ATI RN
ATI Maternal Newborn RN Questions
Extract:
A client scheduled for a mastectomy after a breast biopsy
Question 1 of 5
A breast biopsy indicates the presence of malignant cells, and the client is scheduled for a mastectomy. When preparing the client's preoperative plan of care, which area would the nurse most likely address as the priority?
Correct Answer: Body image is a priority due to the psychosocial impact of mastectomy on identity and self-esteem. Fluid balance, urinary elimination, and activity are less immediate concerns.
Rationale:
Extract:
A client one day postoperative following a left radical mastectomy
Question 2 of 5
A nurse is caring for a client who is one day postoperative following a left radical mastectomy. Which of the following behaviors should alert the nurse to the possibility that the client is having difficulty adjusting to the loss of her breast?
Correct Answer: Refusing to look at the incision may indicate denial or body image issues. Asking questions, exercising, and requesting pain relief suggest positive coping.
Rationale:
Extract:
A female client with thick, white vaginal discharge, intense itching, and dyspareunia
Question 3 of 5
Assessment of a female client reveals a thick, white vaginal discharge. She also reports intense itching and dyspareunia. Based on these findings, the nurse would suspect that the client has:
Correct Answer: Candidiasis (yeast infection) causes thick, white, cottage cheese-like discharge, itching, and painful intercourse. Trichomoniasis causes frothy discharge, herpes causes blisters, and bacterial vaginosis causes thin, fishy-smelling discharge.
Rationale:
Extract:
A client who had a right-sided mastectomy 8 hours ago with an IV in her left arm
Question 4 of 5
A laboratory technician arrives to draw blood for a complete blood count (CBC) for a client who had a right-sided mastectomy 8 hours ago. The client has an intravenous line with fluid infusing in her left antecubital space. To obtain the blood specimen, the technician places a tourniquet on the client's right arm. Which action by the nurse would be most appropriate?
Correct Answer: Using the left arm avoids risks like lymphedema in the surgical arm. Femoral puncture is invasive, assisting with the right arm is harmful, and finger sticks are inadequate for CBC.
Rationale:
Extract:
A client receiving enoxaparin 30 mg subcutaneously, available as 40 mg/mL
Question 5 of 5
A nurse is preparing to administer enoxaparin 30 mg subcutaneously. Available is enoxaparin 40 mg/mL. How many mL should the nurse administer?(Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: Using the formula mL = dose / concentration, calculate: 30 mg / 40 mg/mL = 0.75 mL, rounded to 0.8 mL.
Rationale: