ATI RN
ATI RN Custom 2023 Fall Exam 3 Questions
Extract:
A nurse is observing the electronic fetal heart rate monitor tracing for a client who is at 40 weeks of gestation and is in labor.
Question 1 of 5
The nurse should suspect a problem with the umbilical cord when she observes which of the following patterns?
Correct Answer: A
Rationale: The correct answer is A: Variable decelerations. Variable decelerations indicate umbilical cord compression, which can lead to fetal distress. This pattern is characterized by abrupt and transient decreases in the fetal heart rate. Other choices are incorrect because:
B) Early decelerations are associated with head compression during contractions and are considered a normal response to labor;
C) Accelerations are a reassuring sign of fetal well-being, indicating a healthy response to fetal movement;
D) Late decelerations suggest uteroplacental insufficiency, not related to umbilical cord issues.
Extract:
A client experiencing contractions presents at a health care facility. Assessment conducted by the nurse reveals that the client has been experiencing Braxton Hicks contractions.
Question 2 of 5
Which role do Braxton Hicks contractions play in aiding labor?
Correct Answer: D
Rationale: The correct answer is D. Braxton Hicks contractions help in softening and ripening the cervix. This is essential for labor as a softened and ripened cervix allows for easier dilation, facilitating the baby's passage through the birth canal. Braxton Hicks contractions do not directly affect oxytocin sensitivity (
A), prostaglandin release (
B), or maternal breathing (
C) during labor.
Therefore, the correct answer is D as it directly relates to the physiological process of labor progression.
Extract:
A nurse in a clinic is caring for a client who is 3 weeks postpartum following the birth of a healthy newborn. The client reports feeling 'down' and sad, having no energy, and wanting to cry.
Question 3 of 5
Which of the following is a priority action by the nurse?
Correct Answer: D
Rationale: The correct answer is D: Ask the client if she has considered harming herself or her newborn. This is the priority action because it addresses the immediate safety and well-being of the client and her newborn. By asking about self-harm or harm to the newborn, the nurse can assess for any potential risk and intervene accordingly.
Choices A, B, and C are important actions but do not address the immediate safety concerns. Anticipating a prescription, reinforcing teaching, and identifying coping skills are all valuable tasks, but ensuring the client's safety takes precedence. It is essential to address any potential harm before moving on to other aspects of care.
Extract:
When reviewing the medical record of a postpartum client, the nurse notes that the client has experienced a fourth-degree laceration.
Question 4 of 5
The nurse understands that the laceration extends to which area?
Correct Answer: B
Rationale: The correct answer is B: Through the anterior rectal wall. This choice is correct because a laceration extending through the anterior rectal wall indicates a deeper level of injury compared to the other options. A laceration through superficial structures above the muscle (
Choice
A) would be less severe.
Choices C and D involve structures related to the anal sphincter and perineal muscles, respectively, but do not specifically address the depth of the laceration as directly as
Choice B.
Therefore,
Choice B is the best answer as it indicates a more serious level of injury.
Extract:
A nurse is completing the admission assessment of a client who is at 38 weeks of gestation and has severe preeclampsia.
Question 5 of 5
Which of the following is an expected finding?
Correct Answer: A
Rationale: The correct answer is A: Report of headache. This is an expected finding because headaches are a common symptom that can indicate various underlying conditions. It is important to investigate the cause of the headache further to determine the appropriate management. Absence of clonus (
B), polyuria (
C), and tachycardia (
D) are not necessarily expected findings in every situation and may indicate different issues. Headache is a more specific and common symptom that requires attention.