ATI RN
ATI Maternal Newborn Exam 3 Fall 2023 Questions
Extract:
A client with complications of left-sided heart failure.
Question 1 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:
Question 2 of 5
The facility education nurse is providing a group of new nurses education regarding weaponized biological threats. When discussing anthrax, which of the following should be included as portals of entry? SELECT ALL THAT APPLY
Correct Answer: A,C,E
Rationale: The integumentary system (
A), central nervous system (
C), and respiratory system (E) are portals of entry for anthrax via skin cuts, brain invasion causing meningitis, and inhalation, respectively. Endocrine (
B) and renal (
D) systems are not primary entry points.
Extract:
A school-age child who has hemophilia.
Question 3 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: Swimming (
D) is a low-impact sport that minimizes the risk of injury and joint stress, making it an ideal choice for children with hemophilia, a bleeding disorder where contact sports like basketball (
A), gymnastics (
B), and soccer (
C) increase bleeding risk.
Extract:
A client receiving rehabilitation for paralysis following a spinal cord injury and is diagnosed with reflex incontinence.
Question 4 of 5
A client is receiving rehabilitation for paralysis following a spinal cord injury and is diagnosed with reflex incontinence. Which of the following is the highest priority intervention the nurse should include in the plan of care?
Correct Answer: B
Rationale: Providing regular perineal care prevents skin breakdown and infection, the highest priority for managing reflex incontinence in this client.
Extract:
A client who has had a hemorrhagic stroke following a ruptured cerebral aneurysm.
Question 5 of 5
A nurse is caring for a client who has had a hemorrhagic stroke following a ruptured cerebral aneurysm. Which of the following manifestations should the nurse expect?
Correct Answer: C
Rationale: Sudden severe headache is a manifestation of a hemorrhagic stroke, caused by bleeding and pressure on nerve endings due to the ruptured aneurysm.