ATI RN
ATI Maternal Newborn Exam 3 Fall 2023 Questions
Extract:
A client who is receiving total parenteral nutrition (TPN).
Question 1 of 5
Which intervention is most important for the practical nurse (PN) to implement for a client who is receiving total parenteral nutrition (TPN)?
Correct Answer: A
Rationale: Collecting fingerstick glucose levels is the most important intervention for the PN to implement for a client who is receiving TPN. TPN contains a high concentration of glucose, which can cause hyperglycemia or fluctuations in blood sugar levels.
Therefore, it is essential to monitor the client's glucose levels frequently and adjust the infusion rate or insulin administration accordingly.
Extract:
A client reports experiencing numbness and tingling in the extremities.
Question 2 of 5
Which of the client's serum laboratory values should the practical nurse (PN) prioritize reporting to the healthcare provider?
Correct Answer: C
Rationale: When a client reports experiencing numbness and tingling in the extremities, it is crucial for the practical nurse (PN) to prioritise reporting the client's electrolyte levels to the healthcare provider. Electrolytes are essential minerals that help maintain the balance of fluids in the body and enable proper nerve and muscle function. Imbalances in electrolyte levels can lead to neurological symptoms, including numbness and tingling.
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 reports a severe headache and stiff neck. The nurse's assessment reveals positive Kernig's and Brudzinski's signs.
Question 5 of 5
A nurse is assessing a client who reports a severe headache and stiff neck. The nurse's assessment reveals positive Kernig's and Brudzinski's signs. Which of the following actions should the nurse perform first?
Correct Answer: D
Rationale: Implementing droplet precautions is the first action to prevent transmission of suspected meningitis, indicated by headache, stiff neck, and positive signs.