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 providing care to a client who is receiving an epidural block with an opioid analgesic.
Question 2 of 5
Which of the following findings should the nurse monitor as a potential adverse effect of the medication?
Correct Answer: C
Rationale: Hypotension is a known side effect of epidural analgesia due to sympathetic blockade.
Extract:
A nurse is caring for a client who is at 6 weeks of gestation and reports nausea and vomiting.
Question 3 of 5
Which of the following recommendations should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: Consume foods served at cool temperatures. This recommendation is important for individuals experiencing nausea, as warm or hot foods can exacerbate nausea. Cool foods are generally better tolerated and can help soothe the stomach. Brushing teeth after each meal (
B) is important for oral hygiene but not directly related to managing nausea. Eating three large meals per day (
C) may overload the stomach and worsen nausea; smaller, more frequent meals are recommended. Drinking plenty of water when feeling nauseated (
D) can be beneficial, but consuming cool foods is more directly relevant to managing nausea.
Extract:
A nurse is preparing to obtain a blood sample from a newborn's heel.
Question 4 of 5
In what order should the nurse perform the procedure?
Order the Items
Source Container
Correct Answer: A, B, C, D, E
Rationale: The correct order for the nurse to perform the procedure is A, B, C, D, E. First, applying a warm cloth to the newborn's heel (
A) helps dilate the blood vessels for easier puncture. Next, cleaning the area with an antiseptic (
B) reduces the risk of infection. Puncturing the outer aspect of the newborn's heel (
C) allows for blood collection. Collecting the blood specimen (
D) is the next step to obtain the sample. Finally, applying pressure to the site with a dry gauze pad (E) helps to stop bleeding and promote healing.
Choices F and G are not applicable in this context.
Extract:
In a prenatal clinic, a nurse is caring for a group of clients.
Question 5 of 5
Which client should the nurse identify as having a contraindication for a contraction stress test?
Correct Answer: D
Rationale: The correct answer is D: A client who has a previous classical incision. This client has a contraindication for a contraction stress test due to the risk of uterine rupture at the site of the classical incision during labor contractions. The other choices are incorrect because:
A: Gestational diabetes mellitus does not directly contraindicate a contraction stress test.
B: A previous stillbirth is not a direct contraindication for the test.
C: A nonreactive nonstress test may indicate the need for further evaluation but does not contraindicate a contraction stress test.