(PLEASE CHECK THE LAST PAGE FOR MULTIPLE
VERSIONS OF THE EXAM AND OTHER ATI EXAM)
1. A nurse is caring for a client who has bacterial meningitis. Upon monitoring the
client, which of the following findings should the nurse expect?
a) Flaccid neck(The nurse should recognize that nuchal rigidity, rather than a flaccid
neck, is a manifestation of meningitis.)
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b) Stooped posture with shuffling gait(The nurse should recognize that a stooped
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posture with shuffling gait is a manifestation of Parkinson's disease, not a
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manifestation of meningitis.)
c) Red macular rash(The nurse should expect to find a red macular rash, sometimes
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called a petechial rash, which is a manifestation of meningococcal meningitis.)
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d) Masklike facial expression(The nurse should recognize that a masklike expression
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is a manifestation of Parkinson's disease, not a manifestation of meningitis.)
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2. A nurse is reinforcing discharge teaching about wound care with a family member
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of a client who is postoperative. Which of the following should the nurse include in
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the teaching?
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a) Administer an analgesic following wound care.(The nurse should remind the
family member to administer an analgesic prior to wound care to prevent
discomfort.)
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, b) Irrigate the wound with povidone iodine.(The nurse should remind the family
member to irrigate the wound with 0.9% sodium chloride.)
c) Cleanse the wound with a cotton-tipped applicator.(The nurse should remind the
family member to avoid using a cotton-tipped applicator to cleanse the wound
because the fibers can become embedded in the wound, cause infection, and delay
wound healing.)
d) Report purulent drainage to the provider.(The nurse should remind the family
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member to report signs of infection, including purulent drainage.)
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3. A nurse is contributing to the plan of care for an older adult client who is at risk for
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osteoporosis. Which of the following interventions should the nurse include to
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prevent bone loss?
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a) Increase fluid intake.(Fluid intake is beneficial for general health and wellness,
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and it helps to treat some disorders. Caffeine and alcohol intake can increase the
client's risk of developing osteoporosis. However, fluid intake does not prevent
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bone loss.)
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b) Encourage range-of-motion exercises.(Range-of-motion exercises are beneficial
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for general health and wellness, and they help to maintain flexibility and prevent
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contractures. However, range-of-motion exercises do not prevent bone loss.)
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c) Massage bony prominences.(Massaging bony prominences should be avoided
because it can traumatize deep tissues.)
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