ATI RN
RN ATI Maternal Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who is at 30 weeks of gestation. Which of the following findings should the nurse identify as a manifestation of pyelonephritis?
Correct Answer: B
Rationale: The correct answer is B: Flank pain. Pyelonephritis is a kidney infection that commonly presents with symptoms such as flank pain, fever, and urinary symptoms. Flank pain is a key manifestation due to the inflammation of the kidney tissue. Epigastric discomfort (choice
A) is not typically associated with pyelonephritis. While a low-grade fever (choice
C) may be present, a temperature of 37.7°C is not significantly elevated to specifically indicate pyelonephritis. Abdominal cramping (choice
D) is more commonly associated with gastrointestinal issues rather than pyelonephritis.
Extract:
A nurse is caring for a postpartum client who gave birth 3 days ago.
Exhibit 1
Vital Signs
Temperature 38.4° C (101.1° F)
Heart rate 108/min
Respiratory rate 20/min
Blood pressure 118/72 mm Hg
Question 2 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
Correct Answer:
Rationale: Action to Take: A, B; Potential Condition: B; Parameter to Monitor: C, D.
Rationale: Engorgement is a common condition postpartum.
To address it, the nurse should initiate anticoagulant therapy to prevent deep vein thrombosis and administer an oxytocic medication to promote milk ejection. Monitoring the client's temperature for infection and the circumference of lower extremities for edema can help assess progress. Applying ice packs to the breasts is not necessary for engorgement, and monitoring the integrity of the nipples is not directly related to this condition.
Extract:
Question 3 of 5
A nurse is collecting data from a client who is at 30 weeks of gestation. Which of the following findings should the nurse identify as a manifestation of pyelonephritis?
Correct Answer: B
Rationale: The correct answer is B: Flank pain. Pyelonephritis is a kidney infection that commonly presents with symptoms such as flank pain, fever, and urinary symptoms. Flank pain is a key manifestation due to the inflammation of the kidney tissue. Epigastric discomfort (choice
A) is not typically associated with pyelonephritis. While a low-grade fever (choice
C) may be present, a temperature of 37.7°C is not significantly elevated to specifically indicate pyelonephritis. Abdominal cramping (choice
D) is more commonly associated with gastrointestinal issues rather than pyelonephritis.
Question 4 of 5
A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord. Which of the following clinical findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Facial petechiae. Petechiae are small, pinpoint red or purple spots on the skin caused by broken blood vessels. In the case of a newborn delivered with a nuchal cord (umbilical cord wrapped around the neck), there may have been some pressure on the baby's face during delivery, leading to the appearance of facial petechiae. This finding is a result of capillary rupture due to the pressure exerted by the nuchal cord. Telangiectatic nevi (
A), periauricular papillomas (
C), and erythema toxicum (
D) are not typically associated with pressure from a nuchal cord.
Question 5 of 5
A nurse is caring for a client who delivered by cesarean birth 6 hr ago. The nurse notes a steady trickle of vaginal bleeding that does not stop with fundal massage. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Administer 500 mL lactated Ringer’s IV bolus. In this scenario, the steady trickle of vaginal bleeding after a cesarean birth could indicate postpartum hemorrhage. Administering a lactated Ringer's IV bolus helps to stabilize the client's hemodynamic status by replacing lost fluids and improving perfusion. This is crucial in managing postpartum hemorrhage and preventing complications.
Incorrect choices:
A: Replacing the surgical dressing does not address the underlying issue of postpartum hemorrhage.
B: Evaluating urinary output is important but not the priority when dealing with postpartum hemorrhage.
C: Applying an ice pack to the incision site is not appropriate for managing postpartum hemorrhage.