ATI RN
RN ATI Maternal Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
A nurse is preparing to administer metronidazole 2 g PO to a client who has trichomoniasis. Available is metronidazole 250 mg tablets. How many tablets should the nurse administer?
Correct Answer: A
Rationale: The correct answer is A: 8 tablets.
To calculate the number of tablets needed, divide the total dosage (2g) by the dosage per tablet (250mg). 2g = 2000mg, so 2000mg ÷ 250mg = 8 tablets. This ensures the client receives the correct total dose for effective treatment. Option B: 4 tablets is incorrect as it does not match the calculated dosage. Option C: 2 tablets is incorrect as it is half of the required dosage. Option D: 1 tablet is incorrect as it is a quarter of the needed dosage.
Question 2 of 5
A nurse is assessing a newborn following a forceps-assisted birth. Which of the following clinical manifestations should the nurse identify as a complication of this birth method?
Correct Answer: D
Rationale: The correct answer is D: Facial palsy. Forceps-assisted birth can cause pressure on the baby's facial nerves, leading to facial palsy. This occurs due to the forceps' pressure on the baby's face during delivery. Polycythemia (
A) is a condition of increased red blood cell count, not typically associated with forceps-assisted birth. Hypoglycemia (
B) may occur in newborns but is not directly related to the birth method. Bronchopulmonary dysplasia (
C) is a chronic lung condition that develops in premature infants, not specifically linked to forceps delivery.
Question 3 of 5
A nurse is assessing a newborn who was born postterm. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Nails extending over tips of fingers. Postterm newborns typically have long nails due to the prolonged time spent in utero. This is because they have had more time for nail growth compared to babies born at term. The nails may extend over the tips of the fingers, which can lead to unintentional scratching.
A: Large deposits of subcutaneous fat is incorrect for postterm newborns as they may appear thin and wrinkled due to decreased amniotic fluid in the womb.
B: Thin covering of fine hair on shoulders and back is incorrect as this is more characteristic of premature newborns, not postterm newborns.
D: Pale, translucent skin is incorrect as postterm newborns may have dry, cracked skin due to prolonged exposure to amniotic fluid.
Extract:
A nurse is caring for a client who is at 33 weeks of gestation.
Diagnostic Results:
• Proteinuria 3+, straw-colored urine
• Platelet count 150,000/mm3 (150,000 to 400,000/mm3)
• BUN 18 mg/dL (10 to 20 mg/dL)
Question 4 of 5
The nurse is assessing the client 24 hr later. How should the nurse interpret the findings?
| Findings 24 hr later | Sign of potential worsening condition | Sign of potential improvement | Unrelated to diagnosis |
|---|---|---|---|
| Hematuria | |||
| Proteinuria 2+ | |||
| Leukorrhea | |||
| Positive clonus | |||
| BUN 40 mg/dL | |||
| Platelet count 110,000/mm3 |
Correct Answer:
Rationale:
Correct Answer:
Rationale:
- Hematuria and Proteinuria 2+ are signs of potential worsening conditions that should be checked.
- Leukorrhea is unrelated to the diagnosis and can be disregarded.
- Positive clonus and the lab values BUN 40 mg/dL, Platelet count 110,000/mm3 are not mentioned in the table, so they should not be selected.
Extract:
Question 5 of 5
A nurse is caring for a client who is at 36 weeks of gestation and has methicillin-resistant Staphylococcus aureus. Which of the following types of isolation precautions should the nurse initiate?
Correct Answer: B
Rationale: The correct answer is B: Contact precautions. Methicillin-resistant Staphylococcus aureus (MRS
A) is primarily spread through direct contact with infected individuals or contaminated surfaces.
Therefore, the nurse should initiate contact precautions to prevent the spread of the infection. This includes wearing gloves and gowns when providing care, ensuring proper hand hygiene, and using dedicated equipment for the client. Droplet precautions (choice
A) are used for diseases transmitted through respiratory droplets, like influenza. Protective environment (choice
C) is used for clients with compromised immune systems. Airborne precautions (choice
D) are for diseases transmitted through airborne particles, such as tuberculosis.