ATI RN
ATI Custom PNU Maternity Fall 2023 Questions
Extract:
A nurse is reinforcing discharge teaching about circumcision care with the parent of a newborn who had a circumcision yesterday.
Question 1 of 5
Which of the following client statements indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "I call the doctor if I see any bleeding." This statement demonstrates understanding because it shows the client recognizes the importance of seeking medical attention in case of bleeding, indicating concern for the child's well-being. In contrast, B assumes a quick healing process, which may not always be the case. C focuses on diaper fit, unrelated to the child's injury. D suggests using alcohol swabs, which can be harmful. E, while mentioning hygiene, does not address the specific concern of bleeding. Overall, A is the best choice as it prioritizes seeking medical help for a potentially serious issue.
Extract:
Duplicate of Question 34: A nurse is caring for a client who has just learned that she is pregnant.
Question 2 of 5
The nurse should reinforce with the client to call her provider if she experiences which of the following manifestations?
Correct Answer: D
Rationale: The correct answer is D: Facial edema. This is because facial edema can indicate a serious issue such as an allergic reaction or kidney problem, which requires immediate medical attention. Decreased energy (
A) is nonspecific and may not be urgent. Urinary frequency (
B) is common and may not require immediate intervention. Mood swings (
C) can be a normal part of hormonal changes and not necessarily concerning. In summary, facial edema is the most critical symptom that warrants prompt communication with the healthcare provider compared to the other manifestations listed.
Extract:
A nurse is caring for a client in the prenatal clinic who has a possible ectopic pregnancy at 8 weeks of gestation.
Question 3 of 5
Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Pelvic pain. This finding is indicative of ectopic pregnancy, a potentially life-threatening condition. Pelvic pain in early pregnancy raises concern for ectopic pregnancy, as the fertilized egg implants outside the uterus, typically in the fallopian tube. This can cause sharp or stabbing pain in the lower abdomen or pelvis. The other choices are incorrect because:
A) Copious vaginal bleeding may suggest a miscarriage or placental abruption, not specific to ectopic pregnancy.
C) Uterine enlargement greater than expected for gestational age is typical of a normal pregnancy, not ectopic.
D) Severe nausea and vomiting are common in early pregnancy due to hormonal changes, not specific to ectopic pregnancy.
Extract:
A nurse is reinforcing teaching about comfort measures for breast engorgement with a client who is postpartum and is bottle feeding her newborn.
Question 4 of 5
Which of the following statements by the client indicates a need for further teaching?
Correct Answer: A
Rationale: The correct answer is A because stimulating nipples can lead to increased milk production, which may not be necessary or desirable. B is incorrect as ice packs can help with breast engorgement. C is incorrect as a snug fitting bra can provide support. D is incorrect as cabbage leaves can help with breast pain.
Extract:
A nurse is reviewing laboratory results from a client who is at 28 weeks of gestation and has gestational diabetes. The nurse notes that blood glucose levels taken 1 hr following a meal range from 180 mg/dL to 250 mg/dL over the past week.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action for the nurse to take is C: Anticipate an order for insulin administration. This is the correct answer because insulin administration is indicated when a patient has uncontrolled diabetes with high blood sugar levels. The nurse should anticipate this order to help manage the patient's blood glucose levels effectively.
A: Increasing carbohydrates may further elevate blood sugar levels in a patient with uncontrolled diabetes.
B: A 2-hr oral glucose tolerance test is not the immediate action needed for a patient with uncontrolled diabetes.
D: Obtaining an HbA1c is useful for assessing long-term glucose control but does not address the immediate need for insulin administration.