ATI RN
ATI Maternal Newborn Exam 3 Fall 2023 Questions
Extract:
A client diagnosed with bipolar disorder has recently started taking lamotrigine as part of their medication regimen.
Question 1 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 2 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 3 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.
Question 4 of 5
A nurse wishes to develop cultural competence when caring for clients. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The correct answer is C: Consider how the nurse's own personal beliefs and decisions are reflective of their culture. This is the first step in developing cultural competence because self-awareness is essential before understanding others. By reflecting on one's own beliefs and biases, the nurse can identify areas for growth and be more open-minded towards diverse cultures. This self-reflection helps in recognizing how personal values may influence interactions with clients from different backgrounds.
Choice A is incorrect because understanding the community's demographics does not address the nurse's own biases.
Choice B is valuable but should come after self-reflection.
Choice D may be helpful but doesn't directly address the nurse's own cultural competence.
Question 5 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 correct answer is A, C, and E. Anthrax can enter the body through different portals. A: Integumentary system - through cuts or abrasions in the skin; C: Central nervous system - through inhalation of spores that can travel to the brain; E: Respiratory system - through inhalation of spores. B, D, F, and G are incorrect as anthrax does not typically enter through the endocrine, renal, or other systems. Summarily, the correct portals of entry for anthrax are the integumentary, central nervous, and respiratory systems, making options A, C, and E the correct choices.