ATI RN
RN ATI Maternal Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
A nurse is providing teaching to the parents of a newborn about the Plastibell circumcision technique. Which of the following information should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Notify the provider if the end of your baby’s penis appears dark red. This is important to monitor for signs of infection, such as redness, swelling, or discharge. Yellow exudate forming in 24 hours (
C) is incorrect as it may indicate infection. The Plastibell is typically removed after a few days, not 4 hours (
A). Ensuring a snug diaper (
B) is irrelevant to the circumcision technique.
Question 2 of 5
A nurse is providing discharge teaching to a client following tubal ligation. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D: Ovulation will remain the same. After tubal ligation, the fallopian tubes are blocked to prevent the egg from meeting sperm, but ovulation continues. This answer shows understanding of the procedure's mechanism. A: Premenstrual tension may or may not be affected. B: Menstrual periods are not directly affected. C: Hormone replacements are not routinely needed. In summary, D is correct as it reflects accurate knowledge of tubal ligation outcomes, while the other options are either unrelated or incorrect.
Question 3 of 5
A nurse is caring for a client who is 1 hr postpartum and has uterine atony. The client is exhibiting a large amount of vaginal bleeding. Which of the following actions should the nurse take?
Correct Answer: C
Rationale:
Correct
Answer: C. Anticipate a prescription for misoprostol.
Rationale: Misoprostol is a medication that helps to induce uterine contractions, which can help control postpartum bleeding due to uterine atony. It is a common pharmacological intervention for this situation.
Incorrect
Choices:
A: Administering betamethasone IM is not indicated for postpartum hemorrhage due to uterine atony. This medication is typically used for fetal lung maturation in preterm labor.
B: Avoiding performing sterile vaginal examinations does not address the primary concern of uterine atony and postpartum bleeding. Assessing the uterus and bleeding are crucial in this situation.
D: Obtaining a specimen for a Kleihauer-Betke test is used to determine the amount of fetal-maternal hemorrhage in Rh-negative women. While important in some situations, it is not the priority in managing postpartum hemorrhage.
Question 4 of 5
A nurse is calculating the estimated date of delivery for a client who reports that the first day of her last menstrual period was August 10. Using Nägele’s Rule, which of the following is the client’s estimated date of delivery?
Correct Answer: B
Rationale: The correct answer is B: May 17. Nägele's Rule involves adding 7 days to the first day of the last menstrual period, subtracting 3 months, and adding 1 year. In this case, August 10 + 7 days = August 17, subtracting 3 months gives May 17. This calculation estimates the date of delivery.
Choice A (May 13) is incorrect as it doesn't account for the full calculation process.
Choice C (May 3) is incorrect as it doesn't consider adding 7 days.
Choice D (May 20) is incorrect as it doesn't involve subtracting 3 months.
Question 5 of 5
A nurse is caring for a client who is at 36 weeks of gestation and has methicillin-resistant Staphylococcus aureus. Which of the following types of isolation precautions should the nurse initiate?
Correct Answer: B
Rationale: The correct answer is B: Contact precautions. Methicillin-resistant Staphylococcus aureus (MRS
A) is typically spread through direct contact with an infected person or contaminated surfaces.
Therefore, initiating contact precautions is essential to prevent the spread of the infection to other individuals. This includes wearing gloves and gowns when providing care to the client, ensuring proper hand hygiene, and properly cleaning and disinfecting the environment.
The other choices are incorrect:
A: Droplet precautions are used for infections spread through respiratory droplets (e.g., influenza, pertussis), not MRSA.
C: Protective environment precautions are used for clients with compromised immune systems to protect them from environmental pathogens, not for MRSA.
D: Airborne precautions are used for infections spread through airborne particles (e.g., tuberculosis, chickenpox), not MRSA.