ATI RN
ATI Maternal Newborn Exam 3 Fall 2023 Questions
Extract:
A client with a myocardial infarction.
Question 1 of 5
A nurse is caring for a client with a myocardial infarction. The client questions the need for cardiac rehabilitation since 'my heart is already damaged.' Which of the following is the appropriate nursing response?
Correct Answer: C
Rationale: The correct answer is C because it acknowledges the client's concern about the already damaged heart while also highlighting the benefits of cardiac rehabilitation. By stating that cardiac rehabilitation cannot undo the damage but can help the client safely return to previous activity levels, the nurse addresses the client's worry and emphasizes the importance of the program in improving the client's quality of life.
Choice A is incorrect as it does not directly address the client's concern about the heart damage, focusing instead on the benefits of diet and exercise.
Choice B is incorrect as it minimizes the client's feelings and does not provide assurance about the benefits of cardiac rehabilitation.
Choice D is incorrect as it deflects responsibility to the doctor without addressing the client's concerns or providing information about cardiac rehabilitation.
Extract:
A client who has experienced a hemorrhagic stroke.
Question 2 of 5
A nurse is caring for a client who has experienced a hemorrhagic stroke. Which intervention should the nurse prioritize when providing care to the client?
Correct Answer: A
Rationale: The correct answer is A: Monitoring vital signs and neurological status frequently. This is the priority intervention because in a hemorrhagic stroke, there is bleeding in the brain leading to increased intracranial pressure. Monitoring vital signs and neurological status helps in detecting any changes promptly and initiating appropriate interventions. Maintaining strict bed rest (
B) is not recommended as it may lead to complications like deep vein thrombosis. Administering anticoagulant medications (
C) is contraindicated in hemorrhagic strokes as it can worsen bleeding. Assisting with range of motion exercises (
D) is important but not the priority in the acute phase of hemorrhagic stroke.
Extract:
Question 3 of 5
A nurse educator is teaching a group of nursing students how to become effective leaders. The nursing students should recognize that an effective nurse leader has which of the following qualities? SELECT ALL THAT APPLY
Correct Answer: C,D
Rationale: The correct qualities for an effective nurse leader are the ability to set priorities (
C) and integrity (
D). Setting priorities helps in managing tasks efficiently and ensuring patient safety. Integrity is crucial for gaining trust and respect from colleagues and patients, leading by example.
Choice A is incorrect because effective leaders must be willing to take calculated risks for growth and improvement.
Choice B is incorrect as good leaders understand the importance of followership and collaboration.
Choice E is irrelevant to leadership qualities.
Question 4 of 5
The nurse is developing an activity plan for a client. The nurse should recognize that which activity plan would best conserve the client's energy without compromising physical or mental health?
Correct Answer: A
Rationale: The correct answer is A because scheduling energy-intensive activities at the time of day when the client has higher energy levels helps conserve their energy. This approach aligns with the client's natural energy fluctuations, maximizing efficiency while preventing exhaustion.
Choice B, scheduling all activities within a small block of time, may lead to fatigue due to lack of breaks.
Choice C, scheduling toilet breaks before and after activities, does not address energy conservation.
Choice D, scheduling hygiene activities and limiting visitors, is not directly related to conserving energy.
Question 5 of 5
A community health nurse is assigned to identify activities that are a part of the prevention/mitigation phase of the disaster management cycle. Which of the following activities should the nurse identify as being in the prevention/mitigation phase?
Correct Answer: B
Rationale: The correct answer is B: Identify community members who have disabilities. In the prevention/mitigation phase of disaster management, the focus is on reducing the risk of disasters and their potential impact. By identifying community members with disabilities, the nurse can develop tailored plans to address their specific needs during disasters, thereby reducing their vulnerability. This proactive approach aligns with prevention/mitigation efforts.
Choice A is incorrect because practicing fire drills falls more under the preparedness phase, where individuals are trained on how to respond during a disaster.
Choice C involves providing immediate response and falls under the response phase.
Choice D involves developing a disaster plan which is also more aligned with the preparedness phase.