ATI RN
ATI Maternal Newborn Exam 3 Fall 2023 Questions
Extract:
A client who has COPD.
Question 1 of 5
A nurse is contributing to the plan of care for a client who has COPD. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Instruct the client to use pursed-lip breathing. Pursed-lip breathing helps improve breathing efficiency in COPD by prolonging exhalation, reducing air trapping, and improving oxygenation. Option A is incorrect as lying down after meals can worsen respiratory distress. Option C is incorrect as using the upper chest for respiration can lead to increased work of breathing in COPD. Option D is incorrect as fluid restriction is not a standard intervention for COPD unless the client is in severe respiratory distress.
Extract:
Question 2 of 5
A nursing preceptor is reviewing life expectancy in the twentieth century with a new nurse. The nurse should recognize that which of the following was most responsible for the dramatic increase in life expectancy during the twentieth century?
Correct Answer: B
Rationale: The correct answer is B: Sanitation and other public health activities. This is because improvements in sanitation, clean water supply, waste management, and public health initiatives such as vaccination programs played a crucial role in increasing life expectancy by reducing the spread of infectious diseases. Advances in surgical techniques might have helped in specific cases but were not the primary driver of the overall increase in life expectancy. Technology increases in medical laboratory research and the use of antibiotics were also important, but they were not as impactful on a population level as improved sanitation and public health measures.
Question 3 of 5
A nurse wishes to develop cultural competence when caring for clients. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The correct answer is C: Consider how the nurse's own personal beliefs and decisions are reflective of their culture. This is the first step in developing cultural competence because self-awareness is essential before understanding others. By reflecting on one's own beliefs and biases, the nurse can identify areas for growth and be more open-minded towards diverse cultures. This self-reflection helps in recognizing how personal values may influence interactions with clients from different backgrounds.
Choice A is incorrect because understanding the community's demographics does not address the nurse's own biases.
Choice B is valuable but should come after self-reflection.
Choice D may be helpful but doesn't directly address the nurse's own cultural competence.
Question 4 of 5
The facility education nurse is providing a group of new nurses education regarding weaponized biological threats. When discussing anthrax, which of the following should be included as portals of entry? SELECT ALL THAT APPLY
Correct Answer: A,C,E
Rationale: The correct answer is A, C, and E. Anthrax can enter the body through different portals. A: Integumentary system - through cuts or abrasions in the skin; C: Central nervous system - through inhalation of spores that can travel to the brain; E: Respiratory system - through inhalation of spores. B, D, F, and G are incorrect as anthrax does not typically enter through the endocrine, renal, or other systems. Summarily, the correct portals of entry for anthrax are the integumentary, central nervous, and respiratory systems, making options A, C, and E the correct choices.
Extract:
A client with a myocardial infarction.
Question 5 of 5
A nurse is caring for a client with a myocardial infarction. The client questions the need for cardiac rehabilitation since 'my heart is already damaged.' Which of the following is the appropriate nursing response?
Correct Answer: C
Rationale: The correct answer is C because it acknowledges the client's concern about the already damaged heart while also highlighting the benefits of cardiac rehabilitation. By stating that cardiac rehabilitation cannot undo the damage but can help the client safely return to previous activity levels, the nurse addresses the client's worry and emphasizes the importance of the program in improving the client's quality of life.
Choice A is incorrect as it does not directly address the client's concern about the heart damage, focusing instead on the benefits of diet and exercise.
Choice B is incorrect as it minimizes the client's feelings and does not provide assurance about the benefits of cardiac rehabilitation.
Choice D is incorrect as it deflects responsibility to the doctor without addressing the client's concerns or providing information about cardiac rehabilitation.