ATI RN
RN ATI Maternal Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
A nurse is admitting a client to the birthing unit who reports her contractions started 1 hr ago. The nurse determines the client is 80% effaced and 8 cm dilated. The nurse realizes that the client is at risk for which of the following conditions?
Correct Answer: D
Rationale:
Correct Answer: D - Postpartum hemorrhage
Rationale: The client being 80% effaced and 8 cm dilated indicates she is in active labor and close to giving birth. This progression puts her at higher risk for postpartum hemorrhage due to the increased likelihood of excessive bleeding after delivery. The cervix being fully dilated means the client is close to delivering the baby, and the risk of postpartum hemorrhage is highest during and immediately after childbirth. This is why the nurse should be vigilant for signs of excessive bleeding and be prepared to intervene promptly.
Summary of other choices:
A: Ectopic pregnancy - Not relevant as the client is admitted to the birthing unit and already in active labor.
B: Hyperemesis gravidarum - Not relevant as this is a condition of severe nausea and vomiting in pregnancy, not associated with the client's current situation.
C: Incompetent cervix - Not relevant as the client is already 8 cm dil
Question 2 of 5
A nurse is providing teaching about increasing dietary fiber to an antepartum client who reports constipation. Which of the following food selections has the highest fiber content per cup?
Correct Answer: D
Rationale: The correct answer is D: Lentils. Lentils have the highest fiber content per cup compared to the other options. Lentils contain around 15.6 grams of fiber per cooked cup, making them an excellent choice for alleviating constipation. Oatmeal, cabbage, and asparagus have lower fiber content per cup compared to lentils. Oatmeal typically contains around 4 grams of fiber per cup, while cabbage and asparagus have approximately 2-4 grams of fiber per cup.
Therefore, lentils are the best choice for increasing dietary fiber and promoting bowel regularity in the antepartum client.
Question 3 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 4 of 5
A nurse is collecting data from a client who is at 30 weeks of gestation. Which of the following findings should the nurse identify as a manifestation of pyelonephritis?
Correct Answer: B
Rationale: The correct answer is B: Flank pain. Pyelonephritis is a kidney infection that commonly presents with symptoms such as flank pain, fever, and urinary symptoms. Flank pain is a key manifestation due to the inflammation of the kidney tissue. Epigastric discomfort (choice
A) is not typically associated with pyelonephritis. While a low-grade fever (choice
C) may be present, a temperature of 37.7°C is not significantly elevated to specifically indicate pyelonephritis. Abdominal cramping (choice
D) is more commonly associated with gastrointestinal issues rather than pyelonephritis.
Question 5 of 5
A nurse is administering a hepatitis B vaccine to a newborn. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Administer the injection into the vastus lateralis muscle. For newborns, the vastus lateralis muscle is the recommended site for intramuscular injections due to its larger muscle mass and reduced risk of hitting nerves or blood vessels. This site also allows for better absorption of the vaccine. Massaging the site vigorously (
B) can cause tissue damage. Inserting the needle at a 45° angle (
C) is not recommended as it may lead to improper vaccine delivery. Using a 21-gauge needle (
D) is not necessary for newborns and may cause unnecessary pain.