ATI RN
ATI RN Maternal Newborn 2023 Exam 4 Questions
Extract:
A nurse is assessing a client for pain following a cesarean birth 24 hours ago.
Question 1 of 5
Which should the nurse ask to determine if a PRN pain medication is needed?
Correct Answer: B
Rationale: The correct answer is B. By asking if the patient notices increased cramping with breastfeeding, the nurse can assess if additional pain medication is needed. This question specifically targets the need for PRN pain medication by focusing on a specific activity that may exacerbate pain.
Choices A, C, and D are unrelated to determining the need for pain medication in this context. Swelling in the feet may indicate other issues, leakage from the incision may suggest infection, and passing gas is not directly related to pain management.
Extract:
A nurse is reviewing the prescriptions for a pregnant client who is taking digoxin.
Question 2 of 5
Which action should the nurse take to best evaluate the client's medication adherence?
Correct Answer: A
Rationale: The correct answer is A: Check the client's serum medication level. By checking the serum medication level, the nurse can directly measure the amount of medication in the client's bloodstream, providing objective evidence of medication adherence. This method is more reliable than asking the client (choice
C) or assessing unrelated parameters like apical pulse rate (choice
B) or kidney function (choice
D). Checking the serum medication level gives a concrete assessment of the client's adherence, helping the nurse make informed decisions about the client's treatment plan.
Extract:
A nurse is teaching a client who is experiencing infertility about clomiphene citrate.
Question 3 of 5
Which adverse effects should the nurse include?
Correct Answer: B
Rationale: The correct answer is B, breast tenderness. As a nurse, it is essential to include this adverse effect because it is commonly associated with certain medications like hormonal therapies. Breast tenderness can be a significant concern for patients and may impact their quality of life. Chills (
A) are more commonly associated with infections or fevers rather than medication side effects. Tinnitus (
C) is a condition related to the ear and not typically a side effect of most medications. Urinary frequency (
D) is more commonly seen with conditions like urinary tract infections rather than medication adverse effects.
Extract:
A nurse is caring for a client who is in active labor with a fetus in the occipitoposterior position. The nurse assists the client in a hands-and-knee position.
Question 4 of 5
Which should the nurse ask to evaluate the effectiveness of this intervention?
Correct Answer: C
Rationale: The correct answer is C. Back labor refers to intense lower back pain during labor, which can indicate malposition of the baby. Monitoring improvement in back labor helps assess if the intervention is effective in correcting the baby's position, leading to smoother labor progress.
Choices A and D focus on pain management, not evaluating intervention effectiveness.
Choice B is vague and subjective, while choice C directly correlates with the intervention's goal.
Extract:
A nurse is caring for a client who is hypotensive following the administration of epidural anesthesia.
Question 5 of 5
Which action should the nurse take?
Correct Answer: C
Rationale: The correct action for the nurse to take is to turn the client to a side-lying position (
Choice
C). This is crucial for preventing aspiration in unconscious or postoperative clients. Side-lying position helps maintain airway patency and prevents the tongue from obstructing the airway. It also promotes optimal lung expansion and ventilation. Applying oxygen (
Choice
A) may be necessary but does not address the immediate risk of aspiration. Massaging the fundus (
Choice
B) is typically done postpartum to prevent hemorrhage. Assisting the client to empty their bladder (
Choice
D) is important for comfort but does not address the immediate risk of airway compromise.