Questions 75

ATI RN

ATI RN Test Bank

ATI Custom Wn23 NS122 Questions

Extract:

A nurse is reviewing contraception options for four clients.


Question 1 of 5

The nurse should identify which of the following clients as having a contraindication to oral contraceptives.

Correct Answer: A

Rationale: Hypertension (140/90 mm Hg) is a contraindication to oral contraceptives due to increased cardiovascular risks. Irregular cycles (
B), normal hematocrit (
C), and youth with acne (
D) are not contraindications.

Extract:

A 5-year-old boy was diagnosed with Duchenne muscular dystrophy less than 18 months ago, presenting with fatigue, muscular weakness, difficulty running, and frequent falls.


Question 2 of 5

Which of the following would the nurse expect to be elevated in Duchenne muscular dystrophy?

Correct Answer: D

Rationale: Creatine kinase is significantly elevated in Duchenne muscular dystrophy due to muscle damage. Lactate dehydrogenase (
A), C-reactive protein (
B), and sedimentation rate (
C) are not typically raised.

Extract:

A nurse is reinforcing teaching with a client who is at 17 weeks of gestation and is scheduled to have a maternal serum alpha-fetoprotein (MSAFP) determination.


Question 3 of 5

Which of the following information should the nurse include?

Correct Answer: C

Rationale: MSAFP screens for neural tube defects like spina bifida by measuring alpha-fetoprotein levels. It does not screen for diabetes (
A), fetal maturity (
B), or ABO incompatibility (
D).

Extract:

Mary is a one-month-old infant.


Question 4 of 5

When reviewing Mary's chart, the nurse confirms that at birth, Mary received what vaccine?

Correct Answer: D

Rationale: The hepatitis B vaccine is routinely given within 24 hours of birth per CDC guidelines. MMR (
A), varicella (
B), and DTaP (
C) are administered later in childhood.

Extract:

A nurse is caring for a client who is 4 hr postpartum with a small amount of lochia rubra on the perineal pad and a fundus that is midline and firm at the umbilicus.


Question 5 of 5

Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Checking for blood under the buttocks ensures no hidden bleeding, despite normal lochia and fundus findings. Ambulation (
A) and IV fluids (
B) are unnecessary, and fundal massage (
D) is not needed if the fundus is firm.

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