ATI RN
ATI Maternal Newborn Exam 3 Fall 2023 Questions
Extract:
12 students with confirmed cases of influenza A.
Question 1 of 4
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 2 of 4
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 3 of 4
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.
Extract:
A client receiving rehabilitation for paralysis following a spinal cord injury and is diagnosed with reflex incontinence.
Question 4 of 4
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: The correct answer is B: Provide regular perineal care to prevent skin breakdown. Reflex incontinence can lead to frequent and involuntary voiding, increasing the risk of skin breakdown. Regular perineal care helps maintain skin integrity and prevent complications. Limiting fluid intake (
A) is not appropriate as it may lead to dehydration. Administering hypotonic IV fluids (
C) is not related to managing reflex incontinence. Teaching Kegel exercises (
D) is more suitable for stress incontinence, not reflex incontinence.
Extract:
Question 5 of 4
An occupational health nurse in the clinic of an industrial plant is developing a guidebook for clinic workers. Which of the following actions should the nurse include as a secondary prevention strategy?
Correct Answer: B
Rationale: The correct answer is B: Help plant workers identify signs of carpal tunnel syndrome. This is a secondary prevention strategy because it involves early detection and intervention before the condition progresses. By educating workers about the signs of carpal tunnel syndrome, the nurse can help them seek timely medical attention, potentially preventing further complications.
Option A is incorrect because it focuses on rehabilitation and return-to-work programs, which are more aligned with tertiary prevention. Option C involves primary prevention through vaccination. Option D is about teaching proper lifting techniques, which is more of a primary prevention strategy to prevent injuries.