ATI RN
ATI Maternity Nur230 Questions
Extract:
Adolescent who is postoperative following scoliosis repair with Harrington rod instrumentation
Question 1 of 5
A nurse is planning care for an adolescent who is postoperative following scoliosis repair with Harrington rod instrumentation. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: B
Rationale: A PCA pump allows for effective, individualized pain control post-scoliosis surgery, which is critical for patient comfort and recovery.
Extract:
Infant diagnosed with Tetralogy of Fallot, feeding poorly and has difficulty gaining weight
Question 2 of 5
A nurse is caring for an infant diagnosed with Tetralogy of Fallot. The infant has been feeding poorly and has difficulty gaining weight. What actions should the nurse plan to take? (Select all that apply.)
Correct Answer: B,E
Rationale: Knee-chest positioning improves lung blood flow, and digoxin strengthens heart function, addressing symptoms of Tetralogy of Fallot.
Extract:
34-year-old pregnant woman with chronic hypertension, seizure at 32 weeks
Question 3 of 5
Sarah, a 34-year-old pregnant woman, has had a blood pressure consistently ranging from 140/90 to 160/98 since she was 26. Her weight gain and urinalysis have been normal. What is this condition called? At 32 weeks' gestation, Sarah experiences a seizure. Her blood pressure has been elevated since 28 weeks, her urine dipstick shows 4+ protein, and she exhibits generalized edema. What is this condition called?
Correct Answer: B
Rationale: Chronic hypertension predates pregnancy, and eclampsia is indicated by seizures with proteinuria and edema.
Extract:
Adolescent client at 38 weeks with preeclampsia
Question 4 of 5
A nurse is caring for an adolescent client who is gravida 1 and para 0. The client was admitted to the hospital at 38 weeks of gestation with a diagnosis of preeclampsia. Which of the following findings should the nurse identify as inconsistent with preeclampsia?
Correct Answer: A
Rationale: Deep tendon reflexes of +1 (hyporeflexia) are inconsistent with preeclampsia, which typically involves hyperreflexia.
Extract:
7-year-old child with unexplained bruising, red spots, prolonged cold, nosebleed, and limb pain
Question 5 of 5
A nurse is caring for a 7-year-old child who was brought in by parents due to unexplained bruising and red spots on the child's shoulders, thighs, and back. The parents report that the child has had a cold for more than 2 months and over-the-counter medications have not helped relieve the cold symptoms. The child had a small nosebleed 'a few minutes ago' and reports 'my arms and legs hurt all over.' For each assessment finding, specify if the finding is consistent with sickle cell anemia or hemophilia.
| Finding | Sickle cell anemia | Hemophilia |
|---|---|---|
| WBC count | ||
| Temperature | ||
| Bleeding | ||
| Reported pain |
Correct Answer: A(none), B(none), C(hemophilia), D(sickle cell anemia)
Rationale: Bleeding aligns with hemophilia due to clotting issues; pain is typical in sickle cell anemia from vascular occlusion.