ATI RN
ATI Maternal NewBorn Proctored Exam 2023 with NGN All 70 Questions With Answers Questions
Extract:
A nurse in a clinic is caring for a 16-year-old adolescent.
Exhibit 1
History and Physical
Adolescent is sexually active with two current partners.
IUD in place
Reports not using condoms during sexual activity.
History of type 1 diabetes mellitus”
Question 1 of 5
Which of the following conditions should the nurse identify as being consistent with the adolescent's assessment findings? For each finding click to specify if the assessment findings are consistent with trichomoniasis, gonorrhea, or candidiasis. Each finding may support more than one disease process.
| Assessment Findings | Trichomoniasis | Gonorrhea | Candidiasis |
|---|---|---|---|
| Abdominal pain. | |||
| Greenish discharge. | |||
| Diabetes. | |||
| Pain on urination. | |||
| Absence of condom. |
Correct Answer: B, D
Rationale:
To determine the correct answer, we need to identify which assessment findings are consistent with trichomoniasis, gonorrhea, or candidiasis.
B: Greenish discharge is consistent with both trichomoniasis and gonorrhea due to their characteristic discharge color.
D: Pain on urination is a common symptom of gonorrhea, making it consistent with this condition.
Therefore, the correct answer is , as Greenish discharge and Pain on urination are consistent with gonorrhea. Abdominal pain and Diabetes are not specific to any of the mentioned conditions.
Extract:
The nurse is reviewing laboratory results in the adolescent's medical
record.
Exhibit 1
Vital Signs
1300:
Blood pressure 118/72 mm Hg
Heart rate 100/min
Respiratory rate 20/min
Temperature 38.3° C (101° F)
Question 2 of 5
The nurse is reviewing the adolescent's medical record. Which of the following conditions is the client most likely developing? Complete the following sentence by using the list of options. The adolescent is most likely developing -------------------------- evidenced by --------------------------
Correct Answer:
Rationale:
Correct
Answer: A: Pelvic inflammatory disease
Rationale: Pelvic inflammatory disease (PI
D) is a common condition in adolescents due to sexually transmitted infections. The nurse reviewing the medical record indicates a focus on the reproductive system. Ectopic pregnancy and Beta hCG levels are related but not the most likely in this case. C-reactive protein and urinalysis are general tests not specific to PID.
Extract:
The nurse is reviewing laboratory results in the adolescent's medical
record.
Exhibit 1
History and Physical
Adolescent is sexually active with two current partners.
IUD in place
Reports not using condoms during sexual activity.
History of type 1 diabetes mellitus
Question 3 of 5
The nurse suspects the adolescent is experiencing pelvic inflammatory disease and is planning care. Which of the following prescriptions should the nurse expect the provider to prescribe? Drag words from the choices below to fill in each blank in the following sentence. The nurse should anticipate a provider's prescription for ------------------------------ and --------------------------
Correct Answer: B,C
Rationale: The correct answer is B (doxycycline) and C (Ceftriaxone). Pelvic inflammatory disease (PI
D) is commonly treated with antibiotics to target the infection. Doxycycline and Ceftriaxone are effective antibiotics for treating PID caused by common pathogens like Chlamydia and Gonorrhea. Doxycycline is a broad-spectrum antibiotic that works by inhibiting bacterial protein synthesis, while Ceftriaxone is a third-generation cephalosporin that disrupts bacterial cell wall synthesis. These medications are commonly prescribed in combination to cover a broader spectrum of potential pathogens causing PID.
Choice A (fuconazole) is an antifungal medication and is not appropriate for treating PID.
Choice D (acyclovir) is an antiviral medication used to treat herpes infections, which are not associated with PID.
Choice E (imiquimod) is an immune response modifier used for treating certain skin conditions and
Extract:
A nurse is reviewing the provider's prescription in the adolescent's
medical chart.
Exhibit 1
History and Physical
Adolescent is sexually active with two current partners.
IUD in place
Reports not using condoms during sexual activity.
History of type 1 diabetes mellitus
Question 4 of 5
The nurse is reviewing the provider's prescriptions in the adolescent's medical chart.Complete the following sentence by using the list of options. The nurse should first implement ---------------------- and ---------------------------------
Correct Answer: A,B
Rationale: The correct answer is A,B. First, providing education on medications is crucial to ensure the adolescent understands the prescribed treatment. This empowers them to adhere to the regimen, promoting better health outcomes. Second, administering ceftriaxone aligns with the provider's prescription and is a direct action the nurse must take to carry out the treatment plan.
Choices C, D, E, F, and G are incorrect because administering metronidazole and educating on condom use (
C) is not the immediate priority. Administering metronidazole is not mentioned in the provider's prescriptions, so it is not the first step.
Choices D, E, F, and G are irrelevant and not related to the provider's prescriptions or the adolescent's care.
Extract:
A nurse is caring for a newborn.
Exhibit1
Vital Signs
8 hr of age:
Temperature: 37.1° C (98.8° F) Axillary
Pulse rate: 132/min
Respiratory rate: 52/min
36 hr of age:
Temperature: 36.1° C (97" F) Axillary
Pulse rate: 160/min
Respiratory rate: 78/min”
Question 5 of 5
For each assessment finding, click to specify if the finding is consistent with hypoglycemia, hyperbilirubinemia, or sepsis.
| Assessment Findings | Hypoglycemia | Hyperbilirubinemia | Sepsis |
|---|---|---|---|
| Ecchymotic caput Succedaneum. | |||
| Decreased temperature. | |||
| Lethargy. | |||
| Poor feeding. | |||
| Respiratory distress. | |||
| Yellow sclera and oral mucosa. |
Correct Answer: B, C, D, E, F
Rationale: The correct answer is . Decreased temperature (
B) can indicate hypoglycemia, sepsis, or hypothermia. Lethargy (
C) can be a sign of hypoglycemia, sepsis, or other serious conditions. Poor feeding (
D) is common in hypoglycemia, sepsis, and other illnesses. Respiratory distress (E) is a red flag for sepsis. Yellow sclera and oral mucosa (F) suggest hyperbilirubinemia. Ecchymotic caput Succedaneum (
A) is not typically associated with these conditions.