ATI RN
ATI Pediatrics Exam 1 Questions
Extract:
A client with upper motor neuron deficit related to a spinal cord injury.
Question 1 of 5
Which of the following manifestations can the nurse expect in a client with upper motor neuron deficit related to a spinal cord injury?
Correct Answer: D
Rationale: Spasticity and involuntary voiding are common in upper motor neuron deficits due to loss of inhibitory control over reflexes. Leakage and anuria are not typical, and flaccid bladder is associated with lower motor neuron deficits.
Extract:
A client recently diagnosed with Guillain-Barre syndrome, drooling and having difficulty swallowing secretions.
Question 2 of 5
The client recently diagnosed with Guillain-Barre' syndrome is drooling and having difficulty swallowing secretions. When asked why this is happening, which of the following is the best answer for the nurse to give to the family?
Correct Answer: D
Rationale: Demyelination of cranial nerves in Guillain-Barre syndrome impairs swallowing and gag reflexes, causing drooling. Gland enlargement, brain blood flow obstruction, or vitamin deficiencies are incorrect.
Extract:
A client with early stage Alzheimer's disease.
Question 3 of 5
The nurse caring for the client with Alzheimer's documents that the client is in the early stage of Alzheimer's. Which findings are consistent with mild Alzheimer's disease?
Correct Answer: D
Rationale: Driving to familiar places is consistent with mild Alzheimer's, where some independence remains. Incontinence or inability to smile occur in later stages or unrelated conditions.
Extract:
A client receiving treatment for a spinal cord injury with a halo fixation device.
Question 4 of 5
A nurse is teaching the family of a client who is receiving treatment for a spinal cord injury with a halo fixation device. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: The halo fixation device immobilizes the cervical spine to aid healing and prevent further injury. Allowing neck movement, using talcum powder, or turning screws by family are incorrect and unsafe.
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.