ATI RN
ATI Med Surg Quiz Questions
Extract:
Question 1 of 5
A nurse is caring for a client 2 hr after a spontaneous vaginal birth and the client has saturated two perineal pads with blood in a 30-min period. Which of the following is the priority nursing intervention at this time?
Correct Answer: C
Rationale: Palpating the uterine fundus is the priority to assess for uterine atony, a common cause of excessive bleeding, allowing immediate intervention if needed.
Question 2 of 5
A nurse is performing a physical examination of a client who is 1 day postpartum. Which of the following findings requires immediate intervention?
Correct Answer: D
Rationale: A displaced fundus suggests uterine atony, necessitating immediate intervention to prevent hemorrhage.
Question 3 of 5
A nurse is caring for a client who is 1 hr postpartum and observes a large amount of lochia rubra and several small clots on the client's perineal pad. The fundus is midline and firm at the umbilicus. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: A firm, midline fundus with lochia rubra and small clots is normal; documenting and monitoring are appropriate.
Question 4 of 5
A nurse is performing a physical examination of a client who is 1 day postpartum. Which of the following findings requires immediate intervention?
Correct Answer: D
Rationale: A displaced fundus may indicate uterine atony, a leading cause of postpartum hemorrhage, requiring immediate action.
Question 5 of 5
A nurse is planning care for a newborn who has a new diagnosis of phenylketonuria (PKU). Which of the following actions should be included in the plan of care?
Correct Answer: D
Rationale: A low-protein diet limits phenylalanine intake, critical for managing PKU and preventing neurological damage.