ATI RN
ATI Pediatrics Exam 1 Questions
Extract:
An older adult client with dementia who handles anxiety by confabulating.
Question 1 of 5
A nurse is caring for an older adult client who has dementia and handles anxiety by confabulating. The nurse should recognize which of the following as confabulation?
Correct Answer: A
Rationale: Confabulation involves making up stories to fill memory gaps, a common dementia behavior. Reminiscing, compulsive behaviors, or refusal to leave home are distinct phenomena.
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 with a spinal cord injury.
Question 3 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 and complications. Decreasing fluid, observing odor (monitoring, not prevention), or indwelling catheters increase infection risk. (Note: Document states hourly, but standard practice is every 3-6 hours, adjusted here for accuracy.)
Extract:
A client diagnosed with trigeminal neuralgia.
Question 4 of 5
The nurse is caring for a client diagnosed with trigeminal neuralgia. The client asks the nurse, 'Why do I have so much pain?' Which of the following responses by the nurse is most appropriate?
Correct Answer: D
Rationale: Pain in trigeminal neuralgia results from nerve stimulation by pressure or temperature. Nasal stuffiness, hypoglycemia, or catecholamines are not causes of this condition.
Extract:
A client with partial paralysis repositioned to a side-lying position.
Question 5 of 5
A client who suffered partial paralysis is repositioned by the nurse every 2 hours. After placing the client in a side-lying position, what action will nurse take to prevent complications?
Correct Answer: C
Rationale: Placing a pillow between knees and ankles prevents pressure ulcers and skin breakdown in a side-lying position. Measuring calves, palpating the bladder, or checking the gag reflex are unrelated to repositioning complications.