ATI RN
ATI RN Custom 2023 Fall Exam 3 Questions
Extract:
When reviewing the medical record of a postpartum client, the nurse notes that the client has experienced a fourth-degree laceration.
Question 1 of 4
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 2 of 4
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.
Extract:
A nurse is teaching a newborn's parent to care for the umbilical cord stump.
Question 3 of 4
Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Give a sponge bath until the cord stump falls off. This instruction is important to prevent infection of the umbilical cord stump. Washing the cord daily with soap and water (choice
A) can lead to over-cleaning and delay healing. Applying petroleum jelly (choice
B) can trap moisture and bacteria, increasing infection risk. Covering the cord with a diaper (choice
C) can also trap moisture and bacteria. Giving a sponge bath (choice
D) keeps the stump dry and reduces infection risk until it falls off naturally.
Extract:
A nurse is completing discharge instructions for a new mother and her 2-day-old newborn. The mother asks, 'How will I know if my baby gets enough breast milk?'
Question 4 of 4
Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct response is A: "Your baby should wet 6 to 12 diapers per day." This is the correct answer because it reflects normal infant feeding and hydration patterns. Infants typically urinate frequently when adequately hydrated.
Choices B, C, and D are incorrect because newborns have irregular sleep patterns, do not necessarily sleep for long stretches, and may not always burp after each feeding. It is essential for nurses to educate parents on the expected number of wet diapers as an indicator of adequate feeding and hydration.
Extract:
A nurse is caring for a client who is at 36 weeks of gestation and who has a suspected placenta previa.
Question 5 of 4
Which of the following findings support this diagnosis?
Correct Answer: B
Rationale: The correct answer is B: Painless red vaginal bleeding. This finding supports the diagnosis of placenta previa, a condition where the placenta partially or completely covers the cervix. Painless bleeding is characteristic of placenta previa due to the lack of uterine contractions associated with it. Abdominal pain (choices A and
C) is not typical of placenta previa, as it is usually painless. Intermittent abdominal pain following bloody mucus passage (choice
D) is more indicative of abruptio placentae, where the placenta separates from the uterine wall. The other choices (E, F, G) are not provided, but they would likely not support the diagnosis of placenta previa based on the information given.