ATI RN
ATI RN Maternal Newborn 2023 Exam 4 Questions
Extract:
A nurse is caring for a client who is postpartum following a vaginal birth.
Question 1 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.
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 providing teaching to a client who is at 35 weeks of gestation and has a prescription for an amniocentesis.
Question 3 of 5
Which of the following client statements indicates an understanding of the teaching?
Correct Answer: D
Rationale:
Rationale:
Choice D is correct because emptying the bladder before the procedure is essential to avoid discomfort and potential complications. Other choices are incorrect as they do not directly relate to the procedure or indicate understanding. A: Irrelevant to the procedure. B: Excessive fasting is unnecessary. C: Positioning is not crucial for understanding. E, F, G: Unknown options.
Extract:
A nurse is providing discharge teaching to a client following a tubal ligation procedure.
Question 4 of 5
Which statement by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates the client's understanding that ovulation will not be affected by the teaching. This indicates comprehension of the material because ovulation is a separate process from menstruation.
Choice B is incorrect as menstrual period length is not typically addressed in teaching about ovulation.
Choice C is incorrect because premenstrual tension is not directly related to ovulation.
Choice D is incorrect as hormone replacements following a procedure are not necessarily discussed in the context of ovulation teaching.
Extract:
A nurse is caring for a client who is receiving oxytocin via continuous IV infusion and is experiencing persistent late decelerations in the FHR.
Question 5 of 5
After discontinuing the infusion, which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A. Administer oxygen at 10 L/min via a nonrebreather face mask. This action is indicated to provide adequate oxygenation to the client after discontinuing the infusion. Oxygen therapy helps prevent hypoxia, a common complication post-infusion. Option B is incorrect as it is not relevant to the situation. Option C, initiating amnioinfusion, is not indicated after discontinuing an infusion. Option D, placing the client in a supine position, may not be appropriate and can lead to complications like hypotension.