ATI RN
RN ATI Maternal Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Which of the following adverse effects should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Breast tenderness. Clomiphene citrate is a medication commonly used to treat infertility by stimulating ovulation. Breast tenderness is a common adverse effect due to the hormonal changes caused by the medication. This side effect occurs because clomiphene citrate can increase estrogen levels, leading to breast sensitivity. Tinnitus (choice
B), urinary frequency (choice
C), and chills (choice
D) are not typically associated with clomiphene citrate use. Tinnitus is more commonly linked to medications affecting the ear, urinary frequency may be related to other medications affecting the bladder, and chills are not a common side effect of clomiphene citrate.
Question 2 of 5
A nurse is assessing a client who is 3 days postpartum. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Cool, clammy skin. This finding could indicate hypovolemic shock, which is a serious postpartum complication. The nurse should report this immediately to the provider for further evaluation and intervention.
B: Moderate lochia serosa is a normal finding in the postpartum period and does not require immediate reporting.
C: Heart rate of 89/min is within normal range for a postpartum client and does not indicate a critical condition.
D: Blood pressure of 120/70 mm Hg is also within normal limits and does not require immediate reporting.
Question 3 of 5
A nurse is caring for a client who is receiving an epidural block with an opioid analgesic. The nurse should monitor for which of the following findings as an adverse effect of the medication?
Correct Answer: C
Rationale: The correct answer is C: Hypotension. Opioid analgesics can cause hypotension as a common adverse effect by decreasing systemic vascular resistance and cardiac output. The vasodilatory effects of opioids can lead to a drop in blood pressure, which can be more pronounced when combined with an epidural block. Monitoring for hypotension is crucial to prevent complications such as decreased perfusion to vital organs.
Other choices are incorrect because:
A: Hyperglycemia is not a common adverse effect of opioid analgesics.
B: Bilateral crackles are more indicative of fluid overload or pulmonary edema, not related to opioid analgesics.
D: Polyuria is not a typical adverse effect of opioids; they are more likely to cause urinary retention.
In summary, monitoring for hypotension is essential when a client is receiving an epidural block with an opioid analgesic to ensure hemodynamic stability.
Question 4 of 5
A nurse is calculating the estimated date of delivery for a client who reports that the first day of her last menstrual period was August 10. Using Nägele’s Rule, which of the following is the client’s estimated date of delivery?
Correct Answer: B
Rationale: The correct answer is B: May 17. Nägele's Rule involves adding 7 days to the first day of the last menstrual period (August 10), then subtracting 3 months, and finally adding 1 year. So, August 10 + 7 days = August 17. Subtracting 3 months gives May 17. This estimation is based on the assumption of a 28-day menstrual cycle.
Choice A (May 13) is incorrect because it does not account for the full 3 months.
Choice C (May 3) is incorrect as it miscalculates the 3 months and adds 7 days incorrectly.
Choice D (May 20) is wrong as it adds 7 days to the correct date but does not subtract the 3 months accurately.
Therefore, B is the correct choice based on the accurate application of Nägele's Rule.
Question 5 of 5
A nurse is providing prenatal teaching to a client who practices a vegan diet and is trying to increase intake of vitamin B12. Which of the following foods should the nurse recommend?
Correct Answer: A
Rationale: The correct answer is A: Fortified soy milk. Vitamin B12 is primarily found in animal products, which are not consumed in a vegan diet. Fortified soy milk is a suitable option for vegans to increase B12 intake as it is fortified with this essential vitamin. Raw carrots (
B) and fresh citrus fruits (
C) do not contain significant amounts of B12. Brown rice (
D) is not a source of B12 either. It is important for the nurse to recommend fortified soy milk to ensure the client meets their B12 requirements on a vegan diet.