ATI RN
ATI Maternal Newborn Exam 3 Fall 2023 Questions
Extract:
A client reports experiencing numbness and tingling in the extremities.
Question 1 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: The correct answer is C: Electrolytes. Electrolyte imbalances can have serious consequences on a patient's health, leading to cardiac arrhythmias, muscle weakness, and neurological issues. Prioritizing reporting electrolyte abnormalities allows for prompt intervention to prevent complications. Hematocrit (
A) and white blood cell count (
D) are important but not as urgent as electrolytes. Albumin and protein levels (
B) are more indicative of nutritional status and chronic conditions rather than acute issues. Other choices do not provide immediate critical information.
Extract:
A group of clients on the urology medical unit.
Question 2 of 5
The practical nurse (PN) is assigning care for a group of clients on the urology medical unit. Which client care interventions should the PN assign to the unlicensed assistive personnel (UAP)? (Select all that apply)
Correct Answer: A,E
Rationale: The correct answers are A and E. A, transporting a urine culture sample to the lab, is within the scope of practice for UAP as it involves simple specimen collection and transport. E, emptying a bedside drainage unit for a client with an indwelling urinary catheter, is also appropriate for UAP as it is a routine task that does not require specialized skills.
Choice B, obtaining a post-voided residual volume, requires specific training to ensure accurate measurement and interpretation, making it unsuitable for UAP.
Choice C, teaching a client with fluid restrictions how to measure urine output, involves education and assessment that should be performed by a licensed healthcare provider.
Choice D, irrigating an indwelling urinary catheter, is a sterile procedure that should only be performed by a licensed nurse or healthcare provider with appropriate training.
Extract:
An older female client who resides in a long-term care facility has a male friend who often visits her in the evenings.
Question 3 of 5
The practical nurse (PN) enters the client's room to administer medications and finds the couple in bed together. What action should the PN take?
Correct Answer: D
Rationale: The correct answer is D: Ask when the nurse should return. This option respects the couple's privacy while still addressing the situation professionally. By asking when to return, the PN can ensure the couple has privacy to dress or address any immediate concerns. Option A may embarrass the couple and is not necessary. Reporting to the family (
B) violates client confidentiality. Exiting and closing the door (
C) may leave the couple uncomfortable. Asking when to return (
D) balances professionalism and respect for the clients.
Extract:
A client who requires seizure precautions.
Question 4 of 5
In caring for a client who requires seizure precautions, the practical nurse (PN) should ensure the ready availability of equipment to perform which procedure?
Correct Answer: A
Rationale: The correct answer is A: Suction the trachea. During a seizure, a client may experience excessive secretions or vomit, which can obstruct the airway. Suctioning the trachea helps maintain a clear airway, preventing aspiration and ensuring oxygenation. The other options are incorrect because:
B) Inserting a urinary catheter is not directly related to seizure precautions.
C) Applying soft restraints may not be necessary and could potentially exacerbate the client's distress during a seizure.
D) Inserting a nasogastric tube is not a priority during a seizure and may not be indicated. Overall, ensuring the availability of equipment to suction the trachea is crucial in managing a client with seizure precautions.
Extract:
The mother of a school-aged boy tells the practical nurse (PN) that he fell out of a tree and hurt his arm and shoulder.
Question 5 of 5
Which assessment should the practical nurse (PN) note as the most significant indicator of possible child abuse?
Correct Answer: D
Rationale: The correct answer is D. In cases of possible child abuse, inconsistencies between the caregiver's description of the injury and the child's version are a significant indicator. This is because it suggests potential fabrication or concealment of the truth, raising suspicion of abuse.
Choice A is incorrect as avoiding eye contact does not directly indicate abuse.
Choice B, the mother's detailed description, is not necessarily linked to abuse.
Choice C, healed abrasions, is concerning but not as indicative as conflicting injury accounts.