ATI RN
RN ATI Maternal Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a client immediately following the delivery of a stillborn fetus. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Provide the client with photos of the fetus. This action allows the client to have tangible memories and closure. It can aid in the grieving process and provide a sense of acknowledgment and validation of the loss. Limiting the time the fetus is in the room (
A) may not address the emotional needs of the client. Instructing the client about an autopsy (
C) may be insensitive and overwhelming immediately after the loss. Informing the client about naming requirements (
D) is not a priority at this time and can add unnecessary stress.
Question 2 of 5
A nurse is caring for a client who is receiving an epidural block with an opioid analgesic. The nurse should monitor for which of the following findings as an adverse effect of the medication?
Correct Answer: C
Rationale: The correct answer is C: Hypotension. Opioid analgesics can cause hypotension as a common adverse effect by decreasing systemic vascular resistance and cardiac output. The vasodilatory effects of opioids can lead to a drop in blood pressure, which can be more pronounced when combined with an epidural block. Monitoring for hypotension is crucial to prevent complications such as decreased perfusion to vital organs.
Other choices are incorrect because:
A: Hyperglycemia is not a common adverse effect of opioid analgesics.
B: Bilateral crackles are more indicative of fluid overload or pulmonary edema, not related to opioid analgesics.
D: Polyuria is not a typical adverse effect of opioids; they are more likely to cause urinary retention.
In summary, monitoring for hypotension is essential when a client is receiving an epidural block with an opioid analgesic to ensure hemodynamic stability.
Question 3 of 5
A nurse is providing discharge teaching to a client following tubal ligation. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D: Ovulation will remain the same. Tubal ligation does not affect ovulation, only the passage of the egg through the fallopian tubes. The client demonstrating an understanding of the teaching by acknowledging that ovulation will continue as normal post-procedure.
A: Incorrect. Tubal ligation does not affect premenstrual tension.
B: Incorrect. Menstrual period length is not directly impacted by tubal ligation.
C: Incorrect. Hormone replacements are not typically required after tubal ligation as it does not affect hormone levels.
Question 4 of 5
A nurse is assessing a client who is at 6 weeks of gestation and adheres to a vegan diet. Which of the following questions should the nurse ask to assess the client’s dietary intake?
Correct Answer: A
Rationale: The correct answer is A: How much protein do you eat in a day? At 6 weeks of gestation, protein intake is crucial for fetal development. Vegan diets may lack sufficient protein, so assessing this is important.
Choice B is incorrect as Vitamin C is not typically a concern in vegan diets.
Choice C is incorrect as shellfish is not suitable for a vegan diet.
Choice D is incorrect as the client's choice to avoid meat is already known.
Question 5 of 5
A nurse is reviewing the prescriptions for a client who is pregnant and is taking digoxin. Which of the following actions should the nurse take to best evaluate the client’s medication adherence?
Correct Answer: D
Rationale: The correct answer is D: Check the client’s serum medication level. This is the best action to evaluate medication adherence for a client taking digoxin during pregnancy. Digoxin has a narrow therapeutic range, and monitoring serum levels helps ensure the medication is within the safe and effective range. Checking the medication level provides objective data on adherence compared to subjective responses from the client (choice
A). Assessing kidney function (choice
B) is important for digoxin dosing but does not directly evaluate adherence. Monitoring the apical pulse rate (choice
C) is essential for digoxin therapy but does not directly assess medication adherence. Checking the serum medication level is the most direct and reliable method to confirm if the client is taking the medication as prescribed.