2023-2024 ATI RN Proctored Exam with Answers (224 Solved Questions)

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ATIMaternal newborn ati proctoredexamGRADED A LATEST2023/2024A nurse is caring for a client who is at 32 wks gestation and is experiencingpreterm labor. What meds should the nurse plan to administer?a. misoprostolb. betamethasonec. poractant alfad. methylergonovine-CORRECT ANSWERb. betamethasoneA nurse at a prenatal clinic is caring for a client who suspects she may be pregnantand asks the nurse how the provider will confirm her pregnancy. The nurse shouldinform the client that what lab test will be used to confirm her pregnancy?a. urine testfor presence of HCGb. urine test for the presence of HCSc. blood test for presence of estrogend. blood test for the amount of circulating progesterone-CORRECT ANSWERa.urine test for presence of HCGA nurse is caring for a client who believes shemay be pregnant. What findingshould the nurse identify as a positive sign of pregnancy?a. palpable fetal movementb. amenorrheac. chadwick's signd. positive pregnancy test-CORRECT ANSWERa. palpable fetal movement

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A nurse is caring for a clientwho has oligohydraminios. What fetal anomaliesshould the nurse expect?a. renal agenesisb. atrial septal defectc. spina bifidad. hydrocephalus-CORRECT ANSWERa. renal agenesisA nurse is assessing a client who is at 37 wks gestation and has a suspected pelvicfracture due to blunt abd trauma. What findings should the nurse expect?a. uterine contractionsb. bradycardiac. seizuresd. bradypnea-CORRECT ANSWERa. uterine contractionsThe nurse should expect the client to be experiencing uterine contractions due toabdominal trauma.A nurse is assessing a client who is at 12 wks gestation and has hydatidiform mole.What findings should the nurse expect?a. hypothermiab. dark brown vaginal dischargec. fetal heart tonesd. decreased urinary output-CORRECT ANSWERb. dark brown vaginal dischargeA hydatidiform mole, or a molar pregnancy, is a benign proliferative growth of thechorionic villi, which gives rise to multiple cysts. Theproducts of conception

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transform into a large number of edematous, fluid-filled vesicles. As cells sloughoff the uterine wall, vaginal discharge is usually dark brown and can containgrapelike clusters.A nurse is assessing a client who is at 35 weeks of gestation and has mildgestational HTN. What finding should the nurse identify as the priority?a. 480 mL urine output in 24 hrsb. 1+ protein in the urinec. +2 edema of the feetd. BP 144/92-CORRECT ANSWERa. 480 mL urine output in 24 hrsWhen using the urgent vs. nonurgent approach to client care, the nurse shoulddetermine that the priority finding is 480 mL of urine output in 24 hr because theminimum acceptable urine output in an adult client is 30 mL/hr. This can indicateprogression of preeclampsia to preeclampsia with severe features, which requiresimmediate intervention. Therefore, this is the priority finding.A nurse is teaching a client who is at 12 wks gestation and has HIV. Whatstatement should the nurse include in the teaching?a.you will be in isolation after deliveryb. abstain from sexual intercourse throughout pregnancyc. breastfeed your newborn to provide passive immunityd. you should continue to take zidovudine throughout the pregnancy-CORRECTANSWERd. you should continue to take zidovudine throughout the pregnancy-can be transmitted through breastfeeding-she can continue to have sex

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The nurse should inform the client that taking prescription antiviral medicationevery day decreases the risk of transmission of HIVto her newborn.A nurse is providing teaching to a client who is at 8 wks gestation aboutmanifestations to report to the provider during pregnancy. What info should thenurse include in the teaching?a. nausea upon awakeningb. blurred or double visionc. increase in white vaginal discharged. leg cramps when sleeping-CORRECT ANSWERb. blurred or double visionA nurse is caring for a client who is in the latent phase of labor and is receivingoxytocin via continuous IV infusion. The nurse notes that the client is havingcontractions every 2 min which last 100-110 seconds that the fetal heart rate isreassuring. What action should the nurse take?a. decrease the dose of oxytocin by halfb. administer oxygen via nonrebreather maskc. decrease the infusion rate of the maintenance IV fluidd. administer terbutaline 0.25mg subq-CORRECT ANSWERa. decrease the doseof oxytocin by halfThe nurse should decrease the dose of oxytocin by half because the client isexperiencing uterine tachysystole.

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A nurse is caring for aclient who is in active labor and has meconium staining ofthe amniotic fluid. The nurse notes a reassuring FHR tracing from the externalfetal monitor. What action should the nurse take?a. prepare the client for emergency c-sectionb. perform endotrachsuctioning as soon as the fetal head is deliveredc. prepare equipment needed for newborn resuscitationd. prepare the client for an ultrasound exam-CORRECT ANSWERc. prepareequipment needed for newborn resuscitationThe nurse should ensure that allsupplies and equipment needed for resuscitationof the newborn are readily available for every delivery. Endotracheal suctioning isrecommended in cases of meconium staining only if the newborn has poorrespiratory effort, decreased muscle tone, and bradycardia after delivery.A nurse is reviewing the medical record of a client who is at 33 wks gestation andhas placenta previa and bleeding. What scripts should the nurse clarify with theprovider?a. insert a large-bore IV catheterb. perform a vaginal examc. perform continuous external fetal monitoringd. obtain a blood sample for lab testing-CORRECT ANSWERb. perform a vaginalexamWhen a client has a placenta previa, the placenta implants in the lower part of theuterus and obstructs the cervicalos (the opening to the vagina). The nurse shouldclarify this prescription because any manipulation can cause tearing of theplacenta and increased bleeding.

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A nurse is caring for a client who is at 37 wks gestation and is undergoing anonstress test. The FHR is 130 without accelerations for the past 10 min. Whataction should the nurse take?a. request a script for an internal fetal scalp electrodeb. auscultate the FHR with a doppler transducerc. report the nonreactive test result to the provider immediatelyd. use vibroacoustic stim on the client's abd for 3 seconds-CORRECT ANSWERd.use vibroacoustic stim on the client's abd for 3 secondsThe nurse should use a vibroacoustic stimulator on the client's abdomen to elicitfetal activity because the fetus is most likely sleeping. Fetal movement shouldcause accelerations in the FHR.A nurse is reviewing lab results for a client who is at 37 wks gestation.The nursenotes that the client is rubella non-immune, positive for group A beta-hemolyticstrep, and has a blood type O neg. What action should the nurse take?a. instruct the client to obtain a rubella immunization after deliveryb. request a script foran antibiotic until deliveryc. inform the client that she will have to deliver via c-sectiond. administer a dose of Pho(D) immune globulin-CORRECT ANSWERa. instructthe client to obtain a rubella immunization after deliveryA nurse is reviewing the med record of a client who is at 39 wks gestation and haspolyhydramnios. What finding should the nurse expect?a. total pregnancy wt gain of 3.6 kgb. fetal GI anomalyc. gestational HTN

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d. fundal height of 34 cm-CORRECT ANSWERb. fetal GI anomalyPolyhydramnios is the presence of excessive amniotic fluid surrounding theunborn fetus. Gastrointestinal malformations and neurologic disorders areexpected findings for a fetus experiencing the effects of polyhydramnios.A nurse is teaching a client who has pre-eclampsia and is to receive magnesiumsulfate via continuous IV infusion about expected adverse effects. What adverseeffects should the nurse include in the teaching?a. elevated BPb. feeling of warmthc. generalized pruritisd. hyperactivity-CORRECT ANSWERb. feeling of warmthThe nurse should tell the client to expect the feeling of warmth all over her bodywhile the magnesium sulfate is infusing.A nurse is caring for a client who is in the latent phase of labor and is experiencinglow back pain. What action should the nursetake?a. position the client supine with legs elevatedb. instruct the client to pant during contractionsc. encourage the client to soak in a warm bathd. apply pressure to the client's sacral area during contractions-CORRECTANSWERd. apply pressureto the client's sacral area during contractions

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A nurse is teaching a client who is at 12 wks gestation about manifestations ofpotential complications that she should report to her provider. What info shouldthe nurse include in the teaching?a. intermittent nauseab. white vaginal dischargec. swelling of the faced. urinary frequency-CORRECT ANSWERc. swelling of the faceA nurse is teaching a client who is at 10 wks gestation about an abd. ultrasound inthe first trimester. What info should thenurse include in the teaching?a. you will need to have a full bladder during the ultrasoundb. you will have a non stress test prior to the ultrasoundc. the ultrasound will determine the length of your cervixd. you will experience uterine cramping during the ultrasound-CORRECTANSWERa. you will need to have a full bladder during the ultrasoundMY ANSWERThe nurse should tell the client that a full bladder helps to lift the gravid uterusout of the pelvis during the examination. Therefore, it is important to ensure thatthe client has a full bladder to obtain the most accurate image of the fetus.A nurse is assessing a client who is 34 wks gestation and has mild placentalabruption. What finding should the nurse expect?a. decreased urinary outputb. fetal distressc. dark red vaginal bleeding

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d. increased platelet count-CORRECT ANSWERc. dark red vaginal bleedingThe nurse should expect the client who has a mild placental abruption to haveminimal dark red vaginal bleeding.A nurse is caring for a client whose last menstrual period began july 8. UsingNageles rule, the nurse should identify the client's estimatedDOB as what?a. oct 15b. april 15c. oct 1d. april 1-CORRECT ANSWERb. april 15A nurse is caring for a client who is at 39 wks gestation and is in the active phaseof labor. The nurse observes late decels in the FHR. What finding should the nurseidentify as the cause of late decels?a. umbilical cord compressionb. fetal head compressionc. uteroplacental insufficiencyd. fetal ventricular septal defect-CORRECT ANSWERc. uteroplacentalinsufficiencyA nurse is assessing a client who is at 35wks gestation and is receiving magnesiumsulfate via continuous IV infusion for severe pre-eclampsia. What finding shouldthe nurse report to the provider?a. DTR 2+b. resp 16

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c. BP 150/96d. urinary output 20 mL/hr-CORRECT ANSWERd. urinary output20 mL/hrThe nurse should report a urinary output of 20 mL/hr because this can indicateinadequate renal perfusion, increasing the risk of magnesium sulfate toxicity. Adecrease in urinary output can also indicate a decrease in renal perfusionsecondary to a worsening of the client's pre-eclampsia.A nurse is teaching a client who is at 13 wks gestation about the treatment ofincompetent cervix with cervical cerclage. What statement by the client indicatesan understanding of teaching?a. I should go to the hospital if I think I may be in laborb. I should expect bright red bleeding while the cerclage is in placec. I am sad that I won't be able to get pregnant againd. I can resume having sex as soon as I feel up to it-CORRECT ANSWERa. Ishould go to the hospital if I think I may be in laborCervical cerclage prevents premature opening of the cervix during pregnancy. Theclient should immediately go to a facility for evaluation if she experiences anymanifestations of labor while the cerclage is inplace. If the client experiencespreterm uterine contractions she might require tocolytic therapy.A nurse is admitting a client who is in labor and experiencing moderate bright redvaginal bleeding. What action should the nurse take?a. obtain blood samples for baseline lab valuesb. place a spiral electrode on the fetal presenting partc. prepare theclient for a transvaginal ultrasound

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d. perform a vaginal exam to determine cervical dilation-CORRECT ANSWERa.obtain blood samples for baseline lab valuesThe nurse should obtain samples of the client's blood for baseline testing ofhemoglobin andhematocrit levels.A nurse is caring for a client who is at 38 wks of gestation and reports no fetalmovement for 24 hr. What action should the nurse take?a. auscultate for a FHRb. reassure the client that a term fetus is less activec. have the clientdrink orange juiced. palpate the uterus for fetal movement-CORRECT ANSWERa. auscultate for aFHRPresence of a fetal heart rate is a reassuring manifestation of fetal well-being. Thenurse should auscultate for the fetal heart rate using a Dopplerdevice or anexternal fetal monitor. This is the priority nursing action.A nurse is caring for a client who is at 35 wks gestation and has severe pre-eclampsia. What assessment provides the most accurate info regarding the client'sfluid and electrolytestatus.a. daily wtb. bpc. severity of edemad. I&O-CORRECT ANSWERa. daily wt

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A nurse is teaching a client who is at 30 wks gestation about warning signs ofcomplications that she should report to her provider. What finding should thenurse include in the teaching?a. 10 fetal movements per hourb. mild constipationc. vaginal bleedingd. nasal congestion-CORRECT ANSWERc. vaginal bleedingVaginal bleeding can be an abnormal finding during pregnancy that might indicatea complication such as placental abruption, placenta previa, or preterm labor.A nurse is teaching a client who is at 8 wks gestation and has a uterine fibroidabout potential effects of the fibroid during pregnancy. What info should thenurse include?a. you will have to undergo a c-section birth because of the fibroidb. the fibroid can increase the risk for postpartum hemorrhagec. the fibroid will shrink during pregnancyd. you will receive an injection of medroxyprogesterone acetate to shrink thefibroid-CORRECT ANSWERb. the fibroid can increase the risk for postpartumhemorrhageA nurse is caring for a client who is at 26 wks gestation and reports constipation.What responses by the nurse is appropriate?a. you should drink 1 ounce of mineral oil q morningb. you should eat at least 3 ounces of red meat/dayc. you should walk for at least 30 minutes q day

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d. you should stop taking your prenatal-CORRECT ANSWERc. you should walkfor at least 30 minutes q dayThe nurse should encourage the client to participate in moderate physical activity,such as walking or swimming, every day. This activity increases intestinalperistalsis, which will help alleviate constipation.A nurse is planning care for a newborn who is receiving phototherapy for anelevated bilirubin level. What action should the nurse take?a. apply barrier ointment to the newborn's perianal regionb. offer the newborn glucose water between feedingsc.use photometer to monitor the lamp's energyd. keep the newborn's eye patches on during feedings-CORRECT ANSWERc. usephotometer to monitor the lamp's energyThe nurse should monitor the lamp's energy throughout the therapy to ensure thenewborn isreceiving the appropriate amount to be effective.A nurse is assessing a 4 hr old newborn who is to breastfeed and notes hands andfeet that are cool and slightly blue What action should the nurse take?a. check the newborns temp using temporal thermometerb. place the naked newborn on the mothers bare chest and cover both with ablanketc. apply an o2 hood over the newborns head and neckd. give the newborn glucose water between feedings-CORRECT ANSWERb.place the naked newborn on the mothers barechest and cover both with ablanket

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Exposure to a cool environment causes vasoconstriction, which results in coolextremities with a bluish discoloration. Placing the newborn skin-to-skin with hismother helps stabilize his temperature and promotes bonding.A nurse is caring for a newborn immediately following delivery. What actionsshould the nurse take first?a. place the newborn directly on the client's chestb. administer erythromycin ophthalmic ointmentc. give the newborn vit K IMd. perform a detailed physical assessment-CORRECT ANSWERa. place thenewborn directly on the client's chestthe greatest risk to the newborn is cold stress, which increases the need foroxygen and glucose. Placing the newborn directly on the client's chest will helpmaintain the newborn's temperature.A nurse is providing teaching to the parents of a newborn about home safety.What statement by the parents indicates an understanding of the teaching?a. I will use an infant carrier when I drive to places close to the houseb. I will tie my baby's pacifier around his neck with a piece of yarnc. I will place my baby on his back when it is time for him to sleepd. I will keep my babys crib close to heat vents to keep him warm-CORRECTANSWERc. I will place my baby on his back when it is time for him tosleep

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A nurse is assessing a newborn 1 min after birth andnotes a hr of 136/min, resp36, well flexed extremities, responding to stimuli with a cry, blue hands and feet.What Apgar score should the nurse assign to the newborn?a. 10b. 9c. 8d. 7-CORRECT ANSWERb. 9A nurse is assessing a client who is 14 hr postpartum and has a 3rd degreeperineal laceration. The client's temp is 37.8 C (100F), her fundus is firm andslightly deviated to the right. The client reports a gush of blood when sheambulates and no bm since delivery. What action should the nurse take?a. notify the provider about the elevated tempb. massage the client's fundusc. administer bisacodyl suppd. assist the client to empty her bladder-CORRECT ANSWERd. assist the clientto empty her bladderWhen the client's fundus is deviated to the right or left it can indicate that herbladder is full. The nurse should assist the client to empty her bladder to preventuterine atony and excessive lochia.A nurse is preparing to administer morphine oral solution 0.04 mg/kg to anewborn who weighs 2.5kg. The amount available is 0.4 mg/ml. how many mlshould the nurse administer?-CORRECT ANSWER0.25

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