ATI RN
ATI Pediatrics Exam 1 Questions
Extract:
Patients on the memory unit: a patient with a new cough after breakfast, a patient refusing medications, a patient with no bowel movement for 5 days, a patient with a stage II pressure ulcer.
Question 1 of 5
After receiving change-of-shift report for clients on the memory unit, which patient will the nurse see first?
Correct Answer: A
Rationale: A new cough after eating suggests possible aspiration, a life-threatening issue requiring immediate assessment. Medication refusal, constipation, and a stage II pressure ulcer are less urgent.
Extract:
A client with Alzheimer's having increased behavioral issues posing safety concerns.
Question 2 of 5
A client with Alzheimer's is having increased behavioral issues that have become a safety concern for the client and others. Which of the following medications will the nurse discuss with the physician for inclusion in the client's care plan?
Correct Answer: B
Rationale: Antipsychotics manage severe agitation or aggression in Alzheimer's when safety is a concern. Sedatives, cholinesterase inhibitors, or SSRIs are less effective for behavioral issues.
Extract:
A client diagnosed with trigeminal neuralgia.
Question 3 of 5
The nurse is caring for a client diagnosed with trigeminal neuralgia. The client asks the nurse, 'Why do I have so much pain?' Which of the following responses by the nurse is most appropriate?
Correct Answer: D
Rationale: Pain in trigeminal neuralgia results from nerve stimulation by pressure or temperature. Nasal stuffiness, hypoglycemia, or catecholamines are not causes of this condition.
Extract:
A client recently diagnosed with Guillain-Barre syndrome, drooling and having difficulty swallowing secretions.
Question 4 of 5
The client recently diagnosed with Guillain-Barre' syndrome is drooling and having difficulty swallowing secretions. When asked why this is happening, which of the following is the best answer for the nurse to give to the family?
Correct Answer: D
Rationale: Demyelination of cranial nerves in Guillain-Barre syndrome impairs swallowing and gag reflexes, causing drooling. Gland enlargement, brain blood flow obstruction, or vitamin deficiencies are incorrect.
Extract:
An older adult client with a new diagnosis of dementia.
Question 5 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.