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
Select the 2 actions that the nurse should take.
| Assist the provider with inserting a fetal scalp electrode (FSE) and intrauterine pressure catheter (IUCP) |
| Obtain serial H&H and clotting studies. |
| Administer misoprostol 600 mg rectally. |
| Place the client in a supine position. |
| Prepare to transfuse 2 units of packed RBCs. |
Correct Answer: B,E
Rationale: Obtain serial H&H and clotting studies: Monitors blood loss and coagulation status. Prepare to transfuse 2 units of packed RBCs: Addresses hypovolemic shock and blood loss.
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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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