ATI RN
ATI Maternal Newborn Exam 3 Fall 2023 Questions
Extract:
A client with diabetes.
Question 1 of 5
The nurse is preparing for an initial home care visit for a client with diabetes. Which action by the nurse is appropriate? SELECT ALL THAT APPLY
Correct Answer: A,C,E
Rationale: The correct answers are A, C, and E. A is correct because asking how the client is managing at home helps assess their self-care abilities. C is appropriate as arranging future visits establishes continuity of care. E is vital as sitting down and discussing with the client and family members fosters open communication and understanding. B is incorrect as entering the client's bedroom without permission violates privacy. D is incorrect as thanking the client for arranging a home visit is not necessary.
Extract:
A client who is newly diagnosed with multiple sclerosis (MS).
Question 2 of 5
The nurse provides education to a client who is newly diagnosed with multiple sclerosis (MS). Which client statements indicate the need for additional teaching? SELECT ALL THAT APPLY
Correct Answer: B,C
Rationale:
Correct
Answer: B,C
Rationale:
B: Clients with MS are encouraged to exercise as it can help improve strength and overall well-being. Avoiding exercise due to fear of exacerbation is not appropriate.
C: Alternating the eye patch every other day is not effective in managing double vision. Consistent use of the eye patch is recommended for better outcomes.
Summary:
A: Correct - Urinary incontinence is a common symptom of MS, so the client's awareness is appropriate.
D: Correct - Visual disturbances are common in MS, so the client's understanding is correct.
E: Correct - Checking water temperature is important to prevent burns, which is a safety concern for clients with MS.
Extract:
A 25-year-old hospitalized client diagnosed with multiple sclerosis has significant muscle weakness in the lower extremities bilaterally.
Question 3 of 5
Discharge plans are being made for a 25-year-old hospitalized client diagnosed with multiple sclerosis. The client has significant muscle weakness in the lower extremities bilaterally. Which of the following facilities should the nurse expect this client to be discharged to?
Correct Answer: C
Rationale: The correct answer is C: Rehabilitation facility. This option is the most appropriate because the client with significant muscle weakness in the lower extremities due to multiple sclerosis will benefit from intensive therapy and support provided in a rehabilitation facility to improve mobility and regain functional independence. A skilled nursing facility (
A) typically provides more long-term care for clients with chronic conditions. Home care services (
B) may not offer the level of intensive therapy needed. Sub-acute care facility (
D) focuses more on post-acute medical care rather than rehabilitation.
Extract:
A client who has scabies.
Question 4 of 5
A charge nurse is making a room assignment for a client who has scabies. In which of the following rooms should the nurse place the client?
Correct Answer: C
Rationale: The correct answer is C: A private room. Scabies is transmitted through close, prolonged skin-to-skin contact. Placing the client in a private room helps prevent the spread of scabies to other clients. Negative-pressure rooms are used for airborne infections like tuberculosis, not scabies. Positive-pressure rooms are typically used for immunocompromised clients. Placing the client with pediculosis capitis can lead to cross-contamination.
Therefore, the best choice is a private room to prevent the spread of scabies.
Extract:
A client who has Parkinson's disease and is starting to display bradykinesia.
Question 5 of 5
A nurse is caring for a client who has Parkinson's disease and is starting to display bradykinesia. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Give the patient extra time to perform activities. Bradykinesia is a hallmark symptom of Parkinson's disease characterized by slow movement. By giving the patient extra time, the nurse allows the client to perform activities at their own pace, reducing frustration and promoting independence.
Choice B is incorrect because teaching the client to walk more quickly goes against the nature of bradykinesia.
Choice C is irrelevant as a low-protein, low-calorie diet is not indicated for bradykinesia.
Choice D is not directly related to addressing bradykinesia and may not be the most effective intervention.