ATI RN
ATI Pediatrics Exam 1 Questions
Extract:
A client with Alzheimer's disease.
Question 1 of 5
A home health nurse is reinforcing coping strategies with the family caregiver of a client who has Alzheimer's disease. Which of the following information should the nurse include in the teaching? (Select all that apply.)
Correct Answer: A,B,C,D
Rationale: Understanding disease changes, stress reduction, community resources, and social support help caregivers cope. Medication instruction is less relevant to coping strategies.
Extract:
A client with a T4-T5 injury suspected to be in neurogenic shock.
Question 2 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 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 a newly diagnosed spinal cord injury.
Question 4 of 5
When addressing the needs of a client with a newly diagnosed spinal cord injury, the nurse understands that which of the following are true about nutritional needs?
Correct Answer: B
Rationale: A high-calorie, high-protein diet within 3 days supports healing and prevents muscle wasting. NPO status, high fiber with low protein, or no protein are not standard practices.
Extract:
A client hospitalized with Guillain-Barre Syndrome.
Question 5 of 5
When planning care for a client hospitalized with Guillain-Barre Syndrome, which of the following will the nurse report to the physician?
Correct Answer: C
Rationale: Hypoactive bowel sounds may indicate a serious issue like paralytic ileus, requiring physician notification. Sleep issues, device removal, or a normal Glasgow Coma Score are less urgent.