ATI RN
ATI Maternal Newborn Exam 3 Fall 2023 Questions
Extract:
A client with new right-sided weakness and slurred speech.
Question 1 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.
Extract:
A client receiving rehabilitation for paralysis following a spinal cord injury and is diagnosed with reflex incontinence.
Question 2 of 5
A client is receiving rehabilitation for paralysis following a spinal cord injury and is diagnosed with reflex incontinence. Which of the following is the highest priority intervention the nurse should include in the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Provide regular perineal care to prevent skin breakdown. Reflex incontinence can lead to frequent and involuntary voiding, increasing the risk of skin breakdown. Regular perineal care helps maintain skin integrity and prevent complications. Limiting fluid intake (
A) is not appropriate as it may lead to dehydration. Administering hypotonic IV fluids (
C) is not related to managing reflex incontinence. Teaching Kegel exercises (
D) is more suitable for stress incontinence, not reflex incontinence.
Extract:
Question 3 of 5
A nursing preceptor is reviewing life expectancy in the twentieth century with a new nurse. The nurse should recognize that which of the following was most responsible for the dramatic increase in life expectancy during the twentieth century?
Correct Answer: B
Rationale: The correct answer is B: Sanitation and other public health activities. This is because improvements in sanitation, clean water supply, waste management, and public health initiatives such as vaccination programs played a crucial role in increasing life expectancy by reducing the spread of infectious diseases. Advances in surgical techniques might have helped in specific cases but were not the primary driver of the overall increase in life expectancy. Technology increases in medical laboratory research and the use of antibiotics were also important, but they were not as impactful on a population level as improved sanitation and public health measures.
Extract:
A client who has scabies.
Question 4 of 5
A charge nurse is making a room assignment for a client who has scabies. In which of the following rooms should the nurse place the client?
Correct Answer: C
Rationale: The correct answer is C: A private room. Scabies is transmitted through close, prolonged skin-to-skin contact. Placing the client in a private room helps prevent the spread of scabies to other clients. Negative-pressure rooms are used for airborne infections like tuberculosis, not scabies. Positive-pressure rooms are typically used for immunocompromised clients. Placing the client with pediculosis capitis can lead to cross-contamination.
Therefore, the best choice is a private room to prevent the spread of scabies.
Extract:
A client with osteoporosis.
Question 5 of 5
A nurse advises a client with osteoporosis to have three servings of milk or dairy products daily. Which of the following levels of prevention is being used by the nurse?
Correct Answer: D
Rationale: The correct answer is D: Primary prevention. The nurse is focusing on preventing osteoporosis from developing in the first place by recommending a diet rich in calcium through milk and dairy products. This falls under primary prevention as it aims to address risk factors before the disease occurs.
A: Proactive prevention does not accurately describe the situation as it is not a recognized level of prevention.
B: Secondary prevention involves early detection and intervention to prevent complications. The nurse's advice is more about preventing the condition itself rather than managing complications.
C: Tertiary prevention is about managing and treating existing conditions to prevent further deterioration. The nurse's advice is more about preventing osteoporosis rather than managing it once it has developed.
In summary, the nurse's recommendation of consuming milk or dairy products aligns with primary prevention by addressing risk factors to prevent the onset of osteoporosis.