ATI RN
RN ATI Maternal Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
A nurse in a provider’s office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: "This procedure determines if your baby has genetic or congenital disorders." At 12 weeks of gestation, amniocentesis is typically performed to assess genetic or chromosomal abnormalities, not to determine the sex of the fetus. This procedure involves sampling the amniotic fluid to analyze the fetal cells for conditions like Down syndrome or spina bifida. The other choices are incorrect because: A: Age requirement for amniocentesis is not accurate. C: Chorionic villus sampling is a different procedure than amniocentesis and is also not used to determine the sex of the baby. D: Scheduling the procedure without discussing the risks and benefits is not appropriate.
Question 2 of 5
A nurse is obtaining a 2-hr postprandial blood glucose from a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Select the lateral side of the finger for puncture. This is because the lateral side of the finger has fewer nerve endings, making it less painful for the client. Puncturing the finger while it is still damp with antiseptic solution (choice
A) can dilute the blood sample. Smearing the blood onto the reagent strip (choice
B) can lead to inaccurate results. Holding the finger above the heart prior to puncture (choice
C) can affect blood flow and glucose levels.
Therefore, selecting the lateral side of the finger for puncture ensures a less painful and accurate blood glucose reading.
Question 3 of 5
A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid. Which of the following actions should the nurse include in the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Administer broad-spectrum antibiotics. This is crucial to prevent infection due to the exposed neural tissue. Administering antibiotics helps reduce the risk of meningitis, which can be life-threatening. Monitoring rectal temperature (
B) is important but not the priority. Cleansing the site with povidone-iodine (
C) can cause irritation and is not recommended. Surgical closure (
D) should be done as soon as possible to prevent complications, not after 72 hours.
Extract:
A nurse is caring for a client who is experiencing a postpartum hemorrhage and has a new prescription for misoprostol.
Exhibit 2: Medical History
Preeclampsia
Cesarean birth of viable twin male newborns
Question 4 of 5
The nurse is assessing the client 30 min later. How should the nurse interpret the findings? For each finding, click to specify whether the finding is unrelated to the diagnosis, an indication of potential improvement, or an indication of potential worsening condition.
| Findings 30 min later | Unrelated to diagnosis | Indication Of potential improvement | Indication of Potential worsening condition |
|---|---|---|---|
| Fundus at level of umbilicus | |||
| Cloudy urine | |||
| Blood pressure 80/50 mm Hg | |||
| Moderate lochia rubra | |||
| Thready pulse | |||
| Fundus firm to palpation |
Correct Answer:
Rationale:
Correct Answer:
Rationale:
1. Fundus at level of umbilicus: (Indication of potential improvement) - This finding indicates the uterus is contracting well, which is a positive sign postpartum.
2. Cloudy urine: (Unrelated to diagnosis) - Cloudy urine is not typically associated with postpartum assessment and may be due to other factors like dehydration.
3. Blood pressure 80/50 mm Hg: (Indication of potential worsening condition) - This blood pressure reading is low and could indicate hypotension, which is concerning postpartum.
4. Moderate lochia rubra: (Unrelated to diagnosis) - Lochia rubra is expected postpartum and is not directly related to the assessment findings.
5. Thready pulse: (Indication of potential improvement) - A thready pulse may indicate dehydration or hypovolemia, but if it improves over
Extract:
Question 5 of 5
A nurse is reviewing laboratory findings for a client who is at 20 weeks of gestation. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Fasting blood glucose 180 mg/dL. During pregnancy, elevated blood glucose levels can indicate gestational diabetes, which can have adverse effects on both the mother and the baby. The normal fasting blood glucose range is 74 to 106 mg/dL, so a level of 180 mg/dL is significantly higher and warrants immediate attention. Reporting this finding to the provider is crucial for timely management to prevent complications.
Choices A, B, and C fall within the normal reference ranges for hematocrit, creatinine, and WBC count, respectively, and do not indicate an urgent concern.
Therefore, they do not require immediate reporting to the provider.