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: The correct answer is D: Implement droplet precautions. This is because positive Kernig's and Brudzinski's signs suggest meningitis, which is highly contagious through respiratory droplets. Implementing droplet precautions is crucial to prevent the spread of infection to others and protect healthcare workers. Decreasing bright lights (choice
A) may help alleviate symptoms but is not the priority. Initiating IV access (choice
B) and administering antibiotics (choice
C) are important interventions but should come after implementing precautions to prevent transmission.
Extract:
Question 2 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 approach helps the nurse explain the factors contributing to the reproduction and spread of infectious diseases by focusing on the agent, host, and environment interactions. This model highlights how these factors interact to influence disease transmission.
A: Natural history of disease focuses on the progression of a disease in an individual, not on explaining the spread of infectious diseases.
B: Health promotion is about empowering individuals to improve their health behaviors, not specifically about understanding disease transmission.
C: Levels of prevention refer to primary, secondary, and tertiary prevention strategies, which are important in managing diseases but do not directly explain their spread.
In summary, the Epidemiologic triangle provides a comprehensive framework for understanding the factors involved in the spread of infectious diseases, making it the most appropriate choice among the options given.
Question 3 of 5
A nurse educator is teaching a group of nursing students how to become effective leaders. The nursing students should recognize that an effective nurse leader has which of the following qualities? SELECT ALL THAT APPLY
Correct Answer: C,D
Rationale: The correct qualities for an effective nurse leader are the ability to set priorities (
C) and integrity (
D). Setting priorities helps in managing tasks efficiently and ensuring patient safety. Integrity is crucial for gaining trust and respect from colleagues and patients, leading by example.
Choice A is incorrect because effective leaders must be willing to take calculated risks for growth and improvement.
Choice B is incorrect as good leaders understand the importance of followership and collaboration.
Choice E is irrelevant to leadership qualities.
Extract:
A community at risk for flooding.
Question 4 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: The correct answer is C: Preparedness. In the National Response Framework, preparedness involves enhancing the capabilities of individuals and communities to respond effectively to disasters. Educating residents about evacuation routes and emergency shelters helps them be prepared to take appropriate actions in case of flooding. Mitigation (choice
A) focuses on reducing or eliminating the impact of hazards, security (choice
B) involves protecting against potential threats, and the response phase (choice
D) pertains to immediate actions taken during and after a disaster.
Therefore, the correct choice is preparedness as it specifically addresses educating and empowering the community to respond to a potential flood disaster.
Extract:
A client diagnosed with trigeminal neuralgia experiencing intermittent, sudden, severe pain on the left side of the face.
Question 5 of 5
A client diagnosed with trigeminal neuralgia experiencing intermittent, sudden, severe pain on the left side of the face. The nurse identifies which classification of medications is most effective in treating this pain?
Correct Answer: D
Rationale: The correct answer is D: Anticonvulsants. Trigeminal neuralgia is a neuropathic pain disorder, and anticonvulsants like carbamazepine are the first-line treatment due to their ability to stabilize neuronal membranes and reduce nerve firing. Analgesics (choice
A) may not effectively control neuropathic pain. Antihistamines (choice
B) are not indicated for neuropathic pain. Antibiotics (choice
C) are used to treat infections, not neuropathic pain.
Therefore, the most effective medication for treating trigeminal neuralgia is an anticonvulsant.