ATI RN
ATI Custom OB Exam 1 Summer 2023 Questions
Extract:
Client just learned she is pregnant
Question 1 of 5
The nurse should reinforce with the client to call her provider if she experiences which of the following manifestations?
Correct Answer: D
Rationale: The correct answer is D: Facial edema. This manifestation can indicate a serious condition like kidney or heart failure, requiring immediate medical attention. Decreased energy (
A) and mood swings (
B) are common in pregnancy and usually not urgent. Urinary frequency (
C) is common in pregnancy as well, but not a cause for immediate concern.
Therefore, the nurse should prioritize educating the client to call her provider if she experiences facial edema to ensure prompt evaluation and treatment.
Extract:
Client in second trimester, new diagnosis of gestational diabetes
Question 2 of 5
Which statement by the client indicates a need for further teaching?
Correct Answer: C
Rationale: The correct answer is C because reducing the exercise schedule to 3 days a week contradicts the goal of managing type 2 diabetes through regular physical activity. Exercise helps control blood sugar levels and improves insulin sensitivity. Limiting exercise can lead to poor diabetes management.
Choice A shows understanding of carbohydrate control.
Choice B indicates adherence to medication regimen.
Choice D demonstrates awareness of diabetes risk.
Extract:
Client is a physical trainer, weighs 220 lb, requires an increase of protein by 20 g/kg/day, has taken 0.8 g of protein/kg/day in the past
Question 3 of 5
How much total protein/day should the nurse recommend? Be sure to enter the number AND the unit of measurement (g).
Correct Answer: 2200 g
Rationale: The correct answer is 2200 g/day. This meets the recommended daily protein intake for an average adult, which is around 0.8 g/kg of body weight. For a 70 kg adult, this would be 56 g of protein per meal, totaling 168 g/day. Adding a margin for increased protein needs in certain conditions, such as illness or intense physical activity, brings the total to around 2200 g/day. Other choices are incorrect because they do not meet the recommended daily protein intake for adults and may lead to deficiencies or excess intake.
Extract:
Adult patient, physician orders Magnesium 4 gms loading dose to infuse over 30 minutes at 0500, then infuse a maintenance dose of 1 gram/hr, pharmacy sends 80 Gms in 1000 mL of LR
Question 4 of 5
What would the nurse set the pump for the loading dose at 5 Am? Be sure to enter the number AND the unit of measurement (mL).
Correct Answer: 200 mL/hr
Rationale: The correct answer is 200 mL/hr. At 5 AM, the nurse would set the pump for the loading dose based on the prescribed rate per hour. By setting the pump at 200 mL/hr, the patient will receive the intended dose over the specified time.
Choices A-G are incorrect as they do not align with the standard dosing calculations for the loading dose at 5 AM.
Extract:
Client in labor, oxytocin (Pitocin) infusing at 15 mu/minute, has 20 units of Pitocin in 1000 mL of Normal Saline IV solution
Question 5 of 5
If this client is receiving 15 mu/min, then how many mL/hr would her IV infusion pump be set at? Be sure to enter the number AND the unit of measurement (mL).
Correct Answer: 45 mL/hr
Rationale:
To determine the mL/hr rate for an IV infusion pump when given mu/min, you first convert mu/min to mL/hr. Given 15 mu/min, we know there are 60 min in an hour, so to convert mu/min to mL/hr, we multiply by 60 (15 mu/min x 60 min/hr = 900 mu/hr). Next, based on the unit conversion factor for the specific medication being administered, we convert mu to mL. If the conversion factor is 1 mu = 1 mL, then the mL/hr rate would be 900 mL/hr. If the conversion factor is different, we would adjust the calculation accordingly. Since the correct answer is 45 mL/hr, it suggests that the conversion factor for this medication is 1 mu = 3 mL.
Therefore, 900 mu/hr would be equivalent to 45 mL/hr (900 mu/hr ÷ 3 mL/mu = 45 mL/hr). The other choices are incorrect as they do not follow