ATI RN
ATI RN Maternal Newborn 2023 Exam 4 Questions
Extract:
A nurse is teaching a client who is experiencing infertility about clomiphene citrate.
Question 1 of 5
Which adverse effects should the nurse include?
Correct Answer: B
Rationale: The correct answer is B, breast tenderness. As a nurse, it is essential to include this adverse effect because it is commonly associated with certain medications like hormonal therapies. Breast tenderness can be a significant concern for patients and may impact their quality of life. Chills (
A) are more commonly associated with infections or fevers rather than medication side effects. Tinnitus (
C) is a condition related to the ear and not typically a side effect of most medications. Urinary frequency (
D) is more commonly seen with conditions like urinary tract infections rather than medication adverse effects.
Extract:
A nurse is caring for a client who is in active labor with a fetus in the occipitoposterior position. The nurse assists the client in a hands-and-knee position.
Question 2 of 5
Which should the nurse ask to evaluate the effectiveness of this intervention?
Correct Answer: C
Rationale: The correct answer is C. Back labor refers to intense lower back pain during labor, which can indicate malposition of the baby. Monitoring improvement in back labor helps assess if the intervention is effective in correcting the baby's position, leading to smoother labor progress.
Choices A and D focus on pain management, not evaluating intervention effectiveness.
Choice B is vague and subjective, while choice C directly correlates with the intervention's goal.
Extract:
A nurse is caring for a client who is hypotensive following the administration of epidural anesthesia.
Question 3 of 5
Which action should the nurse take?
Correct Answer: C
Rationale: The correct action for the nurse to take is to turn the client to a side-lying position (
Choice
C). This is crucial for preventing aspiration in unconscious or postoperative clients. Side-lying position helps maintain airway patency and prevents the tongue from obstructing the airway. It also promotes optimal lung expansion and ventilation. Applying oxygen (
Choice
A) may be necessary but does not address the immediate risk of aspiration. Massaging the fundus (
Choice
B) is typically done postpartum to prevent hemorrhage. Assisting the client to empty their bladder (
Choice
D) is important for comfort but does not address the immediate risk of airway compromise.
Extract:
A nurse is caring for a newborn immediately following birth who has a prescription for erythromycin ophthalmic ointment. The guardian refuses the medication.
Question 4 of 5
Which action should the nurse take?
Correct Answer: A
Rationale: The correct action for the nurse is to choose option A, which is to document the guardian's refusal of the medication. This is important for legal and ethical reasons as it ensures that the refusal is properly recorded in the patient's medical records. By documenting the refusal, the nurse is fulfilling their duty to maintain accurate and comprehensive documentation. It also allows for continuity of care and communication among healthcare providers. Options B, C, and D are incorrect as they do not address the immediate need to document the refusal. Informing the guardian about giving the medication after discharge does not address the current refusal, reporting to social services may not be necessary at this stage, and involving the ethics committee is premature without proper documentation.
Extract:
A nurse is caring for a client who is postpartum following a vaginal birth.
Question 5 of 5
Which analgesic medication should the nurse plan to administer and document in the client's medical record?
Correct Answer: D
Rationale: The correct answer is D: Ibuprofen. Ibuprofen is preferred for mild to moderate pain due to its analgesic and anti-inflammatory properties. It is commonly used for various conditions like headaches, menstrual cramps, and musculoskeletal pain. Aspirin (
A) has similar effects but is not recommended for pain in children due to the risk of Reye's syndrome. Meperidine (
B) is a narcotic analgesic with more side effects and limited use. Fentanyl citrate (
C) is a potent opioid mainly used for severe pain. In this scenario, ibuprofen is the safest and most appropriate choice for mild to moderate pain.