is more common in lower motor neuron lesions. Anuria, option B, is related to kidney function and not specific to upper motor neuron deficits. Option C, flaccid bladder and inability to voluntarily void, is characteristic of lower motor neuron deficits.
Extract:
A client reporting redness, warmth, and swelling after stepping on a nail one week ago.
Question 2 of 5
A client arrives reporting redness, warmth, and swelling after stepping on a nail one week ago. What is the nurse's priority action?
Correct Answer: D
Rationale: The correct answer is D: Request an X-Ray. This is the priority action because the client is presenting with redness, warmth, and swelling after stepping on a nail, which could indicate an infection or foreign body retained in the wound. An X-Ray is needed to assess for any foreign object or potential bone involvement. Cleansing the wound or dressing it can wait until further assessment is done. Identifying immunization history is not the priority in this situation.
Extract:
Patients on the memory unit: a patient with a new cough after breakfast, a patient refusing medications, a patient with no bowel movement for 5 days, a patient with a stage II pressure ulcer.
Question 3 of 5
After receiving change-of-shift report for clients on the memory unit, which patient will the nurse see first?
Correct Answer: A
Rationale: The correct answer is A: Patient who developed a new cough after eating breakfast. This patient needs immediate assessment as a new cough can indicate a potential respiratory issue requiring urgent attention to ensure airway patency and respiratory function. The nurse must prioritize this patient to rule out any serious conditions like aspiration pneumonia. Refusing medication (
B) can be addressed after assessing the critical patient. Constipation (
C) and pressure ulcers (
D) are important but not as urgent as a new cough.
Extract:
A client with a diagnosis of trigeminal neuralgia.
Question 4 of 5
A client with a diagnosis of trigeminal neuralgia reports which of the following manifestations as significantly affecting her quality of life?
Correct Answer: B
Rationale: The correct answer is B: Pain. Trigeminal neuralgia is a condition characterized by severe facial pain. This pain can be sudden, intense, and debilitating, significantly impacting a person's quality of life. Lethargy (
A), social withdrawal (
C), and poor hygiene (
D) may be secondary effects of the pain but are not the primary manifestation. Pain directly affects daily activities, mood, and overall well-being, making it the most significant factor affecting quality of life in trigeminal neuralgia.
Extract:
A client with a T4-T5 injury suspected to be in neurogenic shock.
Question 5 of 5
A client has sustained a T4-T5 injury and the nurse suspects he is in neurogenic shock. Which of the following manifestations are consistent with neurogenic shock? Select All that Apply
Correct Answer: C,E
Rationale: The correct manifestations consistent with neurogenic shock in a T4-T5 injury are bradycardia (
C) and hypotension (E). This is due to disruption of sympathetic nervous system causing vasodilation and decreased cardiac output. Bradycardia occurs due to loss of sympathetic tone on the heart. Hypotension results from vasodilation leading to decreased vascular resistance. The other choices are incorrect. Hypertension (
A) is not a typical finding in neurogenic shock. Rapidly elevating temperature (
B) is not a common symptom but can occur due to other reasons like infection. Fixed and dilated pupils (
D) are more indicative of severe brain injury rather than neurogenic shock.