ATI RN
ATI RN Maternal Newborn 2023 II Questions
Extract:
A nurse is assessing a client who is 1 hr postpartum following a vaginal birth. The nurse notes that the client has excessive vaginal bleeding.
Question 1 of 5
Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Massage the client's fundus. This is the first action the nurse should take after childbirth to prevent postpartum hemorrhage by ensuring the uterus contracts and expels clots. Providing oxygen (
A) is important but not the priority. Emptying the bladder (
B) can help prevent uterine atony, but massaging the fundus is more urgent. Administering oxytocin (
C) can also help prevent hemorrhage, but fundal massage is the initial step.
Extract:
A nurse is caring for a client who is receiving an epidural block with an opioid analgesic.
Question 2 of 5
The nurse should monitor for which of the following findings as an adverse effect of the medication?
Correct Answer: B
Rationale: The correct answer is B: Hypotension. Hypotension is a common adverse effect of many medications, especially those that affect blood pressure or circulation. The nurse should monitor for signs such as dizziness, lightheadedness, or low blood pressure readings. Polyuria (
A) is excessive urination, not typically an adverse effect of medications. Bilateral crackles (
C) indicate fluid in the lungs, not a common adverse effect of medications. Hyperglycemia (
D) is high blood sugar, often seen with certain medications like steroids or glucose-lowering drugs.
Extract:
A nurse is preparing to obtain a blood sample from a newborn's heel.
Question 3 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 for 5 to 10 min helps dilate the blood vessels for easier blood collection. Second, cleaning the area with an antiseptic prevents infection during the puncture. Third, puncturing the outer aspect of the newborn's heel allows for blood collection. Fourth, collecting the blood specimen is the main objective of the procedure. Finally, applying pressure to the site with a dry gauze pad helps stop bleeding and promotes healing.
Choices F and G are not provided in the question, so they are not applicable.
Extract:
A nurse is reviewing the prescriptions for a client who is pregnant and is taking digoxin.
Question 4 of 5
Which of the following actions should the nurse take to best evaluate the client's medication adherence?
Correct Answer: C
Rationale: The correct answer is C: Check the client's serum medication level. Monitoring the client's serum medication level directly assesses medication adherence by measuring the actual concentration of the drug in the client's bloodstream. This objective measure provides concrete evidence of whether the client is taking the medication as prescribed. Asking the client (choice
A) may not always yield accurate information due to potential bias or forgetfulness. Determining the apical pulse rate (choice
B) is not directly related to medication adherence. Assessing kidney function (choice
D) is important but does not directly evaluate medication adherence.
Extract:
A nurse is preparing to administer metronidazole 2 g PO to a client who has trichomoniasis. Available is metronidazole 250 mg tablets.
Question 5 of 5
How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 8
Rationale: The correct answer is 8 tablets. The question asks for the number of tablets to administer, rounded to the nearest whole number.
To determine this, we calculate the total number of tablets.
Then, we round it as instructed. Any number below 0.5 rounds down, and 0.5 and above rounds up. In this case, the total tablets are likely a decimal number, and when rounded to the nearest whole number, it becomes 8.
Therefore, the nurse should administer 8 tablets. Other choices are incorrect because they do not follow the rounding rule specified in the question.