ATI RN
ATI RN Custom 2023 Fall Exam 3 Questions
Extract:
A nurse is teaching a client about positive signs of pregnancy.
Question 1 of 5
Which of the following findings should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Fetal heart tones detected by ultrasound. This finding is crucial as it confirms the presence of a viable pregnancy and ensures fetal well-being. Breast tenderness (
B), positive urine pregnancy test (
C), and fatigue (
D) are common early pregnancy symptoms but do not provide direct evidence of fetal well-being. Without confirmation of fetal heart tones, the pregnancy may be non-viable, posing potential risks.
Therefore, monitoring fetal heart tones through ultrasound is essential for assessing the health and progress of the pregnancy.
Extract:
A nurse is caring for a client who is at 37 weeks of gestation and has placenta previa.
Question 2 of 5
The client asks the nurse why the provider does not do an internal examination. Which of the following explanations of the primary reason should the nurse provide?
Correct Answer: A
Rationale: The correct answer is A: "This could result in profound bleeding." Performing an internal examination during pregnancy can potentially cause trauma to the cervix, leading to significant bleeding. This is especially concerning in pregnant individuals, as it may pose risks to both the mother and the baby. Option B is incorrect because although infection is a risk with any invasive procedure, bleeding is the primary concern in this scenario. Option C is incorrect as an internal examination typically does not initiate preterm labor unless the cervix is already predisposed to it. Option D is incorrect as rupture of the amniotic membranes is not the primary reason to avoid internal exams during pregnancy.
Extract:
A nurse is providing teaching about newborn care to a client who is 2 hr postpartum.
Question 3 of 5
Which of the following statements by the client indicates a need for further teaching?
Correct Answer: C
Rationale: The correct answer is C because checking a baby's temperature rectally every hour is not recommended due to the potential harm it can cause, such as rectal injury and discomfort for the baby. This practice is outdated and can lead to inaccurate readings. It is important to educate the client on safer and more accurate methods of taking a baby's temperature, such as using a digital thermometer under the armpit.
Choices A, B, and D are all appropriate statements that promote safe practices for infant care, such as keeping the baby warm, ensuring proper sleeping conditions, and avoiding potential hazards like fans and air conditioning.
Extract:
A nurse is caring for a pregnant client in labor in a health care facility.
Question 4 of 5
The nurse knows that which sign indicates that the patient is no longer in the first stage of labor?
Correct Answer: D
Rationale: The correct answer is D because the patient reaching a cervix dilation of 10 cm with 100% effacement signifies the transition from the first stage to the second stage of labor. This stage is characterized by complete cervical dilation, allowing for the baby to descend through the birth canal.
Choices A, B, and C are incorrect as they are common signs of the first stage of labor, including cervical dilation of 5 cm with 50% effacement, rupturing of fetal membranes, and the start of regular contractions, respectively. These signs indicate the initial phase of labor before reaching full dilation and effacement.
Extract:
A nurse is caring for a client who just delivered a newborn.
Question 5 of 5
Following the delivery, which nursing action should be done first to care for the newborn?
Correct Answer: B
Rationale: The correct answer is B: Clear the respiratory tract. This should be done first to ensure the newborn can breathe properly. Clearing the respiratory tract helps prevent any obstruction that could hinder the baby's ability to breathe. Stimulating the infant to cry (choice
A) can come after ensuring proper breathing. Drying the infant off and covering the head (choice
C) is important for warmth but not as critical as clearing the airway. Cutting the umbilical cord (choice
D) can wait until after the baby is breathing well.