ATI RN
ATI Pediatrics Exam 1 Questions
Extract:
A client with a spinal cord injury.
Question 1 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 patient with dementia who experienced sundowning late in the afternoon for two days.
Question 2 of 5
The day shift nurse at the long-term care facility learns that a patient with dementia experienced sundowning late in the afternoon on the previous two days. Which is the best action by the nurse?
Correct Answer: A
Rationale: Keeping blinds open regulates circadian rhythm, reducing sundowning severity. Naps may disrupt sleep, hourly orientation may overwhelm, and moving to a quiet room doesn't address the underlying issue.
Extract:
A client with Alzheimer's disease.
Question 3 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 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 a spinal cord injury.
Question 5 of 5
After performing an assessment on a client with a spinal cord injury, which intervention will the nurse employ to prevent cardiovascular complications?
Correct Answer: A
Rationale: Sitting at a 90-degree angle improves venous return, preventing orthostatic hypotension. Excessive fluid, compression socks, or precise BP maintenance are not appropriate primary interventions.