ATI RN
ATI Pediatrics Exam 1 Questions
Extract:
A client with respiratory muscle weakness, difficulty swallowing, and abdominal pain.
Question 1 of 5
A client arrives with respiratory muscle weakness, difficulty swallowing and abdominal pain. Which of the following reported by the client's husband is relevant to the client's manifestations?
Correct Answer: A
Rationale: Influenza vaccination may trigger Guillain-Barre syndrome, relevant to the symptoms. Golfing, canning, or diabetes are not directly related.
Extract:
A client with a T4-T5 injury suspected to be in neurogenic shock.
Question 2 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: Bradycardia and hypotension are signs of neurogenic shock due to loss of sympathetic tone, causing vasodilation and reduced heart rate. Hypertension and elevated temperature indicate autonomic dysreflexia, and fixed pupils suggest brain death, not neurogenic shock.
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: A new cough after eating suggests possible aspiration, a life-threatening issue requiring immediate assessment. Medication refusal, constipation, and a stage II pressure ulcer are less urgent.
Extract:
A patient with dementia who experienced sundowning late in the afternoon for two days.
Question 4 of 5
The day shift nurse at the long-term care facility learns that a patient with dementia experienced sundowning late in the afternoon on the previous two days. Which is the best action by the nurse?
Correct Answer: A
Rationale: Keeping blinds open regulates circadian rhythm, reducing sundowning severity. Naps may disrupt sleep, hourly orientation may overwhelm, and moving to a quiet room doesn't address the underlying issue.
Extract:
The primary caregiver of a client with newly diagnosed Alzheimer's disease.
Question 5 of 5
The primary caregiver of a client with newly diagnosed Alzheimer's disease states 'I don't know how I will handle caring for my spouse with this disease'. What is the nurse's best first response?
Correct Answer: A
Rationale: An empathetic response encourages the caregiver to share concerns, fostering communication. Other options dismiss emotions, probe prematurely, or minimize the caregiver's role.