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 client's ability to prepare meals is the most important factor because Meals-on-Wheels caters to those unable to cook or shop due to physical or mental limitations.
Extract:
A client who had a cerebral aneurysm rupture.
Question 2 of 5
A nurse is monitoring a client who had a cerebral aneurysm rupture. Which of the following findings should the nurse identify as a manifestation of increased intracranial pressure?
Correct Answer: A
Rationale: Hypertension is a manifestation of increased intracranial pressure, part of Cushing's triad, indicating impaired cerebral perfusion post-aneurysm rupture.
Extract:
A client with complications of left-sided heart failure.
Question 3 of 5
The practical nurse (PN) is assisting with the admission of a client with complications of left-sided heart failure. Which focused assessment should the PN implement first?
Correct Answer: C
Rationale: When admitting a client with complications of left-sided heart failure, the practical nurse (PN) should prioritize assessing the client's bilateral lung sounds. Left-sided heart failure can result in the accumulation of fluid in the lungs, leading to pulmonary congestion and impaired gas exchange. By auscultating the client's lung sounds, the PN can assess for the presence of crackles, wheezes, or diminished breath sounds, which are indicative of pulmonary congestion and fluid accumulation.
Extract:
A client has ataxia.
Question 4 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: Romberg is a test that measures balance and proprioception, often impaired in ataxia, providing insight into the client’s gait difficulties.
Extract:
A client who has COPD.
Question 5 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: Instructing the client to use pursed-lip breathing helps improve oxygen exchange and decreases air trapping, which is effective in managing COPD symptoms.