ATI RN
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.