ATI RN
ATI RN Maternal Newborn 2023 Questions
Extract:
A nurse is caring for a client who is receiving an epidural block with an opioid analgesic.
Question 1 of 5
The nurse should identify which findings as an adverse effect of the medication?
Correct Answer: D
Rationale: The correct answer is D: Hypotension. This is an adverse effect of the medication because hypotension indicates low blood pressure, which can lead to dizziness, weakness, and fainting. It is important for the nurse to monitor and address hypotension promptly. Polyuria (
A) is increased urination, not typically an adverse effect. Bilateral crackles (
B) indicate fluid in the lungs, not directly related to medication adverse effects. Hyperglycemia (
C) is high blood sugar, more commonly associated with diabetes or corticosteroid use.
Extract:
A nurse is planning care for a client who is 1 hr postpartum and has peripartum cardiomyopathy.
Question 2 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: The correct answer is D: Restrict daily oral fluid intake. This action is important for patients with heart failure to prevent fluid overload. Administering an IV bolus of lactated Ringer's (
A) can exacerbate fluid overload. Obtaining misoprostol (
B) is not relevant to managing heart failure. Assessing blood pressure twice daily (
C) is important but not the priority.
Extract:
A nurse is providing prenatal teaching to a client who practices a vegan diet and is trying to increase intake of vitamin B.
Question 3 of 5
Which of the following foods should the nurse recommend?
Correct Answer: D
Rationale: The correct answer is D: Fortified soy milk. Soy milk is a good source of plant-based protein and fortified with essential nutrients like calcium and vitamin D, crucial for bone health. This is important for individuals who may have dietary restrictions or are lactose intolerant. Raw carrots (
A) are a good source of vitamins but may not provide enough protein. Brown rice (
B) is a healthy carbohydrate but lacks essential nutrients found in fortified soy milk. Fresh citrus fruits (
C) are rich in vitamin C but do not offer the same level of protein and nutrients as soy milk.
Extract:
A nurse is teaching about clomiphene citrate to a client who is experiencing infertility.
Question 4 of 5
Which of the following adverse effects should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Breast tenderness. This is a common adverse effect of hormonal medications, such as oral contraceptives. Breast tenderness occurs due to hormonal changes affecting breast tissue. Chills (
B) are not typically associated with hormonal medications. Tinnitus (
C) is a ringing in the ears, which is not a common side effect of oral contraceptives. Urinary frequency (
D) is also not a typical adverse effect of hormonal medications. Breast tenderness is a known side effect and should be included in patient education.
Extract:
A nurse is reviewing the prescriptions for a client who is pregnant and is taking digoxin.
Question 5 of 5
Which of the following actions should the nurse take to best evaluate the client's medication adherence?
Correct Answer: D
Rationale: The correct answer is D: Check the client's serum medication level. This is the best action to evaluate medication adherence because it directly measures the concentration of the medication in the client's bloodstream. If the medication level is within the therapeutic range, it indicates that the client is taking the medication as prescribed. If the level is too low or too high, it suggests non-adherence or potential issues with medication absorption or metabolism.
Choice A is incorrect as determining the client's apical pulse rate does not directly assess medication adherence.
Choice B is less reliable as clients may not always provide accurate information about their medication adherence.
Choice C is unrelated to evaluating medication adherence.