Questions 41

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ATI RN Test Bank

ATI Med Surg Quiz Questions

Extract:


Question 1 of 5

A nurse is teaching a client who is postpartum and has a new prescription for an injection of Rh, (D) Immunoglobulin. Which of the following should be included in the teaching?

Correct Answer: D

Rationale: RhoGAM prevents Rh-negative mothers from forming antibodies against Rh-positive fetal blood, protecting future pregnancies.

Question 2 of 5

A nurse is planning care for a newborn who has a new diagnosis of phenylketonuria (PKU). Which of the following actions should be included in the plan of care?

Correct Answer: D

Rationale: A low-protein diet limits phenylalanine intake, critical for managing PKU and preventing neurological damage.

Question 3 of 5

A nurse is caring for a newborn immediately following birth. After assuring a patent airway, what is the priority nursing action?

Correct Answer: D

Rationale: Drying the skin prevents heat loss and stimulates breathing and circulation, critical for newborn stabilization.

Question 4 of 5

A nurse is caring for a client who is 12 hr postpartum. Which of the following findings should alert the nurse to the possibility of a postpartum complication?

Correct Answer: B

Rationale: A heart rate of 110/min is elevated and may indicate a postpartum complication such as hemorrhage, infection, or cardiovascular issues, requiring further assessment.

Question 5 of 5

A nurse is caring for a client who is 2 hr postpartum following a vaginal birth. Which of the following findings indicates the client's bladder is distended?

Correct Answer: C

Rationale: A fundus palpable to the right of the midline suggests bladder distention, which can displace the uterus and hinder contractions, increasing hemorrhage risk.

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