ATI RN
ATI Maternal Newborn Exam 3 Fall 2023 Questions
Extract:
A client receiving rehabilitation for paralysis following a spinal cord injury and is diagnosed with reflex incontinence.
Question 1 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: Providing regular perineal care prevents skin breakdown and infection, the highest priority for managing reflex incontinence in this client.
Extract:
A client with myasthenia gravis has lost 6 kg of weight over the last 2 months.
Question 2 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: Planning medication doses before meals enhances muscle strength for chewing and swallowing, improving nutritional intake in myasthenia gravis.
Extract:
A community at risk for flooding.
Question 3 of 5
A nurse has identified a community at risk for flooding. The nurse understands that educating the residents about evacuation routes and emergency shelters is an example of what level of the National Response Framework?
Correct Answer: C
Rationale: Preparedness involves educating residents to enhance readiness and response capabilities for flooding, per the National Response Framework.
Extract:
A client who is receiving total parenteral nutrition (TPN).
Question 4 of 5
Which intervention is most important for the practical nurse (PN) to implement for a client who is receiving total parenteral nutrition (TPN)?
Correct Answer: A
Rationale: Collecting fingerstick glucose levels is the most important intervention for the PN to implement for a client who is receiving TPN. TPN contains a high concentration of glucose, which can cause hyperglycemia or fluctuations in blood sugar levels.
Therefore, it is essential to monitor the client's glucose levels frequently and adjust the infusion rate or insulin administration accordingly.
Extract:
The mother of a school-aged boy tells the practical nurse (PN) that he fell out of a tree and hurt his arm and shoulder.
Question 5 of 5
Which assessment should the practical nurse (PN) note as the most significant indicator of possible child abuse?
Correct Answer: D
Rationale: The most significant indicator of possible child abuse in this scenario is if the injury description by the mother varies from the child's version. This may suggest that the mother is lying or covering up the true cause of the injury, which may be intentional or accidental harm.