ATI RN
ATI Maternal Newborn Proctored Exam 2023
1. A client at 37 weeks of gestation with severe gestational hypertension is being admitted by a nurse. Which of the following actions should the nurse NOT expect to implement?
- A. Administer magnesium sulfate IV.
- B. Provide a dark, quiet environment.
- C. Assess respiratory status every 4 hours.
- D. Ensure that calcium gluconate is readily available.
Correct answer: C: Assess respiratory status every 4 hours.
Rationale: Assessing respiratory status every 4 hours is not a priority for a client with severe gestational hypertension. In this scenario, the focus should be on monitoring blood pressure, assessing for signs of preeclampsia, administering medications like magnesium sulfate for seizure prophylaxis, and ensuring that calcium gluconate is readily available in case of magnesium toxicity. Respiratory status assessment is important in other conditions but is not directly related to managing severe gestational hypertension.
2. A nurse is reviewing the laboratory findings of a client who has heart failure. Which of the following findings indicates that the client is experiencing fluid volume excess?
- A. BUN 8 mg/dL
- B. Hgb 15 g/dL
- C. Creatinine 0.8 mg/dL
- D. Sodium 140 mEq/L
Correct answer: A
Rationale: A BUN level of 8 mg/dL is indicative of fluid volume excess, which is common in clients with heart failure.
3. Which statement about prenatal rubella is true?
- A. The greatest damage occurs when rubella strikes during the fetal period.
- B. The organ damage inflicted by prenatal rubella can lead to lifelong health problems. Copyright © 2018 Laura E. Berk. All Rights Reserved. 15 Test Bank for Berk, Development Through the Lifespan, 7e
- C. Routine vaccination has made new rubella outbreaks extremely rare worldwide.
- D. Infection during the embryonic period is less harmful than during other prenatal periods. Answer: B Page Ref: 86‒87 Skill Level: Understand known or suspected teratogens. Topic: Prenatal Environmental Influences Difficulty Level: Moderate
Correct answer: B
Rationale: The statement that the organ damage inflicted by prenatal rubella can lead to lifelong health problems is true. Rubella infection during pregnancy can cause serious harm to the developing fetus, including organ damage, deafness, heart defects, and intellectual disabilities. This highlights the importance of prevention and vaccination to protect both pregnant women and their unborn babies from the harmful effects of rubella.
4. What is a disadvantage of using a food frequency questionnaire?
- A. It does not influence the food choices of the consumer
- B. It is not affected by seasonal changes in the diet
- C. It is not effective for monitoring short-term changes in food intake
- D. It does not take too long to obtain the results
Correct answer: C
Rationale: Option C is correct because a food frequency questionnaire is designed to capture a person's typical food intake over an extended period and is not suitable for monitoring short-term changes in diet. The questionnaire's purpose is to provide insights into long-term dietary patterns rather than immediate changes. Option A is incorrect as the questionnaire does not influence food choices; it merely records them. Option B is also incorrect because, while seasonal changes can impact food availability and thereby influence diet, the questionnaire itself is not affected by these changes. Lastly, option D is incorrect as the time to obtain results from a food frequency questionnaire would depend on the respondent's speed and accuracy rather than being intrinsically linked to the questionnaire.
5. What best describes the role of advocacy in community health nursing?
- A. Educating the community about health issues
- B. Providing direct patient care
- C. Developing new health technologies
- D. Securing funding for health programs
Correct answer: A
Rationale: Advocacy in community health nursing involves educating the community about health issues to raise awareness, promote health literacy, and empower individuals to make informed decisions. By educating the community, nurses can advocate for policies and interventions that address health disparities, promote preventive care, and improve overall health outcomes.
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