ATI RN
ATI Maternal Newborn RN Questions
Extract:
A 13-year-old girl
Question 1 of 5
The nurse is assessing a 13-year-old girl. Which event would the nurse expect to have occurred first?
Correct Answer: Breast bud development (thelarche) is typically the first pubertal event in girls, occurring between 8-12 years, driven by estrogen.
Rationale:
Extract:
Women experiencing a heart attack
Question 2 of 5
A nurse is preparing a class discussion on the clinical manifestations of a heart attack observed in women. Which symptoms would the nurse include as key assessment data? Select all that apply.
Correct Answer: Women may experience sleep disturbances (48%), unusual fatigue (70%), and arm pain (42%) before a heart attack, indicating reduced cardiac function. Syncope (12%) and extreme hunger (4%) are less common.
Rationale:
Extract:
A woman after bladder surgery
Question 3 of 5
To assist the woman in regaining control of the urinary sphincter after bladder surgery, the nurse should teach the client to perform which action?
Correct Answer: Kegel exercises strengthen pelvic floor muscles, improving urinary sphincter control. Limiting fluids risks dehydration, frequent voiding may irritate the bladder, and laxatives address constipation, not sphincter control.
Rationale:
Extract:
A client receiving hydrocortisone 100 mg IM daily, available as 250 mg/2 mL
Question 4 of 5
A nurse is preparing to administer hydrocortisone 100 mg IM daily to a client. Available as hydrocortisone 250 mg/2 mL. How many mL should the nurse administer per dose?(Round the answer to the nearest tenth number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: Using the ratio 250 mg/2 mL = 100 mg/x mL, cross-multiply to get 250x = 200, so x = 0.8 mL. This is the correct dose, rounded to the nearest tenth.
Rationale:
Extract:
Four clients being reviewed for contraception options
Question 5 of 5
A nurse is reviewing contraception options for four clients. The nurse should identify that which of the following clients has a contraindication for receiving oral contraceptives.
Correct Answer: Smoking, especially over age 35, increases cardiovascular risks with oral contraceptives, making it a contraindication. Migraines, PID history, and benign breast disease are not absolute contraindications.
Rationale: