ATI RN
ATI RN maternal newborn 2019 with NGN Exam 2 Questions
Extract:
A client who has preeclampsia and is receiving magnesium sulfate
Question 1 of 5
A nurse is caring for a client who has preeclampsia and is receiving magnesium sulfate. Which of the following clinical findings should the nurse instruct the client to report?
Correct Answer: D
Rationale: Increased muscle weakness may indicate magnesium toxicity, requiring immediate reporting. Other findings are normal or positive.
Extract:
A client who has pelvic inflammatory disease and weighs 132 lb
Question 2 of 5
A nurse is preparing to administer gentamicin 2 mg/kg IM to a client who has pelvic inflammatory disease and weighs 132 lb. Available is gentamicin injection 40 mg/mL. How many mL should the nurse administer?
Correct Answer: C
Rationale: The client's weight is 59.8752 kg (132 lb × 0.4536). Dose is 2 mg/kg × 59.8752 = 119.7504 mg. Volume is 119.7504 mg ÷ 40 mg/mL = 2.99376 mL, rounded to 3 mL.
Extract:
A client who is at 30 weeks of gestation and is receiving magnesium sulfate for preeclampsia
Question 3 of 5
A nurse is caring for a client who is at 30 weeks of gestation and is receiving magnesium sulfate for preeclampsia. Which of the following manifestations should the nurse recognize as an adverse reaction to the medication?
Correct Answer: B
Rationale: Urine output of 20 mL/hr suggests magnesium toxicity, impairing renal function. Hypertension is from preeclampsia, hyperglycemia isn't related, and 16/min respiratory rate is normal.
Extract:
A client who has preeclampsia during a prenatal visit
Question 4 of 5
A nurse is assessing a client who has preeclampsia during a prenatal visit. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: Urine protein of 3+ indicates preeclampsia severity, requiring reporting. Normal reflexes, glucose, and hemoglobin don't need urgent attention.
Extract:
A newborn immediately following birth with a large amount of mucus in the mouth and nose
Question 5 of 5
A nurse is caring for a newborn immediately following birth and notes a large amount of mucus in the newborn's mouth and nose. Identify the sequence the nurse should follow when performing suction with a bulb syringe.
Correct Answer: A,B,D,C
Rationale: Correct sequence: Compress the bulb (
A), suction mouth first (
B), then nose (
D), and assess for bradycardia (
C) to monitor for vagal stimulation.