ATI RN
ATI Pediatrics Exam 1 Questions
Extract:
A client with a newly diagnosed spinal cord injury.
Question 1 of 5
When addressing the needs of a client with a newly diagnosed spinal cord injury, the nurse understands that which of the following are true about nutritional needs?
Correct Answer: B
Rationale: A high-calorie, high-protein diet within 3 days supports healing and prevents muscle wasting. NPO status, high fiber with low protein, or no protein are not standard practices.
Extract:
A client with a diagnosis of trigeminal neuralgia.
Question 2 of 5
A client with a diagnosis of trigeminal neuralgia reports which of the following manifestations as significantly affecting her quality of life?
Correct Answer: B
Rationale: Pain is the hallmark of trigeminal neuralgia, severely impacting quality of life due to its sudden, intense nature. Lethargy, social withdrawal, and poor hygiene may result from pain but are not primary manifestations.
Extract:
A client with a T4-T5 injury suspected to be in neurogenic shock.
Question 3 of 5
A client has sustained a T4-T5 injury and the nurse suspects he is in neurogenic shock. Which of the following manifestations are consistent with neurogenic shock? Select All that Apply
Correct Answer: C,E
Rationale: Bradycardia and hypotension are signs of neurogenic shock due to loss of sympathetic tone, causing vasodilation and reduced heart rate. Hypertension and elevated temperature indicate autonomic dysreflexia, and fixed pupils suggest brain death, not neurogenic shock.
Extract:
A client with partial paralysis repositioned to a side-lying position.
Question 4 of 5
A client who suffered partial paralysis is repositioned by the nurse every 2 hours. After placing the client in a side-lying position, what action will nurse take to prevent complications?
Correct Answer: C
Rationale: Placing a pillow between knees and ankles prevents pressure ulcers and skin breakdown in a side-lying position. Measuring calves, palpating the bladder, or checking the gag reflex are unrelated to repositioning complications.
Extract:
A client with respiratory muscle weakness, difficulty swallowing, and abdominal pain.
Question 5 of 5
A client arrives with respiratory muscle weakness, difficulty swallowing and abdominal pain. Which of the following reported by the client's husband is relevant to the client's manifestations?
Correct Answer: A
Rationale: Influenza vaccination may trigger Guillain-Barre syndrome, relevant to the symptoms. Golfing, canning, or diabetes are not directly related.