ATI RN
ATI Custom PNU Maternity Fall 2023 Questions
Extract:
A nurse is caring for a client who is 1 day postpartum following a cesarean birth.
Question 1 of 5
To prevent thrombophlebitis, the nurse should contribute which of the following interventions to the client's plan of care?
Correct Answer: A
Rationale: The correct answer is A: Place pillows under the client's knees while she is resting in bed. Elevating the client's legs with pillows promotes venous return, reducing the risk of thrombophlebitis. It helps prevent blood pooling in the lower extremities, decreasing the chances of blood clots forming. This intervention also improves circulation and reduces venous stasis.
Choices B and D are incorrect as applying hot moist soaks or keeping the client on bed rest do not directly address venous return or clot prevention.
Choice C, assisting the client to ambulate, is beneficial for circulation but may not be as effective as elevating the legs.
Extract:
A nurse in a provider's office is caring for a client who is at 36 weeks of gestation and is scheduled for an amniocentesis. The client asks why she is having an ultrasound prior to the procedure.
Question 2 of 5
Which of the following responses by the nurse is appropriate?
Correct Answer: C
Rationale: The correct answer is C: "It assists in identifying the location of the placenta and fetus." This response is appropriate because ultrasound imaging can indeed help in determining the positions of both the placenta and fetus within the uterus, aiding in monitoring fetal growth and development.
Choice A is incorrect because ultrasound is not specifically a screening tool for spina bifida.
Choice B is incorrect as ultrasound is primarily used for assessing fetal growth and development, not estimating fetal age.
Choice D is incorrect because while ultrasound can detect multiple fetuses, its primary purpose is not to determine the number of fetuses present.
Extract:
A nurse is preparing to administer vitamin K 1mg IM to a newborn. Available is vitamin K injection 1 mg/0.5 mL.
Question 3 of 5
How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale: The correct answer is A: 0.5 mL. The dose should be administered per the prescribed amount, which in this case is 0.5 mL. It is important to follow the specific instructions provided by the healthcare provider to ensure the correct dosage is given to the patient.
Choice B: 1 mL is not correct as it does not match the prescribed dose.
Choice C: 2 mL is incorrect as it exceeds the prescribed amount.
Choice D: 0.6 mL is also incorrect as it is not the exact prescribed dose. It is crucial for the nurse to accurately measure and administer the correct dosage to ensure the patient's safety and treatment efficacy.
Extract:
A nurse is caring for a newborn immediately after birth.
Question 4 of 5
Which of the following actions by the nurse reduces evaporative heat loss by the newborn?
Correct Answer: B
Rationale: The correct answer is B: Drying the newborn's skin thoroughly. This action reduces evaporative heat loss by removing moisture from the baby's skin, preventing heat loss through evaporation. Maintaining ambient room temperature (
A) helps prevent conductive heat loss, not evaporative heat loss. Preventing air drafts (
C) reduces convective heat loss, not evaporative heat loss. Placing the newborn on a warm surface (
D) helps prevent conductive heat loss but does not directly address evaporative heat loss.
Extract:
A nurse is assisting with monitoring a client who has preeclampsia and is receiving magnesium sulfate. The client's respiratory rate is 8 breaths/min and the nurse suspects toxic levels of magnesium.
Question 5 of 5
Which of the following should the nurse administer?
Correct Answer: A
Rationale: The correct answer is A: Calcium gluconate. In cases of calcium channel blocker toxicity, calcium gluconate is administered to counteract the effects of the overdose by increasing calcium levels and improving cardiac contractility. Flumazenil (
B) is used for benzodiazepine overdose, naloxone (
C) for opioid overdose, and protamine sulfate (
D) for heparin overdose. Calcium gluconate is the appropriate choice in this scenario due to the indication of calcium channel blocker toxicity.