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2019 ATI RN Practice Exam with Answers (58 Solved Questions) - Document preview page 1

2019 ATI RN Practice Exam with Answers (58 Solved Questions) - Page 1

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2019 ATI RN Practice Exam with Answers (58 Solved Questions)

2019 ATI RN Practice Exam with Answers boosts your exam readiness by providing extensive past exam materials.

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2019 ATI RN Practice Exam with Answers (58 Solved Questions) - Page 1 preview imageATIRNMATERNAL NEWBORN ONLINE PRACTICE 2019AATIRNMaternalNewbornOnlinePractice2019AAnurseiscaringforaclientwhohasuterineatonyandisexperiencingpostpartumhemorrhage.Whichofthefollowingactionsisthenurse’spriority?Massagetheclient’sfundusUterineatonyandpostpartumhmorrhageindicatethatthisclient is at the greatest risk forhypovolemic shock. Thiscancompromisetheclient’svitalorgans,whichcanleadtodeath.Therefore, the nurse’s priority is to massage theclient’sfundustominimizebloodloss.A nurse is caring for a client who is to receive oxytocin toaugment herlabor. Which of the following findingscontraindicatestheinitiationoftheoxytocin infusionandshouldbereportedtotheprovider?LatedecelerationsLatedecelerationsareindicativeofuteroplacentalinsufficiency.Therefore,thisisacontraindicationfortheadministrationofoxytocinandshouldbereportedtotheprovider.Anurseisassessingaclientwhohasseverepreeclampsia.Whichofthefollowingmanifestationsshouldthenurseexpect?BlurredvisionThenurseshouldidentifythataclientwhohasseverepreeclampsiacanhavearteriolarvasospasmsanddecreased bloodflowtotheretinawhich can lead tovisualdisturbances,suchasblurredvision,doublevision,ordarkspotsinthevisualfield.Anurseisassessingaclientwhois1day-postpartumandhasavaginalhematoma.Whichofthefollowingmanifestationshouldthenurseexpect?VaginalpressureThenurseshouldexpectaclientwhohasavaginalhematomatoreportpressureinthevaginaduetotheblood thatleakedinto the tissues.Anurseiscaringforaclientwhoisat36weeksofgestationandhasapositivecontractionstresstest.Thenurseshouldplantopreparetheclientforwhichofthefollowing diagnostic tests?Biophysicalprofile
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2019 ATI RN Practice Exam with Answers (58 Solved Questions) - Page 2 preview image
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2019 ATI RN Practice Exam with Answers (58 Solved Questions) - Page 3 preview imageApositivecontractionstress testindicates thatfurtherevaluation ofthefetusisnecessary.Abiophysical profilewillprovidefurtherevaluationwithareal-timeultrasound.Anurseisprovidingteachingforaclientwhohasanewprescription forcombined oral contraceptives. Which of thefollowingfindingsshouldthenurseincludeasanadverseeffectofthismedication?DepressionThenurseshouldinstructtheclientthatdepressionisacommonadverseeffectofcombinedoralcontraceptives.Othercommonadverseeffectsofthemedicationincludeamenorrhea,weightgain,headache,nausea,breatkthroughbleeding,and breast tenderness.Anurseiscaringforapostpartumclientwhoisreceivingheparinvia acontinuous IV infusion for thrombophlebitis in her left calf.Whichof thefollowing actions shouldthe nurse take?Maintainthe clientonbedrestTheclientshouldremainonbedresttodecreasetheriskofdislodgingtheclot,whichcouldcausea pulmonaryemoblism.Elevationoftheaffectedlegisrecommended.Anurseisprovidingteachingtoaclientwhoisat40weeksofgestationandhasanewprescriptionformisoprostol.Whichofthefollowinginstructions shouldthe nurseinclude intheteaching?“Icanadminister oxytocin4hoursaftertheinsertion ofthemedication.”Thenursecanadministeroxytocinnosoonerthan4hrafterthe last dose of misoprostol. Oxytocin can beadministeredfollowingmisoprostolforclientswhohavecervicalripeningandhavenotbegunlabor.Anurseisassessingfournewborns.Whichofthefollowingfindings shouldthenursereporttothe provider?Anewbornwhois18hroldandhasanaxillarytemperatureof37.7C(99.9F).Anaxillarytemperaturegreaterthan37.5degrees(99.5degreesF)isabovetheexpectedreferencerangeforanewbornandcanbeanindicationofsepsis.Therefore,thenurseshouldreportthisfindingtotheprovider.Anurseiscaringforaclientwhoisat30weeksofgestationandhasaprescriptionformagnesiumsulfateIVtotreatpretermlabor.Thenurseshouldnotifytheproviderofwhichofthefollowingadverseeffects?
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2019 ATI RN Practice Exam with Answers (58 Solved Questions) - Page 4 preview imageRespiratoryrate10/minThenurseshouldreportarespiratoryrateoflessthan12/min tothe provider, because this is a manifestation ofmagnesiumtoxicity.Thenurseshouldensurethattheantidote,calciumgluconate,isreadilyavailable.Anurseisteachingaclientwhoisat10weeksofgestationabout nutritionduring pregnancy. Which of the followingstatements by the clientindicates an understanding of theteaching?“I shouldtake600 microgramsof folicacideachday.”Aclient whoispregnant shouldincreasefolicacid intaketo600mcgdaily.FolicacidassistswithpreventingneuraltubebirthdefectsAnurseisassessingalatepretermnewborn.Whichofthefollowingmanifestationsisanindicationofhypoglycemia?RespiratorydistressLatepreterm newborns are at an increased risk forhypoglycemiaduetodecreasedglycogenstoresandimmatureinsulinsecretion.Respiratorydistressisamanifestationofhypoglycemia.Othermanifestationofhypoglycemia include an abnormal cry, jitteriness,lethargy,poorfeeding,apneaandseizures.Anurseisdemonstratingtoaclienthowtobathetheirnewborn.Inwhichordershouldthenurseperformthefollowingactions?(Putinorder)Nurseshouldfirstwipethenewborn’seyesfromtheinnercanthusoutward usingplain waterWashthenewborn’sneckbyliftingthenewborn’schestNurseshouldcleansetheskinaroundtheumbilicalcordstumpWashthenewborn’slegsandfeetAnurseisteachinganewlylicensednurseaboutcollectingaspecimenfortheuniversalnewbornscreening.Whichofthefollowingstatementsshouldthenurseincludeintheteaching?“Ensurethatthenewbornhasbeenreceivingfeedingsfor24hourspriortoobtainingthe specimen.”
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