ATI RN
ATI Pediatrics Exam 1 Questions
Extract:
A client with moderate Alzheimer's disease.
Question 1 of 5
A nurse provides home safety education to the family of a client with moderate Alzheimer's. Which of the following statements made by the primary caregiver indicates effective teaching?
Correct Answer: B
Rationale: Not leaving the client alone ensures safety, preventing wandering or accidents. Antipsychotics, restraints, and rugs are unsafe or inappropriate.
Extract:
A client with a spinal cord injury.
Question 2 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 3 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:
An older adult client with dementia whose family asks why calming medication isn't prescribed.
Question 4 of 5
A nurse is caring for an older adult client who has dementia. The client's family member asks why the provider will not prescribe a medication to calm the client down. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: Calming medications like antipsychotics increase stroke risk in older adults with dementia, a primary reason to avoid them. Blood pressure, infection, or fall risks are less specific concerns.
Extract:
A client with a halo brace 2 days post-spinal cord injury.
Question 5 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.