ATI RN
ATI RN Maternal Newborn 2023 Exam 4 Questions
Extract:
A nurse has been monitoring a client who gave birth vaginally 8 hours ago.
Question 1 of 5
Based on the nurse's notes at 0700 and 1100, select the three findings that necessitate immediate follow-up.
Correct Answer: B, C, E
Rationale: A BP of 136/86 mm Hg (
B) suggests possible hypertension, lateral deviation of the uterus (
C) may indicate a full bladder affecting uterine contraction, and large lochia rubra (E) could signal hemorrhage.
Extract:
A nurse is reviewing the prescriptions for a pregnant client who is taking digoxin.
Question 2 of 5
Which action should the nurse take to best evaluate the client's medication adherence?
Correct Answer: A
Rationale: The correct answer is A: Check the client's serum medication level. By checking the serum medication level, the nurse can directly measure the amount of medication in the client's bloodstream, providing objective evidence of medication adherence. This method is more reliable than asking the client (choice
C) or assessing unrelated parameters like apical pulse rate (choice
B) or kidney function (choice
D). Checking the serum medication level gives a concrete assessment of the client's adherence, helping the nurse make informed decisions about the client's treatment plan.
Extract:
A nurse is caring for a client who is hypotensive following the administration of epidural anesthesia.
Question 3 of 5
Which action should the nurse take?
Correct Answer: C
Rationale: The correct action for the nurse to take is to turn the client to a side-lying position (
Choice
C). This is crucial for preventing aspiration in unconscious or postoperative clients. Side-lying position helps maintain airway patency and prevents the tongue from obstructing the airway. It also promotes optimal lung expansion and ventilation. Applying oxygen (
Choice
A) may be necessary but does not address the immediate risk of aspiration. Massaging the fundus (
Choice
B) is typically done postpartum to prevent hemorrhage. Assisting the client to empty their bladder (
Choice
D) is important for comfort but does not address the immediate risk of airway compromise.
Extract:
A nurse is assessing a client who is at 6 weeks of gestation and adheres to a vegan diet.
Question 4 of 5
Which of the following questions should the nurse ask to assess the client's dietary intake?
Correct Answer: C
Rationale: The correct answer is C. Asking about the amount of protein eaten in a day is important to assess the client's overall dietary intake, as protein is a crucial macronutrient for body function. This question helps the nurse evaluate if the client is meeting their protein needs for optimal health.
A: The question about the last time meat was eaten is specific and limited to one food item, not providing a comprehensive assessment of dietary intake.
B: Inquiring about Vitamin C supplement intake focuses on a single nutrient and does not give a holistic view of the client's overall diet.
D: Asking about shellfish is too specific and may not provide a broad understanding of the client's dietary habits.
Extract:
A nurse is reviewing laboratory findings for a patient who is at 20 weeks of gestation.
Question 5 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Fasting blood glucose 180 mg/dL (74 to 106 mg/dL). This finding should be reported to the provider because it is above the normal range, indicating hyperglycemia, which may require immediate intervention or adjustment of the treatment plan. Elevated blood glucose levels can lead to complications in diabetic patients.
A: WBC count of 11,000/mm³ is slightly elevated but not significantly outside the normal range, so it may not require immediate reporting unless other symptoms are present.
C: Hematocrit of 37% falls within the normal range, so it does not warrant immediate reporting.
D: Creatinine level of 0.9 mg/dL is within the normal range and does not require immediate reporting.