TEST BANK FOR ATI PEDIATRICS ACTUAL
EXAMS 2023-2024 UPDATE QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES
ALREADY A GRADED WITH EXPERT
FEEDBACK
A
... [Show More] family member of a client receiving hospice services asks the hospice nurse for assistance. The family
member states that the client has insomnia almost nightly. The nurse assesses the client and documents
the following: "Vital signs are stable, takes a short nap once a day as needed, walks around the
neighborhood once a day if feeling ok, likes to watch television (TV) in bed during the day, goes to bed at
10 pm every night, drinks hot herbal tea before going to bed, and gets up to go to the bathroom once
during the night." Which of the following mostly likely contributes to the client's insomnia?
The client watches TV in the bed during the day.
The client drinks hot herbal tea before bedtime.
The client goes to bed at 10 pm every night.
The client gets up to use the bathroom once during the night.
The client watches TV in the bed during the day.
General sleep strategies include establishing a regular sleep schedule and staying out of bed during the
day, except for naps.
A high carbohydrate, low protein diet is prescribed for a client who has chronic renal failure. The nurse
explains to the client that the carbohydrates in this diet will help
prevent ketosis. promote
diuresis.
maintain urine acidity.
reduce hepatic demands.
prevent ketosis.
Clients in chronic renal failure have diets restricted in protein, sodium, potassium, magnesium,
phosphorus, and saturated fats. Carbohydrates provide the client with adequate calories to meet
metabolic and energy needs while preventing the development of ketosis. Carbohydrates also have a
protein-sparing effect that makes protein available for growth and tissue building.
A nurse is assessing a client who is taking varenicline (Chantix) for smoking cessation. Which of the
following client reports is the highest priority finding?
Irritability
Gastroesophageal reflux
Weight gain Arthralgia
Irritability
The greatest risk to the client is the development of CNS side effects that can progress to depression and
suicide. Therefore, the highest priority finding is irritability.
A nurse is teaching a client who is a paraplegic to perform intermittent urinary self catheterization at
home after discharge. Which statement by the client demonstrates to the nurse that the client
understands the procedure?
"I will not use the Valsalva maneuver while performing self-catheterization."
"I must use sterile technique to do each of the catheterizations."
"I should stop the catheterization when I have removed 150 mL of urine." "I
will perform intermittent self-catheterization every 4 to 6 hours."
"I will perform intermittent self-catheterization every 4 to 6 hours."
The standard interval for intermittent catheterization is every 4 to 6 hr . Although some adult clients may
wait up to 8 hr, that greatly increases the risk for urinary tract infection.
A nurse is planning care for an older adult client. An increase in which of the following is a normal
physiological change associated with aging?
Vital capacity
Adipose tissue
Hepatic metabolism Bone
mineral mass
Adipose tissue [Show Less]