ATI RN
ATI Maternal Newborn Exam 3 Fall 2023 Questions
Extract:
A client who has had a hemorrhagic stroke following a ruptured cerebral aneurysm.
Question 1 of 5
A nurse is caring for a client who has had a hemorrhagic stroke following a ruptured cerebral aneurysm. Which of the following manifestations should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Sudden severe headache. In a hemorrhagic stroke from a ruptured cerebral aneurysm, sudden severe headache is a common manifestation due to the bleeding in the brain. This headache is often described as the "worst headache of my life." This is because the bleeding irritates the brain tissues, leading to intense pain. The other options are incorrect because a gradual onset of several hours (
A) is more indicative of an ischemic stroke, maintaining consciousness (
B) is less likely in a hemorrhagic stroke due to increased intracranial pressure, and a history of neurologic deficits lasting less than 1 hour (
D) is suggestive of a transient ischemic attack (TI
A) rather than a hemorrhagic stroke.
Extract:
Question 2 of 5
A nurse who works in health promotion and safety for an automotive plant is functioning in what role?
Correct Answer: D
Rationale: The correct answer is D: Occupational health nurse. This nurse's role involves promoting health and safety specifically in the workplace, making it the most fitting choice. A: Public health nurse focuses on community health outside the workplace. B: Community nurse specialist works with a broader population. C: Nurse clinician typically involves direct patient care. E, F, G: No information given, so cannot be considered.
Question 3 of 5
The nurse is providing education on epidemiology to a nursing student. Which of the following statements indicates the importance of epidemiology to the community health nurse? SELECT ALL THAT APPLY
Correct Answer: B,C,D,E
Rationale: The correct answer is B, C, D, and E. B: Epidemiology is crucial for understanding the health status of a population. C: It helps identify the root causes of health outcomes, aiding in intervention planning. D: Evaluating nursing interventions is vital for improving community health. E: Defining disease burden and determinants is essential for prioritizing health issues. A is incorrect as epidemiology focuses on data analysis, not legislation. F and G are not provided.
Extract:
A client with diabetes.
Question 4 of 5
The nurse is preparing for an initial home care visit for a client with diabetes. Which action by the nurse is appropriate? SELECT ALL THAT APPLY
Correct Answer: A,C,E
Rationale: The correct answers are A, C, and E. A is correct because asking how the client is managing at home helps assess their self-care abilities. C is appropriate as arranging future visits establishes continuity of care. E is vital as sitting down and discussing with the client and family members fosters open communication and understanding. B is incorrect as entering the client's bedroom without permission violates privacy. D is incorrect as thanking the client for arranging a home visit is not necessary.
Extract:
A client who is newly diagnosed with multiple sclerosis (MS).
Question 5 of 5
The nurse provides education to a client who is newly diagnosed with multiple sclerosis (MS). Which client statements indicate the need for additional teaching? SELECT ALL THAT APPLY
Correct Answer: B,C
Rationale:
Correct
Answer: B,C
Rationale:
B: Clients with MS are encouraged to exercise as it can help improve strength and overall well-being. Avoiding exercise due to fear of exacerbation is not appropriate.
C: Alternating the eye patch every other day is not effective in managing double vision. Consistent use of the eye patch is recommended for better outcomes.
Summary:
A: Correct - Urinary incontinence is a common symptom of MS, so the client's awareness is appropriate.
D: Correct - Visual disturbances are common in MS, so the client's understanding is correct.
E: Correct - Checking water temperature is important to prevent burns, which is a safety concern for clients with MS.