ATI RN
ATI Pediatrics Exam 1 Questions
Extract:
A client with deficits from a spinal cord injury with an O2 saturation of 92%.
Question 1 of 5
After assessing a client with deficits from a spinal cord injury, the nurse identifies the client's O2 saturation is 92%. Which of the following is the best first action by the nurse?
Correct Answer: B
Rationale: Asking the client to cough and breathe deeply improves oxygenation and assesses respiratory status for a mildly low O2 saturation. Intubation, IV insertion, or antihypertensives are premature without further assessment.
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 dementia who is agitated and having difficulty staying in his chair.
Question 3 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:
An older adult client with a new diagnosis of dementia.
Question 4 of 5
A nurse is teaching the family of an older adult client who has a new diagnosis of dementia. Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: Dementia is progressive and irreversible, unlike sudden confusion (delirium) or altered consciousness. Fever or dehydration may worsen symptoms but aren't primary triggers.
Extract:
A client with severe Alzheimer's admitted to a long-term care facility.
Question 5 of 5
A client diagnosed with severe Alzheimer's has been admitted to a long term care facility. Which of the following are appropriate activities for the nurse to include in the care plan?
Correct Answer: A
Rationale: Simple puzzles stimulate cognition appropriately for severe Alzheimer's. Board games are too complex, ribbons/mobiles are demeaning, and drawing may not suit all clients.