ATI RN
ATI Maternal Newborn RN Questions
Extract:
A 14-year-old client discussing contraception
Question 1 of 5
A nurse is leading a discussion about contraception with a group of 14-year-old clients. After the presentation, a client asks the nurse which method would be best for her to use. Which of the following responses should the nurse make?
Correct Answer: Referring to a provider ensures personalized advice after assessing health and needs. Judgmental or assumptive responses can deter adolescents from seeking care, and probing sexual activity may violate privacy.
Rationale:
Extract:
A client who had a right-sided mastectomy 8 hours ago with an IV in her left arm
Question 2 of 5
A laboratory technician arrives to draw blood for a complete blood count (CBC) for a client who had a right-sided mastectomy 8 hours ago. The client has an intravenous line with fluid infusing in her left antecubital space. To obtain the blood specimen, the technician places a tourniquet on the client's right arm. Which action by the nurse would be most appropriate?
Correct Answer: Using the left arm avoids risks like lymphedema in the surgical arm. Femoral puncture is invasive, assisting with the right arm is harmful, and finger sticks are inadequate for CBC.
Rationale:
Extract:
Four clients being reviewed for contraception options
Question 3 of 5
A nurse is reviewing contraception options for four clients. The nurse should identify which of the following clients has a contraindication for receiving oral contraceptives.
Correct Answer: Smoking, especially over age 35, increases cardiovascular risks with oral contraceptives, making it a contraindication. Migraines, PID history, and benign breast disease are not absolute contraindications.
Rationale:
Extract:
An adolescent client with pelvic inflammatory disease from an STI
Question 4 of 5
A nurse is caring for an adolescent client who has pelvic inflammatory disease as a consequence of a sexually transmitted infection and will need intravenous antibiotic therapy. The client tells the nurse, 'My parents think I am a virgin. I don't think I can tell them I have this kind of an infection.' Which of the following responses should the nurse make?
Correct Answer: Reflecting the client's fear shows empathy and encourages further discussion. Offering to tell parents or assuming parental understanding disregards autonomy and confidentiality.
Rationale:
Extract:
A female client suspected of having endometrial polyps
Question 5 of 5
A nurse is assessing a female client and suspects that the client may have endometrial polyps based on which clinical manifestation?
Correct Answer: Metrorrhagia (irregular uterine bleeding) is a hallmark of endometrial polyps due to their disruption of the endometrium. Other symptoms are less specific.
Rationale: