ATI LPN
ATI PN Maternal Newborn 2023 Questions
Extract:
A nurse is preparing to administer phytonadione 0.5 mg IM to a newborn. The amount available is phytonadione 1 mg/0.5 mL.
Question 1 of 5
How many mL should the nurse plan to administer? (Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 0.25 mL
Rationale: Dose desired = 0.5 mg, Available = 1 mg/0.5 mL. Calculation: (0.5 mg / 1 mg) * 0.5 mL = 0.25 mL.
Extract:
A nurse on the postpartum unit is caring for a client who delivered vaginally 3 hr ago.
Question 2 of 5
Which of the following manifestations is a possible indication of postpartum hemorrhage?
Correct Answer: C
Rationale: An increased respiratory rate of 32/min can be a sign of hypovolemia due to significant blood loss, a key indicator of postpartum hemorrhage.
Extract:
A nurse is obtaining a capillary blood sample from a newborn for phenylketonuria testing.
Question 3 of 5
Identify the sequence of steps the nurse should follow. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
Correct Answer: C,E,A,B,D
Rationale: 1. Wrap a warm, moist cloth around the heel to dilate the blood vessels, which makes it easier to obtain the blood sample. 2. Cleanse the heel with an antiseptic to reduce the risk of infection at the puncture site. 3. Puncture the heel and collect the blood, ensuring that the sample is adequate for the test. 4. Apply pressure with a dry gauze pad to stop the bleeding from the puncture site. 5. Cover the heel with an adhesive bandage to protect the area and minimize the risk of infection.
Extract:
A nurse is assisting in the care of a client who is experiencing an unruptured ectopic pregnancy that is at 8 weeks of gestation.
Question 4 of 5
Which of the following medications should the nurse expect the provider to prescribe?
Correct Answer: B
Rationale: Methotrexate is used to treat an unruptured ectopic pregnancy by dissolving the ectopic tissue, allowing it to be reabsorbed by the body.
Extract:
A nurse is caring for a client who asks about the purpose of a Papanicolaou test.
Question 5 of 5
Which of the following responses should the nurse make?
Correct Answer: A
Rationale: This test detects the presence of cervical cancer.' is correct. The Pap test screens for abnormal cervical cells that could indicate cancer or precancerous changes.