ATI RN
ATI Maternal Newborn Exam 3 Fall 2023 Questions
Extract:
A client with myasthenia gravis has lost 6 kg of weight over the last 2 months.
Question 1 of 5
A client with myasthenia gravis has lost 6 kg of weight over the last 2 months. What should the nurse suggest to improve this client's nutritional status?
Correct Answer: A
Rationale:
Correct Answer: A: Plan medication doses to occur before meals
Rationale:
1. Myasthenia gravis is a neuromuscular disorder affecting muscle weakness, including swallowing muscles.
2. Taking medication before meals ensures optimal absorption and effectiveness.
3. Weight loss in myasthenia gravis can be due to difficulty swallowing, leading to reduced oral intake.
4. Planning medication doses before meals can help improve swallowing and intake.
5. This approach addresses the underlying cause of weight loss and supports nutritional status.
Summary:
B: Restricting fluids before and during meals may worsen swallowing difficulties.
C: Increasing fat and carbohydrates may not address the issue of difficulty swallowing.
D: Eating three large meals per day may be challenging for someone with swallowing difficulties in myasthenia gravis.
Extract:
Question 2 of 5
A nurse who works in health promotion and safety for an automotive plant is functioning in what role?
Correct Answer: D
Rationale: The correct answer is D: Occupational health nurse. This nurse's role involves promoting health and safety specifically in the workplace, making it the most fitting choice. A: Public health nurse focuses on community health outside the workplace. B: Community nurse specialist works with a broader population. C: Nurse clinician typically involves direct patient care. E, F, G: No information given, so cannot be considered.
Extract:
A client who has a recent diagnosis of Multiple Sclerosis (MS).
Question 3 of 5
The nurse is creating an education plan for a client who has a recent diagnosis of Multiple Sclerosis (MS). Which of the following interventions should the nurse include in the client's plan?
Correct Answer: D
Rationale: The correct answer is D: Instruct the client on daily muscle stretching. This intervention is important for clients with MS to help maintain mobility and prevent muscle stiffness and contractures. Daily stretching exercises can improve flexibility and range of motion, aiding in overall physical function. Providing total assistance with all ADLs (choice
A) is not appropriate as it may lead to dependency. Ordering a low-residue diet (choice
B) is not directly related to managing MS symptoms. Encouraging the client to void every hour (choice
C) may not be necessary unless there are specific urinary issues.
Extract:
A client who has Parkinson's disease and is starting to display bradykinesia.
Question 4 of 5
A nurse is caring for a client who has Parkinson's disease and is starting to display bradykinesia. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Give the patient extra time to perform activities. Bradykinesia is a hallmark symptom of Parkinson's disease characterized by slow movement. By giving the patient extra time, the nurse allows the client to perform activities at their own pace, reducing frustration and promoting independence.
Choice B is incorrect because teaching the client to walk more quickly goes against the nature of bradykinesia.
Choice C is irrelevant as a low-protein, low-calorie diet is not indicated for bradykinesia.
Choice D is not directly related to addressing bradykinesia and may not be the most effective intervention.
Extract:
A client with new right-sided weakness and slurred speech.
Question 5 of 5
A nurse enters the room of a client and discovers the client with new right-sided weakness and slurred speech. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct action is to call for help (
Choice
B) because the client is showing signs of a stroke, which requires immediate medical intervention. Calling for help ensures prompt assessment and treatment by healthcare professionals. Performing carotid massage (
Choice
A) could worsen the situation by dislodging a clot. Providing water to test the gag reflex (
Choice
C) is not appropriate as the client is experiencing neurological symptoms. Administering thrombolytics (
Choice
D) should only be done after proper evaluation and confirmation of a stroke by a healthcare provider.