ATI RN
ATI Pediatrics Exam 1 Questions
Extract:
A client with a spinal cord injury.
Question 1 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.
Extract:
A client with a spinal cord injury reporting hot, burning, tingling pain shooting down extremities.
Question 2 of 5
A client with a spinal cord injury reports hot, burning, tingling, pain that shoots down his extremities. When the client asks why this occurs, what is the nurse's best response?
Correct Answer: C
Rationale: Neuropathic pain from nerve damage in the spinal cord causes burning, tingling sensations. Repositioning, inflammation, or a 2-week resolution are incorrect explanations.
Extract:
A client who is quadriplegic following a spinal cord injury, adjusting to the home environment.
Question 3 of 5
A home health nurse is caring for a client who is quadriplegic following a spinal cord injury and who is adjusting to the home environment. Which of the following client statements indicate the client is adapting?
Correct Answer: D
Rationale: Using modified utensils and noting improvement shows adaptation. Reluctance to go out, preferring bed baths, or daily alcohol use suggest less effective coping.
Extract:
A 67-year-old male patient with early stage Alzheimer's disease whose spouse reports exhaustion and worry.
Question 4 of 5
The spouse of a 67-yr-old male patient with early stage Alzheimer's disease (AD) tells the nurse, 'I am exhausted from worrying all the time. I don't know what to do.' Which actions are best for the nurse to take at this time? Select All that Apply
Correct Answer: A,C
Rationale: Assessing knowledge and suggesting adult day care empower the spouse and provide respite. Long-term care is premature, antianxiety drugs imply abnormal coping, and redirection doesn't address the spouse's needs.
Extract:
A client with a spinal cord injury.
Question 5 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. Decreasing fluid, observing odor, or indwelling catheters are not preventive measures. (Note: Adjusted hourly to standard practice.)