Questions 54

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ATI Maternal Newborn RN Questions

Extract:

A client receiving Ringer's lactate at 120 mL/hr with a drop factor of 10 gtt/mL


Question 1 of 5

A nurse is preparing to administer Ringer's lactate by continuous IV infusion at 120 mL/hr. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer: Using the formula gtt/min = (mL/hr x drop factor) / 60, calculate: (120 x 10) / 60 = 20 gtt/min.

Rationale:

Extract:

A 14-year-old client discussing contraception


Question 2 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 diagnosed with an enterocele


Question 3 of 5

A client is diagnosed with an enterocele. The nurse interprets this condition as:

Correct Answer: Enterocele involves the small intestine bulging into the vagina due to weakened pelvic support. Other options describe cystocele, uterine prolapse, and rectocele.

Rationale:

Extract:

A client who is 4 days postoperative following a right radical mastectomy


Question 4 of 5

A nurse is caring for a client who is 4 days postoperative following a right radical mastectomy. Which of the following activities should the nurse anticipate being the most difficult for this client to perform with her right hand?

Correct Answer: Combing hair requires lifting the arm above the shoulder, which can be painful and difficult due to impaired lymphatic drainage and nerve damage post-mastectomy. Brushing teeth, buttoning a blouse, and eating are less challenging as they require minimal arm elevation or strength.

Rationale:

Extract:

Women experiencing a heart attack


Question 5 of 5

A nurse is preparing a class discussion on the clinical manifestations of a heart attack observed in women. Which symptoms would the nurse include as key assessment data? Select all that apply.

Correct Answer: Women may experience sleep disturbances (48%), unusual fatigue (70%), and arm pain (42%) before a heart attack, indicating reduced cardiac function. Syncope (12%) and extreme hunger (4%) are less common.

Rationale:

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