ATI RN
ATI Maternal Newborn Exam 3 Fall 2023 Questions
Extract:
The practical nurse (PN) determines that a client's pupils constrict as they change focus from a far object to a near object.
Question 1 of 5
How should the PN document this finding?
Correct Answer: C
Rationale: The correct answer is C: Pupils reactive to accommodation. This finding indicates normal pupillary response to changes in focus, which is an important neurological assessment. It shows the integrity of the oculomotor nerve and brain pathways involved in pupillary reflexes.
Choice A is incorrect as it refers to a different pupillary response.
Choice B is incorrect as nystagmus is unrelated to pupillary response.
Choice D is incorrect as peripheral vision is not assessed through pupillary reaction.
Extract:
A 16-year-old client is asking the practical nurse (PN) what can be done about acne.
Question 2 of 5
Which recommendation should the PN provide?
Correct Answer: D
Rationale: The correct recommendation is to refer to the dermatologist for prescribed long-term therapy (
Choice
D). This is the most appropriate action as the individual likely has a skin condition that requires professional evaluation and treatment. Referring to a dermatologist ensures specialized care tailored to the specific skin issue, leading to more effective and lasting results.
Choice A is incorrect because washing the hair and skin daily with mild soap and warm water may not address the underlying skin condition.
Choice B is irrelevant as omitting chocolate, carbonated drinks, and fried foods from the diet is not a standard treatment for most skin conditions.
Choice C is not advisable as expressing blackheads and using exfoliating scrub without professional guidance can worsen the condition.
In summary, referring to a dermatologist for prescribed long-term therapy is the best course of action for proper diagnosis and treatment of the skin issue.
Extract:
A client with a compound fracture of the left ankle is being discharged with a below-the-knee cast.
Question 3 of 5
Which instruction should the practical nurse (PN) provide to the client prior to discharge?
Correct Answer: D
Rationale: The correct answer is D: Never scratch under the cast. Scratching under the cast can lead to skin breakdown, infection, or injury. The cast provides protection to the healing area, and scratching can compromise this protection. It is crucial for the PN to emphasize this point to the client to prevent complications. Applying a cold pack (
A) may help with swelling but is not the priority here. Keeping the left leg in a dependent position (
B) is not necessary for all clients. Expecting an increase in pain (
C) may not apply to all cases and can cause unnecessary worry.
Extract:
A school-age child who has hemophilia.
Question 4 of 5
A nurse is reinforcing teaching with a school-age child who has hemophilia about participating in school sports. Which of the following sports should the nurse recommend for the child? (Select all that apply.)
Correct Answer: D
Rationale: The correct answer is D: Swimming. Swimming is a recommended sport for a child with hemophilia due to its low risk of injury and the gentle nature of the activity. Hemophilia causes impaired blood clotting, making high-contact sports like basketball, soccer, and gymnastics risky. Swimming is a non-contact sport that helps improve cardiovascular health and muscle strength without putting the child at a high risk of bleeding or injury.
Therefore, it is the safest option for the child with hemophilia.
Choices A, B, and C involve more physical contact and higher risk of injury, making them unsuitable for a child with hemophilia.
Extract:
A client diagnosed with bipolar disorder has recently started taking lamotrigine as part of their medication regimen.
Question 5 of 5
Which of the following would be an essential teaching point to include regarding the medication?
Correct Answer: C
Rationale: The correct answer is C: Notify a healthcare provider immediately if a rash develops. This teaching point is essential because it alerts the patient to a potentially serious adverse reaction that requires prompt medical attention. A rash could indicate an allergic reaction or a severe side effect that needs immediate evaluation and management.
Choices A, B, and D are important but not as critical as notifying a healthcare provider about a rash, which could be a sign of a serious condition. Taking the medication with food (
A) may help reduce stomach upset, increasing fluid intake (
B) can help prevent dehydration, and avoiding driving (
D) while on the medication is important for safety reasons, but these are not as urgent as identifying and addressing a potential allergic reaction or severe side effect.