ATI RN
ATI Custom PNU Maternity Fall 2023 Questions
Extract:
A nurse is preparing to administer vitamin K 1mg IM to a newborn. Available is vitamin K injection 1 mg/0.5 mL.
Question 1 of 5
How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale: The correct answer is A: 0.5 mL. The dose should be administered per the prescribed amount, which in this case is 0.5 mL. It is important to follow the specific instructions provided by the healthcare provider to ensure the correct dosage is given to the patient.
Choice B: 1 mL is not correct as it does not match the prescribed dose.
Choice C: 2 mL is incorrect as it exceeds the prescribed amount.
Choice D: 0.6 mL is also incorrect as it is not the exact prescribed dose. It is crucial for the nurse to accurately measure and administer the correct dosage to ensure the patient's safety and treatment efficacy.
Extract:
A nurse is caring for a client who is 1 day postpartum following a cesarean birth.
Question 2 of 5
To prevent thrombophlebitis, the nurse should contribute which of the following interventions to the client's plan of care?
Correct Answer: A
Rationale: The correct answer is A: Place pillows under the client's knees while she is resting in bed. Elevating the client's legs with pillows promotes venous return, reducing the risk of thrombophlebitis. It helps prevent blood pooling in the lower extremities, decreasing the chances of blood clots forming. This intervention also improves circulation and reduces venous stasis.
Choices B and D are incorrect as applying hot moist soaks or keeping the client on bed rest do not directly address venous return or clot prevention.
Choice C, assisting the client to ambulate, is beneficial for circulation but may not be as effective as elevating the legs.
Extract:
A nurse is assisting a client with breastfeeding her newborn.
Question 3 of 5
The nurse should explain that which of the following reflexes will initiate sucking?
Correct Answer: A
Rationale: The correct answer is A: Rooting. When the cheek or lip is touched, the infant turns the head toward the stimulus and opens the mouth to suck. This reflex helps initiate sucking during breastfeeding. Moro reflex (
B) is a startle reflex, stepping reflex (
C) is for walking, and Babinski reflex (
D) is for assessing neurological function.
Choices E, F, G are not applicable.
Extract:
A nurse is reinforcing teaching about quickening with a client who is at 6 weeks of gestation.
Question 4 of 5
Which of the following information should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Quickening occurs between the fourth and fifth months of pregnancy. Quickening refers to the first fetal movements felt by the mother, typically occurring around 18-22 weeks of pregnancy. This is due to the development of the fetal nervous system and muscle coordination.
Choices A, C, and D are incorrect because quickening does not occur as early as the first or second months of pregnancy, immediately after implantation, or during the last weeks of pregnancy. It is important for the nurse to provide accurate information to ensure proper understanding and expectations during pregnancy.
Extract:
A nurse is reinforcing teaching about nutrition with a client who is pregnant and has hyperemesis gravidarum at home.
Question 5 of 5
Which of the following statements indicates that the client understands the teaching?
Correct Answer: D
Rationale: The correct answer is D: "I will eat crackers before I get out of bed in the morning." This statement indicates understanding as it demonstrates compliance with a specific teaching instruction. Eating crackers before getting out of bed is a common recommendation for managing morning sickness or low blood sugar levels upon waking.
Choices A, B, and C are incorrect because they do not directly address a specific teaching point or demonstrate understanding of the instruction given.
Choice A focuses on timing rather than the actual instruction.
Choice B mentions water consumption, which is not necessarily related to the teaching.
Choice C talks about limiting protein intake, which may or may not be relevant to the teaching provided.