ATI RN
ATI Pediatric Nursing n100 Exam Questions
Extract:
A client under extreme stress.
Question 1 of 5
A client who is under extreme stress will have an increased production of antidiuretic hormone (ADH) and aldosterone. The nurse should expect a decrease in which clinical finding?
Correct Answer: B
Rationale: Increased ADH and aldosterone promote water retention, reducing urinary output to conserve fluid volume during stress.
Extract:
A client with an indwelling urinary catheter.
Question 2 of 5
The client asks the nurse 'Why is it necessary to secure the indwelling urinary catheter to my thigh?' The nurse's best response would be. 'It is Important to prevent:
Correct Answer: A
Rationale: Securing the catheter prevents movement that could cause urinary leakage around the catheter, reducing skin irritation and infection risk.
Extract:
An adult patient with constipation.
Question 3 of 5
The nurse must administer an enema to an adult patient with constipation. Which is a safe and effective distance for the nurse to insert the tubing into the patient's rectum? (SELECT ALL THAT APPLY)
Correct Answer: A,E
Rationale: Inserting the tubing 3-4 inches allows effective delivery of the enema solution to the sigmoid colon without risking injury.
Extract:
The mother of a 7-year-old child is concerned that the child 'touches and plays' with the genitals despite being punished for doing so.
Question 4 of 5
Which response should the nurse make to the mother? (SELECT ALL THAT APPLY)
Correct Answer: B,C,E
Rationale: Physical punishment is ineffective and potentially harmful; genital touching is a normal part of body exploration at this age, and the behavior is likely temporary, resolving with maturity.
Extract:
A client receiving pain reassessment after repositioning and analgesic administration.
Question 5 of 5
A nurse verbally contracts with a client to reassess their pain level after repositioning and an analgesic is given. The nurse returns within 60 minutes to evaluate effectiveness of the interventions. What ethical principle does this represent?
Correct Answer: D
Rationale: Fidelity involves keeping promises, as the nurse honors the commitment to reassess pain within the agreed time frame.