ATI RN
ATI Maternity Nur230 Questions
Extract:
Adolescent with sickle cell disease, pain rated 9/10
Question 1 of 5
A nurse is providing care for an adolescent who was brought to the emergency department (ED) by their guardians due to pain in the left arm that started the previous evening. The adolescent has a history of sickle cell disease diagnosed at age 4. They have a prescription for oral morphine sulfate and took one dose the previous evening at 1800 and another this morning at 0900. The adolescent reports no relief from pain, rating it as 9 on a scale of 0 to 10. For each potential provider's prescription, specify if the prescription is anticipated, nonessential, or contraindicated for the client.
| Intervention | Anticipated | Nonessential | Contraindicated |
|---|---|---|---|
| A. Intravenous fluids (IVF) at maintenance rate | |||
| B. Meperidine IV for pain | |||
| C. Ice packs to the affected area for 15 min on/15 min off | |||
| D. Oxygen 2 L/min via nasal cannula |
Correct Answer: A(Anticipated), B(Contraindicated), C(nonessential), D(Anticipated)
Rationale: IV fluids and oxygen are anticipated to prevent sickling; meperidine is contraindicated due to seizure risk; ice packs are nonessential as they may worsen sickling.
Extract:
Client at 28 weeks of gestation who received terbutaline
Question 2 of 5
A nurse is caring for a client who is at 28 weeks of gestation and received terbutaline. What findings should the nurse expect?
Correct Answer: C
Rationale: Terbutaline, a tocolytic, inhibits uterine contractions to prevent preterm labor.
Extract:
Infant following a motor vehicle accident
Question 3 of 5
A nurse is evaluating an infant following a motor vehicle accident. Which signs should the nurse monitor to detect increased intracranial pressure?
Correct Answer: C
Rationale: Increased sleeping can indicate increased intracranial pressure in infants, suggesting neurological compromise.
Extract:
Client who gave birth 2 hr ago with blood pressure 60/50 mm Hg
Question 4 of 5
A nurse is caring for a client who gave birth 2 hr ago. The nurse notes that the client's blood pressure is 60/50 mm Hg. What is the first action the nurse should take?
Correct Answer: A
Rationale: A boggy uterus may indicate uterine atony, a common cause of postpartum hemorrhage and hypotension, requiring immediate assessment.
Extract:
Adolescent with sickle cell disease, pain rated 9/10
Question 5 of 5
A nurse is providing care for an adolescent who was brought to the emergency department (ED) by their guardians due to pain in the left arm that started the previous evening. The adolescent has a history of sickle cell disease diagnosed at age 4. They have a prescription for oral morphine sulfate and took one dose the previous evening at 1800 and another this morning at 0900. The adolescent reports no relief from pain, rating it as 9 on a scale of 0 to 10. For each potential provider's prescription, specify if the prescription is anticipated, nonessential, or contraindicated for the client.
| Intervention | Anticipated | Nonessential | Contraindicated |
|---|---|---|---|
| A. Intravenous fluids (IVF) at maintenance rate | |||
| B. Meperidine IV for pain | |||
| C. Ice packs to the affected area for 15 min on/15 min off | |||
| D. Oxygen 2 L/min via nasal cannula |
Correct Answer: A(Anticipated), B(Contraindicated), C(nonessential), D(Anticipated)
Rationale: IV fluids and oxygen are anticipated to prevent sickling; meperidine is contraindicated due to seizure risk; ice packs are nonessential as they may worsen sickling.