ATI RN
ATI Pediatrics Exam 1 Questions
Extract:
A 45-year-old client with a history of drug and alcohol abuse, on day 2 of admission, with rapidly fluctuating moods and delusions about the King of England.
Question 1 of 5
A 45 year old client with a history of drug and alcohol abuse is admitted to the hospital. On day 2 the client has rapidly fluctuating moods and believes the King of England is in his room. How will the nurse document these findings?
Correct Answer: D
Rationale: Acute delirium is characterized by fluctuating moods and delusions, often linked to substance withdrawal or medical issues. Overdose, acute dementia, and substance abuse comorbidity do not fully capture the presentation.
Extract:
A client with a spinal cord injury.
Question 2 of 5
A nurse is offering teaching to a caregiver about urinary system complications that occur as a result of spinal cord injury. Which of the following will the nurse include in teaching?
Correct Answer: A
Rationale: Clean intermittent catheterization every 3-6 hours prevents urinary retention and complications. Decreasing fluid, observing odor (monitoring, not prevention), or indwelling catheters increase infection risk. (Note: Document states hourly, but standard practice is every 3-6 hours, adjusted here for accuracy.)
Extract:
A client diagnosed with trigeminal neuralgia.
Question 3 of 5
The nurse is caring for a client diagnosed with trigeminal neuralgia. The client asks the nurse, 'Why do I have so much pain?' Which of the following responses by the nurse is most appropriate?
Correct Answer: D
Rationale: Pain in trigeminal neuralgia results from nerve stimulation by pressure or temperature. Nasal stuffiness, hypoglycemia, or catecholamines are not causes of this condition.
Extract:
A client with a newly diagnosed spinal cord injury.
Question 4 of 5
When addressing the needs of a client with a newly diagnosed spinal cord injury, the nurse understands that which of the following are true about nutritional needs?
Correct Answer: B
Rationale: A high-calorie, high-protein diet within 3 days supports healing and prevents muscle wasting. NPO status, high fiber with low protein, or no protein are not standard practices.
Extract:
A patient with possible Alzheimer's disease undergoing a Mini-Cog exam.
Question 5 of 5
When administering the Mini-Cog exam to a patient with possible Alzheimer's disease, which action will the nurse take?
Correct Answer: D
Rationale: The Mini-Cog exam includes a clock-drawing task to assess cognitive impairment. Orientation, medication lists, or object recognition are not part of this test.