ATI RN
ATI Nursing Proctored Pediatric Test Banks Questions
Question 1 of 5
A client asks the nurse about the four-point gait when partial weight bearing is permitted. What is the nurse's BEST response?
Correct Answer: A
Rationale: In the four-point gait when partial weight bearing is permitted, the correct technique is to move the right crutch ahead, then follow with the left foot. This technique provides the most stability and support for the individual while allowing for proper weight distribution and balance. Moving the crutches and legs in a coordinated fashion helps prevent falls and ensures the safe ambulation of the client.
Question 2 of 5
After a 3- month trail of dietary therapy, a client with type2 diabetes mellitus still has blood glucose levels above 180 mg/dl. The physician adds glyburide (DiaBeta), 2.5 mg P.O. daily, to the treatment regimen. The nurse should instruct the client to take glyburide:
Correct Answer: D
Rationale: Glyburide (DiaBeta) is a sulfonylurea medication used to treat type 2 diabetes mellitus by stimulating the pancreas to release more insulin. Taking glyburide at bedtime is recommended because it helps to ensure that the medication's peak action aligns with the natural rise in blood glucose levels in the early morning hours, which can help control fasting blood glucose levels. Additionally, taking glyburide in the evening reduces the risk of hypoglycemia during the day when the client may be more active and less likely to monitor blood glucose levels closely.
Question 3 of 5
A client has type1 diabetes. Her husband finds her unconscious at home and administers glucagons, 0.5 mg S.C. She awakens in 5 minutes .Why her husband offer a complex carbohydrate snack to her as soon as possible?
Correct Answer: B
Rationale: Providing a complex carbohydrate snack to the client after she has been treated with glucagon is important to restore liver glycogen and prevent secondary hypoglycemia. Glucagon works by stimulating the liver to release stored glucose, which quickly raises blood sugar levels. However, this can deplete the liver's glycogen stores, making the client susceptible to experiencing hypoglycemia again if additional glucose is not consumed. Offering a complex carbohydrate snack will help replenish the liver's glycogen stores and sustain blood sugar levels to prevent a recurrence of hypoglycemia.
Question 4 of 5
The nurse is assigned to care for a postoperative client who has diabetes mellitus. During the assessment interview, the client reports that he's impotent and says he's concerned about its effect on his marriage. In planning this client's care, the most appropriate intervention would be to:
Correct Answer: D
Rationale: Suggesting a referral to a sex counselor or other appropriate professional would be the most appropriate intervention in this case. Impotence or erectile dysfunction can have significant emotional and psychological implications, especially in the context of a marital relationship. A sex counselor or therapist who specializes in sexual health can provide the necessary support, guidance, and strategies to help the client and his spouse navigate this issue effectively. This intervention is aimed at addressing the client's concerns about impotence, its impact on his marriage, and ultimately promoting holistic well-being.
Question 5 of 5
The nurse knows that Parkinson's disease a progressive neurologic disorder is characterized by:
Correct Answer: D
Rationale: Parkinson's disease is a progressive neurologic disorder that is characterized by a triad of symptoms known as the classic Parkinsonian triad. These symptoms include bradykinesia (slowness of movement), tremor (involuntary shaking), and muscle rigidity (stiffness of the muscles). Therefore, all of the given choices are correct in describing the characteristics of Parkinson's disease.