ATI RN
ATI Maternal Newborn Exam 3 Fall 2023 Questions
Extract:
A client who reports a severe headache and stiff neck. The nurse's assessment reveals positive Kernig's and Brudzinski's signs.
Question 1 of 5
A nurse is assessing a client who reports a severe headache and stiff neck. The nurse's assessment reveals positive Kernig's and Brudzinski's signs. Which of the following actions should the nurse perform first?
Correct Answer: D
Rationale: Implementing droplet precautions is the first action to prevent transmission of suspected meningitis, indicated by headache, stiff neck, and positive signs.
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 2 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.
Extract:
A client who has Parkinson's disease and is starting to display bradykinesia.
Question 3 of 5
A nurse is caring for a client who has Parkinson's disease and is starting to display bradykinesia. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Giving the patient extra time to perform activities is appropriate because bradykinesia causes slow movement, and this respects the patient’s autonomy while reducing frustration.
Extract:
A hospitalized client.
Question 4 of 5
An oil retention enema is prescribed for a hospitalized client. The practical nurse (PN) should administer the enema solution at which temperature?
Correct Answer: C
Rationale: The ideal temperature for an enema solution is close to the client’s body temperature, which is around 98°F or 36°C. This temperature ensures that the solution is comfortable and does not cause adverse reactions such as pain, cramps, or tissue damage.
Extract:
A client who is receiving total parenteral nutrition (TPN).
Question 5 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.