ATI RN
ATI Pediatrics Exam 1 Questions
Extract:
A patient with dementia who experienced sundowning late in the afternoon for two days.
Question 1 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:
A client with Alzheimer's disease exhibiting confabulation.
Question 2 of 5
During a client interview, the nurse notices that the client often fills in information with made-up stories. Which stage of Alzheimer's disease will the nurse see this behavior?
Correct Answer: D
Rationale: Confabulation, filling memory gaps with fabricated stories, is common in early Alzheimer's, compensating for mild memory deficits. Later stages involve more severe impairments.
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 client who slipped and fell on a wet floor at the hospital, complaining of back pain.
Question 4 of 5
A client complains of back pain after slipping and falling on a wet floor at the hospital. What is the nurses best first action to take?
Correct Answer: C
Rationale: Asking the client to remain still ensures safety and allows injury assessment. Notifying administration, cleaning, or documenting follow after ensuring client safety.
Extract:
A client hospitalized with Guillain-Barre Syndrome.
Question 5 of 5
When planning care for a client hospitalized with Guillain-Barre Syndrome, which of the following will the nurse report to the physician?
Correct Answer: C
Rationale: Hypoactive bowel sounds may indicate a serious issue like paralytic ileus, requiring physician notification. Sleep issues, device removal, or a normal Glasgow Coma Score are less urgent.