ATI RN
ATI RN Maternal Newborn 2023 Exam 4 Questions
Extract:
A nurse is assessing a client who is at 6 weeks of gestation and adheres to a vegan diet.
Question 1 of 5
Which of the following questions should the nurse ask to assess the client's dietary intake?
Correct Answer: C
Rationale: The correct answer is C. Asking about the amount of protein eaten in a day is important to assess the client's overall dietary intake, as protein is a crucial macronutrient for body function. This question helps the nurse evaluate if the client is meeting their protein needs for optimal health.
A: The question about the last time meat was eaten is specific and limited to one food item, not providing a comprehensive assessment of dietary intake.
B: Inquiring about Vitamin C supplement intake focuses on a single nutrient and does not give a holistic view of the client's overall diet.
D: Asking about shellfish is too specific and may not provide a broad understanding of the client's dietary habits.
Extract:
A nurse is preparing to administer metronidazole 2 g PO to a client who has trichomoniasis. Available is metronidazole 250 mg tablets.
Question 2 of 5
How many tablets should the nurse administer? (Round the answer to the nearest whole number.)
Correct Answer: C
Rationale: The nurse should administer 8 tablets because the question asks for rounding to the nearest whole number. The number of tablets is between 7.5 and 8.5, so rounding to the nearest whole number gives 8.
Choice A (4) is too low, B (6) is also too low, and D (10) is too high.
Therefore, the correct answer is C (8) as it is the closest whole number to the actual value.
Extract:
A nurse is attending to a newborn who was delivered at 39 weeks of gestation and is now 36 hours old. The newborn has been breastfeeding 3 to 4 times per day and has voided once since birth but has not passed meconium stool yet.
Question 3 of 5
Which of the following observations should the nurse report to the provider?
Correct Answer: D
Rationale: The nurse should report intake and output to the provider because it reflects the patient's fluid balance and kidney function, which are crucial for overall health. Changes in intake and output may indicate dehydration, kidney problems, or other issues requiring medical attention. Glucose level, head assessment findings, and respiratory rate are important observations but may not always require immediate provider notification. Sclera color may provide information about liver function but is not as urgent as intake and output in most cases.
Extract:
A nurse is caring for a client who is at 36 weeks of gestation and has methicillin-resistant Staphylococcus aureus (MRSA).
Question 4 of 5
Which type of isolation precautions should the nurse initiate?
Correct Answer: C
Rationale: The correct answer is C: Contact precautions. These precautions are used to prevent spread of infections through direct or indirect contact. The nurse should initiate contact precautions when the patient has a known or suspected contagious disease that can be transmitted through touch or contact with contaminated surfaces. This includes wearing gloves and gowns, and ensuring proper hand hygiene. Protective environment (
A) is used for immunocompromised patients. Droplet (
B) precautions are for diseases spread through respiratory droplets. Airborne (
D) precautions are for diseases spread through airborne particles. Contact precautions are the most appropriate choice based on the given scenario.
Extract:
A nurse is caring for a client who is receiving oxytocin via continuous IV infusion and is experiencing persistent late decelerations in the FHR.
Question 5 of 5
After discontinuing the infusion, which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A. Administer oxygen at 10 L/min via a nonrebreather face mask. This action is indicated to provide adequate oxygenation to the client after discontinuing the infusion. Oxygen therapy helps prevent hypoxia, a common complication post-infusion. Option B is incorrect as it is not relevant to the situation. Option C, initiating amnioinfusion, is not indicated after discontinuing an infusion. Option D, placing the client in a supine position, may not be appropriate and can lead to complications like hypotension.