ATI RN
ATI Pediatrics Exam 1 Questions
Extract:
A client with a T4-T5 injury suspected to be in neurogenic shock.
Question 1 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:
A client with deficits from a spinal cord injury with an O2 saturation of 92%.
Question 2 of 5
After assessing a client with deficits from a spinal cord injury, the nurse identifies the client's O2 saturation is 92%. Which of the following is the best first action by the nurse?
Correct Answer: B
Rationale: Asking the client to cough and breathe deeply improves oxygenation and assesses respiratory status for a mildly low O2 saturation. Intubation, IV insertion, or antihypertensives are premature without further assessment.
Extract:
A patient with possible Alzheimer's disease undergoing a Mini-Cog exam.
Question 3 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.
Extract:
A client with a spinal cord injury.
Question 4 of 5
After performing an assessment on a client with a spinal cord injury, which intervention will the nurse employ to prevent cardiovascular complications?
Correct Answer: A
Rationale: Sitting at a 90-degree angle improves venous return, preventing orthostatic hypotension. Excessive fluid, compression socks, or precise BP maintenance are not appropriate primary interventions.
Extract:
A client with tetanus.
Question 5 of 5
When educating a client about tetanus, which of the following will the nurse include in teaching? Select All that Apply
Correct Answer: B,E
Rationale: Tetanus causes sustained muscle contractions and is transmitted via spores in soil, gardens, or manure. It affects the nervous system broadly, not just the spinal cord, and is bacterial, not viral or food-related.