ATI LPN
Maternal Newborn ATI Proctored Exam 2023
1. A client who is at 24 weeks of gestation and reports daily mild headaches is being cared for by a nurse. Which of the following instructions should the nurse include in the plan of care?
- A. Administer ibuprofen 400 mg twice daily.
- B. Recommend that the client perform conscious relaxation techniques daily.
- C. Give the client ginseng tea with each meal.
- D. Instruct the client to soak in a bath with a water temperature of 105°F for 15 minutes daily.
Correct answer: B
Rationale: Mild headaches during pregnancy can be common and are often related to stress and tension. Recommending conscious relaxation techniques daily can help to relieve tension, reduce stress, and alleviate headaches without the need for medication, which is safer during pregnancy. Choice A is incorrect as ibuprofen is not recommended during pregnancy due to potential risks to the fetus. Choice C is incorrect because ginseng tea is not recommended during pregnancy as it may have adverse effects. Choice D is incorrect as soaking in a hot bath with a water temperature of 105°F can raise the body temperature, which is not safe during pregnancy.
2. A nurse is preparing to administer an enteral tube feeding through an NG tube at 250 mL over 4 hr. The nurse should set the pump to deliver how many mL/hr? (Round the answer to the nearest whole number)
- A. 63 mL/hr
- B. 36 mL/hr
- C. 78 mL/hr
- D. 90 mL/hr
Correct answer: A
Rationale: To calculate the rate for the enteral tube feeding, divide the total volume by the total time: 250 mL / 4 hr = 62.5 ≈ 63 mL/hr. Therefore, the nurse should set the pump to deliver 63 mL/hr. Choices B, C, and D are incorrect as they do not match the correct calculation result. B is too low, C is too high, and D is also too high based on the correct calculation.
3. What is a key objective of the Global Immunization Vision and Strategy (GIVS)?
- A. Eliminating non-communicable diseases
- B. Improving access to high-quality immunization services
- C. Reducing the cost of healthcare
- D. Increasing the number of healthcare professionals
Correct answer: B
Rationale: The Global Immunization Vision and Strategy (GIVS) aims to improve access to high-quality immunization services globally. This objective focuses on enhancing the availability and quality of immunization services to ensure that more individuals have access to vaccines to prevent diseases.
4. Where do many people get medical insurance from?
- A. The primary care physician
- B. The local clinic
- C. Social security office
- D. The employer
Correct answer: D
Rationale: Many people obtain medical insurance through their employer. This is a common practice where employers offer health insurance benefits to their employees as part of their employment package. Choice A, primary care physician, is incorrect as they provide medical care, not insurance. Choice B, the local clinic, is incorrect as clinics offer medical services, not insurance. Choice C, social security office, is incorrect as it is not a typical source for obtaining medical insurance.
5. A nurse is caring for a client receiving anticoagulation therapy. Which of the following should the nurse monitor?
- A. INR levels
- B. Blood glucose
- C. Serum creatinine
- D. Liver function
Correct answer: A
Rationale: Corrected Rationale: When caring for a client receiving anticoagulation therapy, the nurse should monitor the INR levels. INR (International Normalized Ratio) reflects the blood's ability to clot properly. It is crucial to monitor INR levels to ensure the anticoagulation therapy is within the therapeutic range and to prevent bleeding complications. Monitoring blood glucose levels (Choice B) is more relevant for clients with diabetes or those on medications affecting blood sugar. Serum creatinine (Choice C) is typically monitored to assess kidney function. Liver function (Choice D) is assessed through tests like AST, ALT, and bilirubin levels, and it is more relevant for assessing liver health rather than monitoring anticoagulation therapy.
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