Questions 75

ATI RN

ATI RN Test Bank

ATI Custom Wn23 NS122 Questions

Extract:

The nurse is monitoring a client who is 3 hours postpartum with a temperature of 102.4°F.


Question 1 of 5

Which action should the nurse prioritize?

Correct Answer: D

Rationale: A temperature of 102.4°F postpartum suggests possible infection, requiring immediate notification of the RN and provider to identify the source. Monitoring further (
A) delays care, antipyretics (
B) mask symptoms, and ambulation (
C) is irrelevant.

Extract:

A nurse is caring for a client who has been placed in halo traction to immobilize his cervical spine.


Question 2 of 5

Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Elevating the head of the bed reduces cervical spine pressure and enhances comfort in halo traction. Pelvic girdles (
A) are unrelated, supine positioning (
B) may increase pressure, and foot elevation (
D) is ineffective.

Extract:

A nurse is reinforcing teaching with a client who is at 17 weeks of gestation and is scheduled to have a maternal serum alpha-fetoprotein (MSAFP) determination.


Question 3 of 5

Which of the following information should the nurse include?

Correct Answer: C

Rationale: MSAFP screens for neural tube defects like spina bifida by measuring alpha-fetoprotein levels. It does not screen for diabetes (
A), fetal maturity (
B), or ABO incompatibility (
D).

Extract:

The nurse is working with a group of caregivers of school-aged children discussing fractures.


Question 4 of 5

The nurse explains that a twist around the bone frequently associated with child abuse is what type of fracture?

Correct Answer: A

Rationale: Spiral fractures, caused by twisting, are often linked to child abuse due to the force required. Bowing (
B), closed (
C), and greenstick (
D) fractures are not specifically associated with abuse.

Extract:

A nurse is caring for a client who is threatening to commit suicide.


Question 5 of 5

Which of the following questions should the nurse ask?

Correct Answer: C

Rationale: Asking about the suicide plan assesses risk level and guides intervention, a priority in suicide prevention. Past events (
A), outcomes (
B), and reasons (
D) are less immediate for safety planning.

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