ATI RN
ATI Maternal Newborn III Questions
Extract:
A client with an NG tube set to low intermittent suction
Question 1 of 5
A nurse is caring for a client who has an NG tube set to low intermittent suction. The nurse irrigates the NG tube twice with 30 mL of normal saline solution during his shift. At the end of the shift, the NG canister contains 475 mL. What amount of NG drainage should the nurse record?
Correct Answer: A
Rationale: NG drainage = canister fluid (475 mL) minus irrigation (2 x 30 mL = 60 mL) = 415 mL. Recording irrigation fluid as drainage would inflate the output inaccurately.
Extract:
A pregnant woman at 16 to 18 weeks' gestation undergoing a triple/quadruple screen
Question 2 of 5
A pregnant woman undergoes a triple/quadruple screen at 16 to 18 weeks' gestation. What would the nurse suspect if the woman's alpha-fetoprotein (AFP) level is decreased?
Correct Answer: C
Rationale: Decreased AFP, with altered hCG and estriol, suggests Down syndrome (trisomy 21). Sickle-cell anemia, cardiac defects, and respiratory disorders don't typically lower AFP; cardiac defects may raise it.
Extract:
A client with an NG tube set to low intermittent suction
Question 3 of 5
A nurse is caring for a client who has an NG tube set to low intermittent suction. The nurse irrigates the NG tube twice with 30 mL of normal saline solution during his shift. At the end of the shift, the NG canister contains 475 mL. What amount of NG drainage should the nurse record?
Correct Answer: A
Rationale: NG drainage = canister fluid (475 mL) minus irrigation (2 x 30 mL = 60 mL) = 415 mL. Recording irrigation fluid as drainage would inflate the output inaccurately.
Extract:
A woman with a health history relevant to ectopic pregnancy risk
Question 4 of 5
Which information on a client's health history would the nurse identify as contributing to the client's risk for an ectopic pregnancy?
Correct Answer: A
Rationale: Recurrent pelvic infections (e.g., PI
D) scar fallopian tubes, increasing ectopic pregnancy risk by hindering egg transport. Ovarian cysts, oral contraceptives (which reduce risk), and irregular periods don't directly contribute.
Extract:
A client prescribed quetiapine 50 mg PO divided equally every 12 hours for 3 days
Question 5 of 5
A provider prescribes quetiapine 50 mg PO divided equally every 12 hours for 3 days. Available is quetiapine 25 mg tablets. How many tablets should the nurse administer per dose on day 3?
Correct Answer: B
Rationale: Daily dose (50 mg) ÷ 2 (every 12 hours) = 25 mg per dose. At 25 mg/tablet, 25 mg ÷ 25 mg = 1 tablet per dose, consistent on day 3 as dosing doesn't change.