ATI RN
Assessment of High Risk Pregnancy NCLEX Questions Questions
Question 1 of 5
A nurse working in a community hospital’s emergency department provides care to a patient having chest pain. Which level of care is the nurse providing?
Correct Answer: D
Rationale: In this scenario, the correct answer is D) Tertiary care. Tertiary care is specialized consultative healthcare, usually for inpatients and on referral from a primary or secondary healthcare professional, in a center that has personnel and facilities for advanced medical investigation and treatment. In the case of a patient presenting with chest pain in the emergency department, this level of care involves specialized diagnostic procedures and treatments to address the acute and potentially life-threatening nature of the patient's condition. Option A) Continuing care typically refers to the provision of long-term healthcare services, which is not the immediate focus when a patient presents with chest pain in the emergency department. Option B) Restorative care involves rehabilitative services to help a patient regain maximum function and independence, which is not the primary concern in the emergent situation of chest pain. Option C) Preventive care aims to prevent illness or detect conditions early, which is not the primary goal when a patient is already experiencing chest pain and requires immediate intervention. In an educational context, understanding the levels of care is crucial for nurses to provide appropriate interventions based on the patient's needs. This knowledge ensures that patients receive the right level of care at the right time, optimizing outcomes and promoting patient safety and well-being.
Question 2 of 5
A nurse is providing home care to a home-bound patient treated with intravenous (IV) therapy and enteral nutrition. What is the home health nurse’s primary objective?
Correct Answer: B
Rationale: Health promotion and education are traditionally the primary objectives of home care, yet at present most patients receive home care because they need nursing care. Screening is preventive care. The home health nurse focuses on patient and family independence. Counseling is through psychiatric care.
Question 3 of 5
A nurse is completing a minimum data set. Which area is the nurse working?
Correct Answer: A
Rationale: In the context of high-risk pregnancy assessment, the correct answer is A) Nursing center. When completing a minimum data set for a high-risk pregnancy, a nurse would typically be working in a nursing center where comprehensive assessments and monitoring of the pregnant woman and her fetus can be conducted by skilled healthcare professionals. Option B) Psychiatric facility is incorrect because it does not align with the context of assessing high-risk pregnancies. Option C) Rehabilitation center is also incorrect as it is not the setting where high-risk pregnancy assessments are typically performed. Option D) Adult day care center is not the correct choice as it is not the appropriate setting for assessing high-risk pregnancies due to the specialized care required in such cases. In an educational context, understanding the appropriate setting for specific assessments is crucial for nurses, especially when dealing with high-risk pregnancies. This knowledge ensures that assessments are conducted in the right environment with the necessary resources and expertise to provide optimal care for both the mother and the fetus.
Question 4 of 5
A nurse is completing a minimum data set. Which area is the nurse working?
Correct Answer: A
Rationale: In the context of high-risk pregnancy, completing a minimum data set typically occurs in a nursing center. The rationale behind this is that nursing centers are equipped with the necessary resources and healthcare professionals to provide comprehensive care for pregnant women with high-risk conditions. These centers are specifically designed to handle complex medical needs and ensure the safety and well-being of both the mother and the baby. Option B, a psychiatric facility, is incorrect because it focuses on mental health care rather than specialized care for high-risk pregnancies. Option C, a rehabilitation center, is also incorrect as its focus is on physical therapy and recovery rather than pregnancy-related care. Option D, an adult day care center, is not appropriate for managing the complex needs associated with high-risk pregnancies. In an educational context, understanding where and why a minimum data set is completed is crucial for nurses caring for high-risk pregnant women. By knowing that this task is typically carried out in a nursing center, nurses can ensure they are in the right setting to provide the necessary care and support for these vulnerable patients. This knowledge is essential for ensuring positive outcomes for both the mother and the developing fetus.
Question 5 of 5
A nurse is teaching the staff about the Institute of Medicine competencies. Which examples indicate the staff has a correct understanding of the teaching? (Select all that apply.)
Correct Answer: D
Rationale: The Institute of Medicine competencies include: Provide patient-centered care; work in interdisciplinary teams; use evidence-based practice; apply quality improvement; and use informatics. Transparency is included in the 10 rules of performance in a redesigned health care system, not a competency. While globalization is important in health care, it is not a competency.