ATI RN
ATI Pediatrics Exam 1 Questions
Extract:
A client with a spinal cord injury.
Question 1 of 5
A nurse is preparing a care plan for a client with a spinal cord injury. Which of the following is the highest priority for the nurse to implement?
Correct Answer: C
Rationale: Diet modifications, emphasizing high-calorie, high-protein intake, prevent complications like pressure ulcers and support healing, making it the priority. Oral care, emotional support, and stockings are secondary.
Extract:
A client with a cervical spinal cord injury from a fall.
Question 2 of 5
A nurse in the emergency department is monitoring a client who has a cervical spinal cord injury from a fall. The nurse should monitor the client for which of the following complications? (Select all that apply.)
Correct Answer: A,B,D
Rationale: Cervical injuries may cause a weakened gag reflex, hyperthermia from autonomic dysfunction, and hypotension. Bowel sounds and polyuria are more associated with lower injuries.
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 with dementia who is agitated and having difficulty staying in his chair.
Question 4 of 5
A nurse is caring for a client who has dementia. The client is agitated and is having difficulty staying in his chair. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: A seat alarm monitors movement, ensuring safety without restricting mobility, a first-line non-pharmacological intervention. Restraints, bed placement, or lorazepam are less appropriate initial actions.
Extract:
A client with Bell's Palsy.
Question 5 of 5
When asked to explain the common symptoms of Bell's Palsy, the nurse correctly identifies which of the following as manifestations of this disorder?
Correct Answer: D
Rationale: Sudden unilateral facial weakness is the hallmark of Bell's Palsy. Tinnitus, bilateral pain, or progressive muscle loss are not typical.