ATI RN
ATI Maternal Newborn Exam 3 Fall 2023 Questions
Extract:
A client who was brought in following a seizure. The nurse suspects the client may have meningococcal meningitis when assessment findings include nuchal rigidity and a petechial rash.
Question 1 of 5
A nurse in the emergency room is assessing a client who was brought in following a seizure. The nurse suspects the client may have meningococcal meningitis when assessment findings include nuchal rigidity and a petechial rash. After implementing droplet precautions, which of the following actions should the nurse initiate next?
Correct Answer: C
Rationale: The correct answer is C: Assess the cranial nerves. Assessing the cranial nerves is crucial in evaluating neurological status in a client with suspected meningitis. Cranial nerve assessment can provide information about any potential neurological deficits or abnormalities that may indicate the severity of the condition. This assessment can help the nurse determine the level of neurological impairment and guide further interventions and treatments.
A: Administering an antipyretic may help reduce fever but is not the priority in this situation where neurological assessment is crucial.
B: Decreasing environmental stimuli may be helpful in managing symptoms, but assessing the cranial nerves is more essential in this case.
D: Completing a vascular assessment is not a priority when dealing with suspected meningitis; neurological assessment takes precedence.
E, F, G: No further options provided.
Extract:
Question 2 of 5
Correct Answer:
Rationale:
Question 3 of 5
Correct Answer:
Rationale:
Question 4 of 5
Correct Answer:
Rationale:
Question 5 of 5
Correct Answer:
Rationale: