ATI RN
ATI Pediatrics Exam 1 Questions
Extract:
A 67-year-old male patient with early stage Alzheimer's disease whose spouse reports exhaustion and worry.
Question 1 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 deficits from a spinal cord injury with an O2 saturation of 92%.
Question 2 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:
An antepartum client reporting constipation.
Question 3 of 5
A nurse is providing teaching about increasing dietary fiber to an antepartum client who reports constipation. Which of the following food selections has the highest fiber content per cup?
Correct Answer: A
Rationale: Lentils have the highest fiber content per cup, effectively relieving constipation. Asparagus, oatmeal, and cabbage have lower fiber levels.
Extract:
A client reporting redness, warmth, and swelling after stepping on a nail one week ago.
Question 4 of 5
A client arrives reporting redness, warmth, and swelling after stepping on a nail one week ago. What is the nurse's priority action?
Correct Answer: D
Rationale: Requesting an X-ray is the priority to assess for retained foreign bodies or structural damage, which could worsen infection or complications. Cleansing and dressing the wound follow, and immunization history is secondary.
Extract:
An older adult client with dementia who handles anxiety by confabulating.
Question 5 of 5
A nurse is caring for an older adult client who has dementia and handles anxiety by confabulating. The nurse should recognize which of the following as confabulation?
Correct Answer: A
Rationale: Confabulation involves making up stories to fill memory gaps, a common dementia behavior. Reminiscing, compulsive behaviors, or refusal to leave home are distinct phenomena.