ATI RN
RN Comprehensive Predictor 2023 Questions
Extract:
Nurses' Notes
Vital Signs
Laboratory results
Provider prescriptions
0900:
Client who is at 38 weeks of gestation presents to the antepartum unit with uterine contractions, dark red vaginal bleeding, and abdominal pain that started approximately 45 min prior to arrival. Rates abdominal pain a 7 on a scale of 0 to 10. Client reports, "My blood pressure has been high during the pregnancy."
Home Medications: prenatal multivitamin, methyldopa 250 mg PO twice daily
Physical Exam:
General: tearful, anxious
Cardiovascular: S1, S2, no murmur
Respiratory: bilateral breath sounds clear
Abdomen: Uterine hypertonicity with a board-like abdomen, tenderness noted upon palpation of left upper quadrant FHR: 116/min, minimal variability noted
Question 1 of 5
For each potential nursing action, click to specify if the nursing action is anticipated or contraindicated for the client.
| Options | Anticipated | Contraindicated |
|---|---|---|
| Obtain consent for cesarean birth | ||
| Provide intermittent fetal heart rate monitoring | ||
| Administer oxygen 10 L via face mask | ||
| Prepare the client for an amnioinfusion | ||
| Initiate IV bolus lactated Ringer's | ||
| Insert a urinary catheter |
Correct Answer: A,B,C,D
Rationale: Obtain consent: Anticipated - Potential need for cesarean due to complications. Provide monitoring: Anticipated - Essential for fetal well-being. Administer oxygen: Anticipated - Improves oxygenation. Prepare for amnioinfusion: Contraindicated - Increases risk in bleeding. Initiate IV bolus: Anticipated - Addresses hypovolemic shock. Insert catheter: Contraindicated - Not immediately necessary.
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Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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