ATI RN
ATI Maternal Newborn Exam 3 Fall 2023 Questions
Extract:
A client who had a cerebral aneurysm rupture.
Question 1 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: The correct answer is A: Hypertension. Increased intracranial pressure can lead to hypertension due to the body's compensatory mechanisms trying to maintain cerebral perfusion. Hypertension helps to increase cerebral blood flow and maintain adequate oxygenation to the brain. Tinnitus (
B) is not directly related to increased intracranial pressure. Hypotension (
C) is not a typical manifestation, as the body usually responds with hypertension. Tachycardia (
D) can occur as a late sign of increased ICP, but hypertension is a more specific early indicator.
Extract:
Question 2 of 5
The client is scheduled for a functional assessment using the Functional Independence Measure (FIM). The client asks the nurse, 'What is the purpose of the FIM?' Which nursing response is appropriate?
Correct Answer: A
Rationale: The correct answer is A: "It is a tool that is used to determine your maximum level of self-sufficiency." The Functional Independence Measure (FIM) assesses a person's ability to perform activities of daily living independently. By using this tool, healthcare professionals can evaluate the client's functional status and determine their level of independence in various tasks. This information helps in creating a care plan tailored to the client's needs.
Choice B is incorrect because the FIM is not about the client's comfort level but rather their actual ability to perform tasks.
Choice C is incorrect as the FIM is not primarily used by insurance companies for reimbursement decisions.
Choice D is incorrect because the FIM is not specifically focused on determining the services needed from a home health aide but rather on the client's own level of independence.
Extract:
12 students with confirmed cases of influenza A.
Question 3 of 5
The public health nurse identifies 12 students with confirmed cases of influenza A. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Hold a focus group to discuss immunizations. This is the most appropriate action because it addresses the immediate issue of influenza A outbreak among students. By discussing immunizations in a focus group, the nurse can educate students on preventive measures and promote vaccination to prevent further spread of the flu. Developing a survey on teen pregnancies (
A) is irrelevant to the current situation. Running a mandatory flu clinic (
C) may not be feasible or effective for only 12 confirmed cases. Closing the school for 6 weeks (
D) is an extreme measure and unnecessary for a small number of cases.
Extract:
A client with multiple sclerosis.
Question 4 of 5
The nurse is caring for a client with multiple sclerosis. What actions does the nurse implement to increase venous return, prevent stiffness, and maintain muscle strength and endurance?
Correct Answer: D
Rationale:
Correct
Answer: D. Encourage range-of-motion exercises.
Rationale: Range-of-motion exercises help prevent stiffness by maintaining joint flexibility. They also promote venous return by stimulating muscle contraction, aiding in blood flow. Additionally, these exercises help maintain muscle strength and endurance by preventing muscle atrophy.
Summary:
A: Administering corticosteroids is not directly related to increasing venous return, preventing stiffness, or maintaining muscle strength and endurance in multiple sclerosis.
B: Turning and repositioning every 2 hours is important for preventing pressure ulcers but does not specifically address the needs of increasing venous return, preventing stiffness, or maintaining muscle strength and endurance.
C: Administering interferon is used to manage symptoms of multiple sclerosis but does not directly address the goals of increasing venous return, preventing stiffness, or maintaining muscle strength and endurance.
Extract:
Question 5 of 5
A community health nurse is assigned to identify activities that are a part of the prevention/mitigation phase of the disaster management cycle. Which of the following activities should the nurse identify as being in the prevention/mitigation phase?
Correct Answer: B
Rationale: The correct answer is B: Identify community members who have disabilities. In the prevention/mitigation phase of disaster management, the focus is on reducing the risk of disasters and their potential impact. By identifying community members with disabilities, the nurse can develop tailored plans to address their specific needs during disasters, thereby reducing their vulnerability. This proactive approach aligns with prevention/mitigation efforts.
Choice A is incorrect because practicing fire drills falls more under the preparedness phase, where individuals are trained on how to respond during a disaster.
Choice C involves providing immediate response and falls under the response phase.
Choice D involves developing a disaster plan which is also more aligned with the preparedness phase.