ATI RN
ATI RN Maternal Newborn 2023 II Questions
Extract:
A nurse is providing discharge teaching to a client following tubal ligation.
Question 1 of 5
Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D: "Ovulation will remain the same." This statement indicates an understanding of the teaching as it acknowledges that the procedure being discussed will not affect the client's ovulation process. This shows that the client comprehends that the treatment will not interfere with their regular reproductive cycle.
Explanation of other choices:
A: Incorrect - Menstrual period length is not directly related to ovulation.
B: Incorrect - Hormone replacements post-procedure do not necessarily indicate understanding of the teaching.
C: Incorrect - Elimination of premenstrual tension does not specifically address ovulation.
In summary, choice D directly reflects the client's understanding of the impact of the procedure on ovulation, making it the correct answer.
Extract:
A nurse is caring for a newborn immediately following birth who has a prescription for erythromycin ophthalmic ointment. The guardian refuses the medication.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Document the guardian's refusal of the medication. This is the appropriate action because it ensures accurate and complete documentation of the refusal, which is essential for legal and ethical reasons. Reporting to social services (
A) may not be necessary unless there are concerns for the child's safety. Informing the guardian about giving the medication after discharge (
C) may not be appropriate as immediate treatment may be necessary. Notifying the ethics committee (
D) is premature without documenting the refusal first.
Extract:
A nurse is obtaining a 2-hr postprandial blood glucose from a client.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Select the lateral side of the finger for puncture. This is because the lateral side has fewer nerve endings, making it less painful for the patient. Puncturing the finger on the lateral side also helps to avoid the central pad where blood flow is better. Holding the finger above the heart (choice
B) is incorrect as it can increase blood flow and dilute the sample. Smearing blood onto the reagent strip (choice
C) is incorrect as it can lead to inaccurate results. Puncturing the finger while still damp with antiseptic solution (choice
D) is incorrect as it can contaminate the blood sample.
Extract:
A nurse is caring for a client who delivered by cesarean birth 6 hr ago. The nurse notes a steady trickle of vaginal bleeding that does not stop with fundal massage.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action for the nurse to take is option C: Evaluate urinary output. This is crucial post-surgery to assess renal function and fluid status, ensuring proper kidney function and hydration. Monitoring urinary output helps detect early signs of complications like acute kidney injury or fluid imbalance. Applying an ice pack (
A) may be indicated for pain management, but it does not address the immediate concern of renal function. Administering IV fluids (
B) without assessing the need based on urinary output can lead to fluid overload or dehydration. While replacing the surgical dressing (
D) is important for wound care, it is not the priority in this scenario.
Extract:
A nurse is teaching about car seat safety to the parents of a newborn who was delivered at 38 weeks of gestation.
Question 5 of 5
Which of the following statements by a parent indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D because positioning the car seat at a 45-degree angle is crucial for the safety of the baby. This angle helps prevent the baby's head from falling forward and restricting their airway.
Choices A, B, and C are incorrect because a car seat challenge test is not related to understanding teaching, using a sleep sack in a car seat may compromise safety, and turning the car seat forward before the recommended age is unsafe.