Questions 188

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ATI RN Comprehensive Predictor 2023 Retake 1 Questions

Extract:


Question 1 of 5

A nurse is collecting data from a client who is 18 hr postpartum. The nurse notes that the client is in the 'taking-in phase of maternal adjustment. Which of the following manifestations should the nurse expect?

Correct Answer: B

Rationale: In the taking-in phase, postpartum clients are passive, dependent, and eager to review the birth experience to process it.
Tolerating discomforts, reconnecting with partners, and self-care occur in later phases.

Question 2 of 5

A nurse is collecting data from a client who is 18 hr postpartum. The nurse notes that the client is in the 'taking-in phase of maternal adjustment. Which of the following manifestations should the nurse expect?

Correct Answer: B

Rationale: In the taking-in phase, postpartum clients are passive, dependent, and eager to review the birth experience to process it.
Tolerating discomforts, reconnecting with partners, and self-care occur in later phases.

Question 3 of 5

A hospice nurse is visiting with the son of a client who has terminal cancer. The son reports sleeping very little during the past week due to caring for his mother. Which of the following responses should the nurse make?

Correct Answer: B

Rationale: Offering respite care information provides practical support, allowing the son temporary relief from caregiving to rest, addressing his sleep deprivation. General empathy doesn't solve the issue. Suggesting sleeping pills requires a provider's assessment. Praise is supportive but doesn't address the immediate need.

Question 4 of 5

A nurse is reinforcing teaching with a client who has a new prescription for atorvastatin. Which of the following instructions should the nurse include?

Correct Answer: B

Rationale: Reporting muscle pain is critical with atorvastatin, a statin, due to risk of rhabdomyolysis. It's taken at any time, grapefruit juice increases drug levels, and blood pressure is not affected.

Question 5 of 5

A nurse is caring for a client who is in active labor. The nurse should notify the provider for which of the following findings?

Correct Answer: B

Rationale: Prolonged decelerations (>2 minutes) indicate potential fetal distress from causes like cord compression or placental insufficiency, requiring immediate provider notification. Moderate FHR variability is reassuring. Three contractions in 10 minutes is normal. A baseline FHR of 115/min is within the normal range (110-160 bpm).

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