ATI RN
ATI Pediatrics Exam 1 Questions
Extract:
A client with severe Alzheimer's admitted to a long-term care facility.
Question 1 of 5
A client diagnosed with severe Alzheimer's has been admitted to a long term care facility. Which of the following are appropriate activities for the nurse to include in the care plan?
Correct Answer: A
Rationale: Simple puzzles stimulate cognition appropriately for severe Alzheimer's. Board games are too complex, ribbons/mobiles are demeaning, and drawing may not suit all clients.
Extract:
A patient with dementia who experienced sundowning late in the afternoon for two days.
Question 2 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:
A client with a diagnosis of trigeminal neuralgia.
Question 3 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: Pain is the hallmark of trigeminal neuralgia, severely impacting quality of life due to its sudden, intense nature. Lethargy, social withdrawal, and poor hygiene may result from pain but are not primary manifestations.
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 4 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 client with a spinal cord injury.
Question 5 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. Decreasing fluid, observing odor, or indwelling catheters are not preventive measures. (Note: Adjusted hourly to standard practice.)