ATI RN
ATI Maternal Newborn 2019 Exam 3 Questions
Extract:
A client who is at 36 weeks of gestation and has methicillin-resistant Staphylococcus aureus
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: MRSA requires contact precautions to prevent spread via contaminated surfaces or hands. Droplet, airborne, and protective environments are inappropriate.
Extract:
A postpartum client
Question 2 of 5
A nurse is reviewing the electronic medical record of a postpartum client. The nurse should identify which of the following factors places the client at risk for an infection?
Correct Answer: A
Rationale: Midline episiotomy increases infection risk due to perineal incision. Meconium, hypertension, and previa do not directly elevate postpartum infection risk.
Extract:
A client who has pre-gestational diabetes mellitus
Question 3 of 5
A nurse is caring for a client who has pre-gestational diabetes mellitus. Which of the following clinical findings should indicate to the nurse the client has hyperglycemia?
Correct Answer: B
Rationale: Increased urination (polyuria) is a hallmark of hyperglycemia due to glucose-driven diuresis. Dizziness, sweating, and double vision are less specific or indicate severe cases.
Extract:
A client who is at 32 weeks of gestation and is receiving magnesium sulfate via continuous IV infusion
Question 4 of 5
A nurse is assessing a client who is at 32 weeks of gestation and is receiving magnesium sulfate via continuous IV infusion. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: Absent deep-tendon reflexes indicate magnesium toxicity, a serious adverse effect requiring immediate reporting. Decreased contractions are expected, elevated BP is common in preeclampsia, and 35 mL/hr urine output is normal.
Extract:
A client who is at 36 weeks of gestation and has methicillin-resistant Staphylococcus aureus
Question 5 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: MRSA requires contact precautions to prevent spread via contaminated surfaces or hands. Droplet, airborne, and protective environments are inappropriate.