ATI RN
ATI RN Maternal Newborn 2023 II Questions
Extract:
A nurse is caring for a client who has bladder distention following a vaginal birth.
Question 1 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Assist the client to the bathroom. This is the first action the nurse should take because it addresses the most immediate need of the client, which is to relieve themselves. It ensures the client's comfort and promotes their dignity. Option B, offering a sitz bath, can be considered later for comfort but does not address the urgent need. Option C, pouring warm water over the client's perineum, may provide relief but does not address the primary need. Option D, inserting a urinary catheter, is an invasive procedure and should only be considered after other non-invasive interventions have been attempted.
Question 2 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Escort the client to the bathroom. This action should be taken first to address the immediate need of the client for toileting. It promotes the client's comfort, maintains their dignity, and prevents potential complications like urinary retention. Option B (Offer the client a sitz bath) and C (Pour warm water over the client's perineum) are not priorities as they do not address the client's urgent need for toileting. Option D (Insert a urinary catheter) is an invasive procedure and should not be the first action unless indicated for a specific medical reason. Options E and F (None) are not appropriate as there is a clear immediate need that requires action.
Extract:
A nurse is discussing fertility treatment options with a client and their partner.
Question 3 of 5
Which of the following nonpharmacological treatments should the nurse suggest?
Correct Answer: C
Rationale: The correct answer is C: Maintain a healthy weight. This is because maintaining a healthy weight can have a significant impact on overall health and can help manage various health conditions, including improving symptoms related to certain diseases. Obesity can exacerbate health issues, so suggesting weight management is crucial. Hot baths (
A) may provide temporary relief but do not address the root cause. Using a lubricant during intercourse (
B) may help with comfort but does not address nonpharmacological treatment. Drinking herbal tea (
D) may have some benefits but is not a primary treatment for most conditions.
Extract:
A nurse is providing discharge teaching to a client following tubal ligation.
Question 4 of 5
Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D: "Ovulation will remain the same." This statement indicates an understanding of the teaching as it acknowledges that the procedure being discussed will not affect the client's ovulation process. This shows that the client comprehends that the treatment will not interfere with their regular reproductive cycle.
Explanation of other choices:
A: Incorrect - Menstrual period length is not directly related to ovulation.
B: Incorrect - Hormone replacements post-procedure do not necessarily indicate understanding of the teaching.
C: Incorrect - Elimination of premenstrual tension does not specifically address ovulation.
In summary, choice D directly reflects the client's understanding of the impact of the procedure on ovulation, making it the correct answer.
Extract:
A nurse is obtaining a 2-hr postprandial blood glucose from a client.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Select the lateral side of the finger for puncture. This is because the lateral side has fewer nerve endings, making it less painful for the patient. Puncturing the finger on the lateral side also helps to avoid the central pad where blood flow is better. Holding the finger above the heart (choice
B) is incorrect as it can increase blood flow and dilute the sample. Smearing blood onto the reagent strip (choice
C) is incorrect as it can lead to inaccurate results. Puncturing the finger while still damp with antiseptic solution (choice
D) is incorrect as it can contaminate the blood sample.