ATI RN
ATI Pediatrics Exam 1 Questions
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 1 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 tetanus.
Question 2 of 5
When educating a client about tetanus, which of the following will the nurse include in teaching? Select All that Apply
Correct Answer: B,E
Rationale: Tetanus causes sustained muscle contractions and is transmitted via spores in soil, gardens, or manure. It affects the nervous system broadly, not just the spinal cord, and is bacterial, not viral or food-related.
Extract:
A client who is 2 days postpartum and wants to continue using her diaphragm for contraception.
Question 3 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 17-year-old with a spinal cord injury from diving into shallow water.
Question 4 of 5
A 17-year old was injured after diving into shallow water. He was transported to the emergency department where imaging indicated he suffered a spinal cord injury. Based on this information, what mechanism likely caused the spinal cord injury?
Correct Answer: B
Rationale: Diving into shallow water causes spinal compression, squeezing the spinal cord. Hyperextension, flexion-rotation, or flexion involve different mechanisms not typical here.
Extract:
A patient with possible Alzheimer's disease undergoing a Mini-Cog exam.
Question 5 of 5
When administering the Mini-Cog exam to a patient with possible Alzheimer's disease, which action will the nurse take?
Correct Answer: D
Rationale: The Mini-Cog exam includes a clock-drawing task to assess cognitive impairment. Orientation, medication lists, or object recognition are not part of this test.