ATI RN
ATI Maternal Newborn RN Questions
Extract:
A client diagnosed with endometriosis
Question 1 of 5
A client who has come to the clinic is diagnosed with endometriosis. What would the nurse expect the primary care provider to prescribe as a first-line treatment?
Correct Answer: Progestins are first-line for endometriosis as they suppress endometrial tissue growth and reduce pain and bleeding. Antiestrogens and GnRH analogues are second-line due to severe side effects, and NSAIDs only provide symptomatic relief.
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 woman diagnosed with severe fibrocystic breast disease
Question 3 of 5
A nurse is working with a woman who has been diagnosed with severe fibrocystic breast disease. After describing the medications that can be used as treatment, the nurse determines that additional teaching is needed when the client identifies which drug is being used.
Correct Answer: Penicillin, an antibiotic, has no role in treating fibrocystic breast disease, which involves hormonal changes. Danazol, bromocriptine, and tamoxifen are used to manage symptoms by altering hormone levels.
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:
An adolescent client with pelvic inflammatory disease from an STI
Question 5 of 5
A nurse is caring for an adolescent client who has pelvic inflammatory disease as a consequence of a sexually transmitted infection and will need intravenous antibiotic therapy. The client tells the nurse, 'My parents think I am a virgin. I don't think I can tell them I have this kind of an infection.' Which of the following responses should the nurse make?
Correct Answer: Reflecting the client's fear shows empathy and encourages further discussion. Offering to tell parents or assuming parental understanding disregards autonomy and confidentiality.
Rationale: