ATI RN
ATI Maternal Newborn Exam 3 Fall 2023 Questions
Extract:
A homebound client.
Question 1 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 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 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 3 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.
Extract:
Question 4 of 5
A nurse is delegating tasks to the assistive personnel (AP). The nurse should direct the AP to complete which of the following tasks first?
Correct Answer: C
Rationale: The correct answer is C. Performing blood glucose monitoring of a client who has a prescription for short-acting insulin prior to breakfast should be completed first because it is a time-sensitive task directly related to the client's immediate health needs. Monitoring blood glucose levels is crucial for clients on short-acting insulin to prevent hypoglycemia or hyperglycemia. This task requires immediate attention to ensure the client's safety and well-being.
Choice A is incorrect as delivering a clean voided urine specimen is important but not as time-sensitive as monitoring blood glucose levels for a client on short-acting insulin.
Choice B is incorrect because while feeding a client with bilateral casts is important, it is not as time-sensitive or critical as monitoring blood glucose levels for a client on short-acting insulin.
Choice D is incorrect as obtaining an extra box of tissues for a client is a low-priority task compared to monitoring blood glucose levels for a client on short-acting insulin.
Therefore, the nurse
Extract:
A client has ataxia.
Question 5 of 5
The nurse notes that a client has ataxia. Which of the following tests should the nurse use to gain more information about this client’s gait?
Correct Answer: B
Rationale: The correct answer is B: Romberg test. Ataxia is a condition affecting coordination and balance. The Romberg test assesses the client's ability to maintain balance with eyes closed, which helps identify proprioceptive deficits contributing to gait abnormalities. Plantar flexion (
A), Achilles reflex (
C), and Patellar reflex (
D) are not directly related to assessing gait or balance. The Romberg test specifically targets the client's ability to maintain balance, making it the most appropriate choice in this scenario.