ATI RN
ATI Pediatrics Exam 1 Questions
Extract:
A client with a spinal cord injury reporting hot, burning, tingling pain shooting down extremities.
Question 1 of 5
A client with a spinal cord injury reports hot, burning, tingling, pain that shoots down his extremities. When the client asks why this occurs, what is the nurse's best response?
Correct Answer: C
Rationale: Neuropathic pain from nerve damage in the spinal cord causes burning, tingling sensations. Repositioning, inflammation, or a 2-week resolution are incorrect explanations.
Extract:
A client with Alzheimer's disease exhibiting confabulation.
Question 2 of 5
During a client interview, the nurse notices that the client often fills in information with made-up stories. Which stage of Alzheimer's disease will the nurse see this behavior?
Correct Answer: D
Rationale: Confabulation, filling memory gaps with fabricated stories, is common in early Alzheimer's, compensating for mild memory deficits. Later stages involve more severe impairments.
Extract:
A client with a C3 spinal cord injury.
Question 3 of 5
When planning care for a client with a C3 spinal cord injury, which of the following will the nurse identify as the priority ongoing assessment?
Correct Answer: C
Rationale: Counting respirations is critical for a C3 injury due to phrenic nerve involvement, risking respiratory failure. Urinary output, blood pressure, and bowel sounds are secondary.
Extract:
A client with dementia who is agitated and having difficulty staying in his chair.
Question 4 of 5
A nurse is caring for a client who has dementia. The client is agitated and is having difficulty staying in his chair. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: A seat alarm monitors movement, ensuring safety without restricting mobility, a first-line non-pharmacological intervention. Restraints, bed placement, or lorazepam are less appropriate initial actions.
Extract:
A client who is 2 days postpartum and wants to continue using her diaphragm for contraception.
Question 5 of 5
A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Postpartum cervical changes require diaphragm refitting for effective contraception. Four-hour retention is incorrect (6 hours is standard), oil-based lubricants damage diaphragms, and sterile water storage is improper.