ATI RN
ATI Maternal Newborn Exam 3 Fall 2023 Questions
Extract:
A client with a compound fracture of the left ankle is being discharged with a below-the-knee cast.
Question 1 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 2 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 3 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.
Extract:
A client who has COPD.
Question 4 of 5
A nurse is contributing to the plan of care for a client who has COPD. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Instruct the client to use pursed-lip breathing. Pursed-lip breathing helps improve breathing efficiency in COPD by prolonging exhalation, reducing air trapping, and improving oxygenation. Option A is incorrect as lying down after meals can worsen respiratory distress. Option C is incorrect as using the upper chest for respiration can lead to increased work of breathing in COPD. Option D is incorrect as fluid restriction is not a standard intervention for COPD unless the client is in severe respiratory distress.
Extract:
Question 5 of 5
A nursing preceptor is reviewing life expectancy in the twentieth century with a new nurse. The nurse should recognize that which of the following was most responsible for the dramatic increase in life expectancy during the twentieth century?
Correct Answer: B
Rationale: The correct answer is B: Sanitation and other public health activities. This is because improvements in sanitation, clean water supply, waste management, and public health initiatives such as vaccination programs played a crucial role in increasing life expectancy by reducing the spread of infectious diseases. Advances in surgical techniques might have helped in specific cases but were not the primary driver of the overall increase in life expectancy. Technology increases in medical laboratory research and the use of antibiotics were also important, but they were not as impactful on a population level as improved sanitation and public health measures.