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:
A client who has a new diagnosis of epilepsy.
Question 2 of 5
A nurse is teaching the family of a client who has a new diagnosis of epilepsy about actions to take if the client experiences a seizure. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Move objects away from the client. This instruction is important to prevent injury during a seizure by creating a safe environment. Moving objects away reduces the risk of the client hitting or getting tangled in anything. Restraint (
B) can lead to further injury and is not recommended. Placing the client on his back (
C) can obstruct breathing, leading to complications. Inserting a padded tongue blade (
D) can also cause harm and is not recommended as it can damage the client's teeth or airway.
Extract:
A homebound client.
Question 3 of 5
A nurse is determining if a homebound client is eligible for Meals-on-Wheels. Which of the following is the most important factor for the nurse to consider?
Correct Answer: D
Rationale: The correct answer is D: The client's ability to prepare meals. This is crucial because Meals-on-Wheels is designed to provide meals to individuals who are unable to prepare their own meals. Assessing the client's ability to cook helps determine their need for the service.
Choice A (financial resources) may be important but not the most critical factor.
Choice B (family support) is relevant but not as essential as the client's own ability.
Choice C (access to transportation) is not directly related to the client's meal preparation ability.
Extract:
Question 4 of 5
The community health nurse utilizes which of the following approaches to explain the factors that allow the reproduction and spread of infectious disease?
Correct Answer: D
Rationale: The correct answer is D: Epidemiologic triangle. This model explains the interplay of host, agent, and environment in the spread of infectious diseases. Host factors (e.g., immunity), agent factors (e.g., pathogen), and environmental factors (e.g., sanitation) interact to determine disease occurrence. This approach helps the nurse understand how these factors contribute to disease transmission.
A: Natural history of disease refers to the progression of a disease in an individual, not the factors influencing disease spread.
B: Health promotion focuses on empowering individuals to make healthy choices, not specifically related to disease transmission.
C: Levels of prevention refer to primary, secondary, and tertiary prevention strategies, not the factors allowing disease spread.
Extract:
A client who has a recent diagnosis of Multiple Sclerosis (MS).
Question 5 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.