ATI RN
ATI Maternal Newborn Exam 3 Fall 2023 Questions
Extract:
A client who has a recent diagnosis of Multiple Sclerosis (MS).
Question 1 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 2 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 3 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.
Extract:
A client who has experienced a hemorrhagic stroke.
Question 4 of 5
A nurse is caring for a client who has experienced a hemorrhagic stroke. Which intervention should the nurse prioritize when providing care to the client?
Correct Answer: A
Rationale: The correct answer is A: Monitoring vital signs and neurological status frequently. This is the priority intervention because in a hemorrhagic stroke, there is bleeding in the brain leading to increased intracranial pressure. Monitoring vital signs and neurological status helps in detecting any changes promptly and initiating appropriate interventions. Maintaining strict bed rest (
B) is not recommended as it may lead to complications like deep vein thrombosis. Administering anticoagulant medications (
C) is contraindicated in hemorrhagic strokes as it can worsen bleeding. Assisting with range of motion exercises (
D) is important but not the priority in the acute phase of hemorrhagic stroke.
Extract:
Question 5 of 5
The community health nurse is making a list of needed supplies in the event of a bioterrorism attack. The nurse recognizes that community members exposed to anthrax will need access to which of the following medications?
Correct Answer: B
Rationale: The correct answer is B: Ciprofloxacin (Cipro). In the event of a bioterrorism attack involving anthrax exposure, Ciprofloxacin is the recommended medication for prophylaxis and treatment. Ciprofloxacin is an antibiotic effective against anthrax bacteria. It works by inhibiting bacterial DNA synthesis, preventing the growth and replication of the bacteria. This medication is crucial in preventing the progression of anthrax infection and reducing mortality rates.
Other choices are incorrect because:
A: Fluconazole (Diflucan) is an antifungal medication used to treat fungal infections, not bacterial infections like anthrax.
C: Varenicline (Chantix) is used for smoking cessation, not for treating anthrax.
D: Potassium iodide (KI) is used to protect the thyroid gland from radiation exposure, not for anthrax treatment.