ATI RN
ATI Pediatrics Exam 1 Questions
Extract:
A client with a spinal cord injury.
Question 1 of 5
A nurse prepares to bathe a client with a spinal cord injury. Which of the following is the best first action?
Correct Answer: C
Rationale: Gathering supplies and additional staff ensures safety and efficiency during bathing, a complex task for a client with a spinal cord injury. Unscrewing pins, sitting the client, or removing straps are unsafe initial actions.
Extract:
A 45-year-old client with a history of drug and alcohol abuse, on day 2 of admission, with rapidly fluctuating moods and delusions about the King of England.
Question 2 of 5
A 45 year old client with a history of drug and alcohol abuse is admitted to the hospital. On day 2 the client has rapidly fluctuating moods and believes the King of England is in his room. How will the nurse document these findings?
Correct Answer: D
Rationale: Acute delirium is characterized by fluctuating moods and delusions, often linked to substance withdrawal or medical issues. Overdose, acute dementia, and substance abuse comorbidity do not fully capture the presentation.
Extract:
A client with a halo brace 2 days post-spinal cord injury.
Question 3 of 5
The nurse is providing care for a client who was placed in a halo brace 2 days ago because of a spinal cord injury. Which assessment is the first priority of the nurse?
Correct Answer: D
Rationale: Assessing pin sites is the priority to prevent infections, a serious complication. Loosening connections, checking leg motion, or repositioning ability are secondary.
Extract:
A client with a spinal cord injury.
Question 4 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 patient with dementia who experienced sundowning late in the afternoon for two days.
Question 5 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.