ATI RN
ATI Pediatrics Exam 1 Questions
Extract:
A client with a new spinal cord injury and an indwelling urinary catheter that has stopped flowing.
Question 1 of 5
A nurse caring for a client with a new spinal cord injury notices that the indwelling urinary catheter has stopped flowing. What is the nurses best first action?
Correct Answer: B
Rationale: Checking the tubing for kinks or obstructions is the first, non-invasive step to restore urine flow. Notifying the physician, removing, or replacing the catheter are premature.
Extract:
A client with a spinal cord injury.
Question 2 of 5
A nurse is offering teaching to a caregiver about urinary system complications that occur as a result of spinal cord injury. Which of the following will the nurse include in teaching?
Correct Answer: A
Rationale: Clean intermittent catheterization every 3-6 hours prevents urinary retention. Decreasing fluid, observing odor, or indwelling catheters are not preventive measures. (Note: Adjusted hourly to standard practice.)
Extract:
An older adult client with a new diagnosis of dementia.
Question 3 of 5
A nurse is teaching the family of an older adult client who has a new diagnosis of dementia. Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: Dementia is progressive and irreversible, unlike sudden confusion (delirium) or altered consciousness. Fever or dehydration may worsen symptoms but aren't primary triggers.
Extract:
An older adult client with dementia whose family asks why calming medication isn't prescribed.
Question 4 of 5
A nurse is caring for an older adult client who has dementia. The client's family member asks why the provider will not prescribe a medication to calm the client down. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: Calming medications like antipsychotics increase stroke risk in older adults with dementia, a primary reason to avoid them. Blood pressure, infection, or fall risks are less specific concerns.
Extract:
A client with severe Alzheimer's admitted to a long-term care facility.
Question 5 of 5
A client diagnosed with severe Alzheimer's has been admitted to a long term care facility. Which of the following are appropriate activities for the nurse to include in the care plan?
Correct Answer: A
Rationale: Simple puzzles stimulate cognition appropriately for severe Alzheimer's. Board games are too complex, ribbons/mobiles are demeaning, and drawing may not suit all clients.