ATI RN
RN ATI Maternal Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is at 36 weeks of gestation and has methicillin-resistant Staphylococcus aureus. Which of the following types of isolation precautions should the nurse initiate?
Correct Answer: B
Rationale: The correct answer is B: Contact precautions. Methicillin-resistant Staphylococcus aureus (MRS
A) is primarily spread through direct contact with infected individuals or contaminated surfaces.
Therefore, the nurse should initiate contact precautions to prevent the spread of the infection. This includes wearing gloves and gowns when providing care, ensuring proper hand hygiene, and using dedicated equipment for the client. Droplet precautions (choice
A) are used for diseases transmitted through respiratory droplets, like influenza. Protective environment (choice
C) is used for clients with compromised immune systems. Airborne precautions (choice
D) are for diseases transmitted through airborne particles, such as tuberculosis.
Question 2 of 5
A nurse is caring for a client who is in active labor with a fetus in the occipitoposterior position. The nurse assists the client into a hands-and-knees position. Which of the following questions should the nurse ask to evaluate the effectiveness of this intervention?
Correct Answer: D
Rationale:
Rationale: The correct answer is D because the occipitoposterior position can result in back labor due to pressure on the mother's sacrum. By asking if the back labor has improved, the nurse can assess the effectiveness of the hands-and-knees position in relieving this specific discomfort.
Incorrect options:
A: Suprapubic pain is not typically associated with occipitoposterior position, so this question is not directly related to the intervention.
B: Pelvic pressure may not be the main concern with occipitoposterior position, making this question less relevant.
C: Contractions feeling further apart may not be directly impacted by the hands-and-knees position in this scenario.
Summary: Option D is correct as it targets the specific issue of back labor associated with occipitoposterior position, while the other options do not address the primary concern or may not be influenced by the intervention.
Question 3 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 4 of 5
A nurse is assessing a client who is 3 days postpartum. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Cool, clammy skin. This finding could indicate hypovolemic shock, which is a serious postpartum complication. The nurse should report this immediately to the provider for further evaluation and intervention.
B: Moderate lochia serosa is a normal finding in the postpartum period and does not require immediate reporting.
C: Heart rate of 89/min is within normal range for a postpartum client and does not indicate a critical condition.
D: Blood pressure of 120/70 mm Hg is also within normal limits and does not require immediate reporting.
Question 5 of 5
A nurse in a provider’s office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: "This procedure determines if your baby has genetic or congenital disorders." At 12 weeks of gestation, amniocentesis is typically performed to assess genetic or chromosomal abnormalities, not to determine the sex of the fetus. This procedure involves sampling the amniotic fluid to analyze the fetal cells for conditions like Down syndrome or spina bifida. The other choices are incorrect because: A: Age requirement for amniocentesis is not accurate. C: Chorionic villus sampling is a different procedure than amniocentesis and is also not used to determine the sex of the baby. D: Scheduling the procedure without discussing the risks and benefits is not appropriate.