ATI RN
ATI RN Custom 2023 Fall Exam 3 Questions
Extract:
A nurse is completing discharge instructions for a new mother and her 2-day-old newborn. The mother asks, 'How will I know if my baby gets enough breast milk?'
Question 1 of 5
Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct response is A: "Your baby should wet 6 to 12 diapers per day." This is the correct answer because it reflects normal infant feeding and hydration patterns. Infants typically urinate frequently when adequately hydrated.
Choices B, C, and D are incorrect because newborns have irregular sleep patterns, do not necessarily sleep for long stretches, and may not always burp after each feeding. It is essential for nurses to educate parents on the expected number of wet diapers as an indicator of adequate feeding and hydration.
Extract:
A nurse is caring for a client who is at 36 weeks of gestation and who has a suspected placenta previa.
Question 2 of 5
Which of the following findings support this diagnosis?
Correct Answer: B
Rationale: The correct answer is B: Painless red vaginal bleeding. This finding supports the diagnosis of placenta previa, a condition where the placenta partially or completely covers the cervix. Painless bleeding is characteristic of placenta previa due to the lack of uterine contractions associated with it. Abdominal pain (choices A and
C) is not typical of placenta previa, as it is usually painless. Intermittent abdominal pain following bloody mucus passage (choice
D) is more indicative of abruptio placentae, where the placenta separates from the uterine wall. The other choices (E, F, G) are not provided, but they would likely not support the diagnosis of placenta previa based on the information given.
Extract:
A nurse is teaching a client about positive signs of pregnancy.
Question 3 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 4 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 5 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.