ATI RN
ATI Pediatrics Exam 1 Questions
Extract:
A client with Alzheimer's having increased behavioral issues posing safety concerns.
Question 1 of 5
A client with Alzheimer's is having increased behavioral issues that have become a safety concern for the client and others. Which of the following medications will the nurse discuss with the physician for inclusion in the client's care plan?
Correct Answer: B
Rationale: Antipsychotics manage severe agitation or aggression in Alzheimer's when safety is a concern. Sedatives, cholinesterase inhibitors, or SSRIs are less effective for behavioral issues.
Extract:
A client who is 2 days postpartum and wants to continue using her diaphragm for contraception.
Question 2 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.
Extract:
A client reporting redness, warmth, and swelling after stepping on a nail one week ago.
Question 3 of 5
A client arrives reporting redness, warmth, and swelling after stepping on a nail one week ago. What is the nurse's priority action?
Correct Answer: D
Rationale: Requesting an X-ray is the priority to assess for retained foreign bodies or structural damage, which could worsen infection or complications. Cleansing and dressing the wound follow, and immunization history is secondary.
Extract:
A client with quadriplegia from a spinal cord injury, reporting a severe headache with a blood pressure of 210/108 mm Hg, suspected of autonomic dysreflexia.
Question 4 of 5
A nurse is caring for a client who has quadriplegia from a spinal cord injury and reports having a severe headache. The nurse obtains a blood pressure reading of 210/108 mm Hg and suspects the client is experiencing autonomic dysreflexia. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Assessing for bladder distention, a common trigger of autonomic dysreflexia, is the priority to identify and address the cause of severe hypertension. Lying flat, checking heart rate, or administering medication follow.
Extract:
A client with upper motor neuron deficit related to a spinal cord injury.
Question 5 of 5
Which of the following manifestations can the nurse expect in a client with upper motor neuron deficit related to a spinal cord injury?
Correct Answer: D
Rationale: Spasticity and involuntary voiding are common in upper motor neuron deficits due to loss of inhibitory control over reflexes. Leakage and anuria are not typical, and flaccid bladder is associated with lower motor neuron deficits.