ATI RN
ATI RN Custom 2023 Fall Exam 3 Questions
Extract:
A nurse is caring for a client who is postpartum and has a prescription for Rho (D) immunoglobulin.
Question 1 of 5
The nurse should verify which of the following prior to administration?
Correct Answer: D
Rationale: Rho (
D) immunoglobulin is given when the client is Rh negative and the newborn is Rh positive to prevent sensitization in future pregnancies.
Extract:
A nurse is caring for a client who is 1 hr postpartum and observes a large amount of lochia rubra and several small clots on the client's perineal pad. The fundus is midline and firm at the umbilicus.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The findings are normal for 1 hour postpartum (large lochia rubra, small clots, firm fundus), so the nurse should document and monitor. No intervention is needed.
Extract:
A nurse is completing the admission assessment of a client who is at 38 weeks of gestation and has severe preeclampsia.
Question 3 of 5
Which of the following is an expected finding?
Correct Answer: A
Rationale: A headache is a common symptom of severe preeclampsia due to cerebral hypertension. Clonus is present, not absent, and oliguria, not polyuria, is typical.
Extract:
A nurse is caring for a pregnant client in labor in a health care facility.
Question 4 of 5
The nurse knows that which sign indicates that the patient is no longer in the first stage of labor?
Correct Answer: D
Rationale: Cervix dilation of 10 cm with 100% effacement indicates the end of the first stage of labor and the beginning of the second stage. The other options occur during the first stage.
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 5 of 5
Which role do Braxton Hicks contractions play in aiding labor?
Correct Answer: D
Rationale: Braxton Hicks contractions help soften and ripen the cervix, preparing it for labor. They don't directly affect oxytocin, prostaglandins, or breathing.