ATI RN
RN ATI Maternal Proctored Exam 2023-2024 with NGN Questions
Extract:
A nurse is caring for a client who is at 33 weeks of gestation.
Diagnostic Results:
• Proteinuria 3+, straw-colored urine
• Platelet count 150,000/mm3 (150,000 to 400,000/mm3)
• BUN 18 mg/dL (10 to 20 mg/dL)
Question 1 of 5
The nurse is assessing the client 24 hr later. How should the nurse interpret the findings?
| Findings 24 hr later | Sign of potential worsening condition | Sign of potential improvement | Unrelated to diagnosis |
|---|---|---|---|
| Hematuria | |||
| Proteinuria 2+ | |||
| Leukorrhea | |||
| Positive clonus | |||
| BUN 40 mg/dL | |||
| Platelet count 110,000/mm3 |
Correct Answer:
Rationale:
Correct Answer:
Rationale:
- Hematuria and Proteinuria 2+ are signs of potential worsening conditions that should be checked.
- Leukorrhea is unrelated to the diagnosis and can be disregarded.
- Positive clonus and the lab values BUN 40 mg/dL, Platelet count 110,000/mm3 are not mentioned in the table, so they should not be selected.
Extract:
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 assisting the provider to administer a dinoprostone insert to induce labor for a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Verify that informed consent is obtained prior to administration. This is crucial because obtaining informed consent ensures that the client understands the risks, benefits, and alternatives of the procedure. Without informed consent, the client's autonomy and right to make decisions about their care are not upheld.
A: Allowing the medication to reach room temperature is not necessary for the administration of dinoprostone insert.
B: Placing the client in a semi-Fowler's position is not a standard precaution after administering a dinoprostone insert.
C: Instructing the client to avoid urinary elimination is not necessary and can be harmful to the client's health.
E, F, G: No other choices are provided, but they would likely be incorrect as well since the correct answer focuses on obtaining informed consent, which is a fundamental principle in healthcare.
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 caring for an infant who has signs of neonatal abstinence syndrome. Which of the following actions should the nurse take?
Correct Answer: C
Rationale:
Correct Answer: C - Initiate seizure precautions.
Rationale:
1. Neonatal abstinence syndrome can lead to neurological complications, including seizures.
2. Initiating seizure precautions involves creating a safe environment to prevent injury during a seizure.
3. This action prioritizes the infant's safety and well-being.
4. Monitoring blood glucose level every hour (
A) is not typically indicated for neonatal abstinence syndrome.
5. Placing the infant on his back with legs extended (
B) is a basic positioning technique but not directly related to managing seizures.
6. Providing a stimulating environment (
D) can exacerbate symptoms in an infant with neonatal abstinence syndrome.