Questions 41

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ATI RN Test Bank

ATI Med Surg Quiz Questions

Extract:


Question 1 of 5

A nurse is caring for a client who is postpartum and finds the fundus slightly boggy and displaced to the right. Based on these findings, which of the following actions should the nurse take?

Correct Answer: C

Rationale: A boggy, displaced fundus suggests bladder distension; voiding can relieve this, aiding uterine contraction.

Question 2 of 5

A nurse is teaching a newborn's parent to care for the umbilical cord stump. Which of the following instructions should the nurse include?

Correct Answer: B

Rationale: Sponge baths keep the cord dry, reducing infection risk until it naturally detaches.

Question 3 of 5

A nurse is caring for a client who delivered a healthy term newborn via cesarean birth. The client asks the nurse, 'Is there a chance that I could deliver my next baby without having a cesarean section?' Which of the following responses should the nurse provide?

Correct Answer: B

Rationale: The type of incision (e.g., low transverse) is a key factor in determining eligibility for vaginal birth after cesarean (VBA
C).

Question 4 of 5

A nurse is caring for a client 2 hr after a spontaneous vaginal birth and the client has saturated two perineal pads with blood in a 30-min period. Which of the following is the priority nursing intervention at this time?

Correct Answer: C

Rationale: Palpating the uterine fundus is the priority to assess for uterine atony, a common cause of excessive bleeding, allowing immediate intervention if needed.

Question 5 of 5

A nurse is assessing a newborn immediately following a scheduled cesarean delivery. Which of the following assessments is the nurse's priority?

Correct Answer: D

Rationale: Respiratory distress is the priority due to the risk of delayed lung fluid clearance in cesarean deliveries.

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