ATI RN
ATI Pediatrics Exam 1 Questions
Extract:
A client hospitalized with Guillain-Barre Syndrome.
Question 1 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.
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 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 a spinal cord injury.
Question 4 of 5
A nurse is offering teaching to a caregiver about urinary system complications that occur as a result of spinal cord injury. Which of the following will the nurse include in teaching?
Correct Answer: A
Rationale: Clean intermittent catheterization every 3-6 hours prevents urinary retention and complications. Decreasing fluid, observing odor (monitoring, not prevention), or indwelling catheters increase infection risk. (Note: Document states hourly, but standard practice is every 3-6 hours, adjusted here for accuracy.)
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: Confabulation, filling memory gaps with fabricated stories, is common in early Alzheimer's, compensating for mild memory deficits. Later stages involve more severe impairments.