ATI LPN
Maternal Newborn ATI Proctored Exam 2023
1. A healthcare provider is discussing the differences between true labor and false labor with a group of expectant parents. Which of the following characteristics should the healthcare provider include when discussing true labor?
- A. Contractions become stronger with walking.
- B. Discomfort can be relieved with a back massage.
- C. Contractions become irregular with a change in activity.
- D. Discomfort is felt above the umbilicus.
Correct answer: A
Rationale: During true labor, contractions typically become stronger and more regular with activity, such as walking. This is a key characteristic that helps differentiate true labor from false labor. In false labor, contractions often remain irregular and do not intensify with changes in activity. Choice B is incorrect because discomfort in true labor is not typically relieved with a back massage. Choice C is incorrect as contractions in true labor become stronger and more regular with activity rather than irregular. Choice D is incorrect because discomfort in true labor is usually felt in the lower abdomen and pelvis, not above the umbilicus.
2. A nurse manager is teaching a group of employees about QSEN. What statement by an employee should the nurse manager identify as quality improvement?
- A. We should track the rate of hospital-acquired infections.
- B. We should evaluate patient satisfaction scores.
- C. We should start tracking how soon patients are discharged after laparoscopic versus open surgery.
- D. We should check the patient's temperature before discharge.
Correct answer: C
Rationale: The correct answer is C. QSEN focuses on quality improvement in healthcare. Tracking how soon patients are discharged after different types of surgeries helps in evaluating the quality of care provided and identifying areas for improvement. Choices A and B focus on monitoring outcomes but do not directly relate to quality improvement initiatives. Choice D is more about a routine assessment before discharge and does not involve a quality improvement process.
3. A nurse is reinforcing teaching about wound care for a client who has a wound requiring irrigation. What is an important instruction?
- A. Wear sterile gloves when applying a new dressing
- B. Cleanse the wound from the center outwards
- C. Keep the wound dry between dressing changes
- D. Apply an antimicrobial ointment to the wound
Correct answer: B
Rationale: The correct answer is to cleanse the wound from the center outwards. This technique helps reduce the risk of contamination by pushing debris away from the wound. Option A, wearing sterile gloves, is important for infection control but not specifically related to wound irrigation. Option C, keeping the wound dry, is not suitable for wound irrigation, which often involves using solutions to clean the wound. Option D, applying an antimicrobial ointment, is not typically done during wound irrigation as the focus is on cleansing the wound.
4. A healthcare provider is assessing a client with chronic obstructive pulmonary disease (COPD). Which of the following findings should the healthcare provider expect?
- A. Decreased respiratory rate
- B. Use of accessory muscles
- C. Improved lung sounds
- D. Increased energy levels
Correct answer: B
Rationale: The correct answer is B: 'Use of accessory muscles.' Clients with COPD often experience airway obstruction, leading to the use of accessory muscles to breathe. This compensatory mechanism helps them overcome the increased work of breathing. Choice A, 'Decreased respiratory rate,' is incorrect because clients with COPD typically have an increased respiratory rate due to the need for more effort to breathe. Choice C, 'Improved lung sounds,' is incorrect because COPD is characterized by wheezes, crackles, and diminished breath sounds. Choice D, 'Increased energy levels,' is incorrect because clients with COPD often experience fatigue due to the increased work of breathing and impaired gas exchange.
5. A nurse is providing teaching about the Mediterranean diet to a client who has a new diagnosis of hypertension. Which of the following statements by the client indicates a need for further teaching?
- A. I will limit my intake of red meat to twice monthly.
- B. I can have dairy in moderate portions daily.
- C. I can have fish two times a week.
- D. I can drink wine in moderation.
Correct answer: A
Rationale: The correct answer is A. In the Mediterranean diet, red meat should be limited to two times monthly, not weekly. Choice B is correct as dairy in moderate portions daily is suitable for the Mediterranean diet. Choice C is also correct as having fish two times a week aligns with the Mediterranean diet. Choice D is correct as moderate wine consumption is a component of the Mediterranean diet.
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