ATI RN
ATI Pediatrics Exam 1 Questions
Extract:
A client with a halo brace 2 days post-spinal cord injury.
Question 1 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: The correct answer is D: Assess the pin sites. This is the first priority because monitoring the pin sites for signs of infection or inflammation is crucial to prevent complications such as infection or loosening of the halo brace. This assessment ensures the safety and integrity of the device, which is essential for stabilizing the spine and preventing further damage. Loosening all connections on the vest (choice
A) could compromise the brace's effectiveness and stability. Asking about range of motion (choice
B) and repositioning in bed (choice
C) are important assessments but not as immediate as assessing the pin sites.
Extract:
A client with moderate Alzheimer's disease.
Question 2 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: The correct answer is B: "She will not be left home alone." This statement indicates effective teaching because leaving a client with moderate Alzheimer's home alone can pose significant safety risks. Clients with Alzheimer's may experience confusion, disorientation, and memory loss, increasing the likelihood of accidents or wandering. By ensuring the client is not left alone, the primary caregiver is prioritizing the client's safety.
Incorrect choices:
A: Using antipsychotics around the clock is not a safe or appropriate approach for managing Alzheimer's symptoms.
C: Applying restraints can be dangerous and is not recommended as a first-line approach for managing behavior in Alzheimer's clients.
D: Putting rugs in the bathroom may increase the risk of falls due to tripping hazards.
In summary, choice B is correct as it prioritizes client safety, while the other choices present potential risks or inappropriate interventions.
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: The correct answer is D because the client is demonstrating adaptive behavior by using modified feeding utensils and acknowledging improvement despite spilling. This shows a willingness to adapt to the situation and a positive attitude towards progress.
Choice A indicates a reluctance to go out, which does not necessarily demonstrate adaptation.
Choice B shows a preference for bed baths but does not necessarily indicate adaptation.
Choice C indicates a potentially unhealthy coping mechanism rather than adaptation.
In summary, choice D is correct because it shows active engagement in adapting to the situation, while the other choices do not demonstrate the same level of adaptation and positive attitude towards change.
Extract:
A client with a spinal cord injury.
Question 4 of 5
A nurse is preparing a care plan for a client with a spinal cord injury. Which of the following is the highest priority for the nurse to implement?
Correct Answer: C
Rationale: The correct answer is C: Diet modifications. In a client with a spinal cord injury, maintaining proper nutrition is crucial for wound healing, muscle function, and overall health. Without adequate nutrients, the client is at risk for complications like pressure ulcers and infections. By implementing diet modifications, the nurse can ensure the client receives necessary nutrients to support healing and prevent further health issues.
- A: Oral care is important but not as urgent as ensuring proper nutrition.
- B: Offering the client to discuss their feelings is important for holistic care but not as critical as addressing nutritional needs.
- D: Application of compression stockings may be necessary for some clients but does not take precedence over ensuring proper nutrition.
Extract:
A client with Alzheimer's disease exhibiting confabulation.
Question 5 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: The correct answer is D: Early stage. In the early stage of Alzheimer's disease, individuals may exhibit confabulation, which is the tendency to fill in memory gaps with false information or made-up stories. This behavior is a result of memory loss and confusion. In Stage 1, individuals typically do not exhibit significant memory problems yet. Stages 2 and 3 involve more pronounced cognitive decline beyond just confabulation.
Therefore, the behavior of filling in information with made-up stories aligns most closely with the early stage of Alzheimer's disease.