ATI RN
ATI Maternal Newborn Exam 3 Fall 2023 Questions
Extract:
A client who is receiving total parenteral nutrition (TPN).
Question 1 of 5
Which intervention is most important for the practical nurse (PN) to implement for a client who is receiving total parenteral nutrition (TPN)?
Correct Answer: A
Rationale: The correct answer is A: Collect fingerstick glucose levels. This is crucial for monitoring the client's blood sugar levels due to the high glucose content in TPN. Monitoring blood sugar helps prevent hyperglycemia or hypoglycemia. Implementing bleeding precautions (
B) is not directly related to TPN administration. Obtaining daily weights (
C) is important but not the most critical intervention. Checking urine for albumin (
D) is more relevant for monitoring kidney function rather than TPN.
Extract:
A client with complications of left-sided heart failure.
Question 2 of 5
The practical nurse (PN) is assisting with the admission of a client with complications of left-sided heart failure. Which focused assessment should the PN implement first?
Correct Answer: C
Rationale: The correct answer is C: Bilateral lung sounds. In left-sided heart failure, fluid accumulates in the lungs causing respiratory symptoms. Assessing lung sounds first helps identify any signs of pulmonary congestion, such as crackles or wheezes. This is crucial for immediate intervention to prevent respiratory distress. Heart sounds (
A) and chest pain (
B) are important but assessing lung sounds takes priority to address the immediate respiratory distress. Mood and affect (
D) assessment is important but not urgent in this situation.
Extract:
A hospitalized client.
Question 3 of 5
An oil retention enema is prescribed for a hospitalized client. The practical nurse (PN) should administer the enema solution at which temperature?
Correct Answer: C
Rationale: The correct answer is C. The enema solution should approximate the client's body temperature (98°F or 36°
C) to prevent discomfort or injury. Administering the enema at this temperature helps relax the colon muscles and promote retention of the solution.
Choice A is incorrect because the solution temperature should not solely be determined by client comfort as it must align with physiological considerations.
Choice B is incorrect as the temperature of the enema solution does impact its effectiveness by affecting the colon's response.
Choice D is incorrect as a temperature higher than the body temperature can cause burns or discomfort.
Extract:
A male preoperative client who has already signed the informed consent for a surgical procedure confides to the practical nurse (PN) that he is really frightened and unsure about undergoing the surgery.
Question 4 of 5
Which priority action should the PN take?
Correct Answer: D
Rationale: The correct answer is D: Notify the charge nurse of the client's concerns about surgery. This is the priority action because it involves escalating the client's concerns to a higher authority, ensuring proper assessment and addressing of the issue. Documenting the client's concerns (
A) is important but not as urgent as notifying the charge nurse. Encouraging the client to continue with the surgery (
B) may not be safe if the client has valid concerns. Reminding the client about the consent (
C) does not address the immediate need for support.
Extract:
A client reports experiencing numbness and tingling in the extremities.
Question 5 of 5
Which of the client's serum laboratory values should the practical nurse (PN) prioritize reporting to the healthcare provider?
Correct Answer: C
Rationale: The correct answer is C: Electrolytes. Electrolyte imbalances can have serious consequences on a patient's health, leading to cardiac arrhythmias, muscle weakness, and neurological issues. Prioritizing reporting electrolyte abnormalities allows for prompt intervention to prevent complications. Hematocrit (
A) and white blood cell count (
D) are important but not as urgent as electrolytes. Albumin and protein levels (
B) are more indicative of nutritional status and chronic conditions rather than acute issues. Other choices do not provide immediate critical information.