ATI RN
ATI RN Maternal Newborn 2023 Questions
Extract:
A nurse is caring for a client who is at 20 weeks of gestation and has trichomoniasis.
Question 1 of 5
Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Malodorous discharge. This finding is indicative of a possible vaginal infection, such as bacterial vaginosis or trichomoniasis. It suggests an overgrowth of harmful bacteria or yeast. Thick, white vaginal discharge (choice
A) is characteristic of a yeast infection. Vulva lesions (choice
B) may indicate an STD or skin condition. Urinary frequency (choice
C) is not typically associated with vaginal infections. In summary, malodorous discharge is the most concerning finding, as it signifies a possible infection, while the other choices are less specific or unrelated.
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 identify which findings as an adverse effect of the medication?
Correct Answer: D
Rationale: The correct answer is D: Hypotension. This is an adverse effect of the medication because hypotension indicates low blood pressure, which can lead to dizziness, weakness, and fainting. It is important for the nurse to monitor and address hypotension promptly. Polyuria (
A) is increased urination, not typically an adverse effect. Bilateral crackles (
B) indicate fluid in the lungs, not directly related to medication adverse effects. Hyperglycemia (
C) is high blood sugar, more commonly associated with diabetes or corticosteroid use.
Extract:
A nurse is planning care for a client who is 1 hr postpartum and has peripartum cardiomyopathy.
Question 3 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: The correct answer is D: Restrict daily oral fluid intake. This action is important for patients with heart failure to prevent fluid overload. Administering an IV bolus of lactated Ringer's (
A) can exacerbate fluid overload. Obtaining misoprostol (
B) is not relevant to managing heart failure. Assessing blood pressure twice daily (
C) is important but not the priority.
Extract:
A nurse is reviewing laboratory findings for a client who is at 20 weeks of gestation.
Question 4 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Fasting blood glucose 180 mg/dL (74 to 106 mg/dL). This finding should be reported to the provider because it indicates hyperglycemia, which may require adjustment in the patient's diabetes management plan to prevent complications. A: WBC count within the range, so not urgent. B: Hematocrit within the range, so not critical. D: Creatinine within the range, so not an immediate concern. Reporting C is crucial for timely intervention.
Extract:
A nurse is collecting data from a client who is at 30 weeks of gestation.
Question 5 of 5
Which of the following findings should the nurse identify as a manifestation of pyelonephritis?
Correct Answer: B
Rationale: The correct answer is B: Flank pain. Pyelonephritis is an infection of the kidneys, causing inflammation and pain in the flank area. Flank pain is a common symptom due to the infection in the renal pelvis and kidney tissue. Epigastric discomfort (
A) is more indicative of gastrointestinal issues. Temperature elevation (
C) is a general sign of infection but not specific to pyelonephritis. Abdominal cramping (
D) is more associated with gastrointestinal problems.