ATI PN 2019 FUNDAMENTALS PROCTORED EXAM
ACTUAL EXAM COMPLETE 400+ QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100% CORRECT
ANSWERS) /ALREADY GRADED A+
A nurse is teaching a client about Rho(D) immunoglobulin (RhoGAM). Which of the
following statements by the client indicates an understanding of the teaching?
a. I will receive this medication if my baby is Rh-negative.
b. I will receive this medication at time of delivery.
c. I will need a second dose of this medication when my baby is 6 weeks old.
d. I will need this medication if I have an amniocentesis. - ANSWERd. I will need this
medication if I have an amniocentesis-Recommended because of the potential of fetal
RBC's entering the maternal circulation.
RhoGAM is administered to - ANSWERa mother who is Rh-negative and gives birth to a
Rh-positive infant.
RhoGAM is administered at __ weeks of gestation - ANSWER28 weeks of pregnancy
RhoGAM is recommended following an amniocentesis because - ANSWERof the
potential of fetal RBCs entering the maternal circulation.
A nurse is caring for a client who is to receive oxytocin (Pitocin) to augment her labor.
Which of the following contraindicates the initiation of the oxytocin infusion and requires
notification of the provider?
a. Late decelerations
b. Baseline variability
c. Cessation of uterine dilation
d. Prolonged active phase of labor - ANSWERa. Late decelerations-Oxytocin is
contraindicated based on late decelerations noted on fetal assessment findings
because they indicate uteroplacental insufficiency.
A nurse on the newborn unit is planning discharge for four clients. Which of the
following will require care beyond that of a standard follow-up visit with the provider after
delivery?
a. A newborn being sent home after 22 hr after birth.
b. A new born at 38 weeks of gestational age
c. A new born who is bottle feeding
,d. Twin newborns with Apgar scores of 8 &9 - ANSWERa. A newborn being sent home
after 22 hr after birth-screening tests must be repeated if they were performed before
the newborn was 24 hrs old.
A nurse is assessing a newborn who has a weak cry and is grimacing. The nurse notes
the newborn has a heart rate of 102/min. blueish extremities, and a flaccid muscle tone.
Which of the following reflects the appropriate APGAR score?
a. 4
b. 5
c. 6
d. 7 - ANSWERb. 5
A nurse is caring for a client who has a history of rheumatic disease, but no physical
symptoms prior to pregnancy. The client begins to experience dyspnea, orthopnea, and
pulmonary edema. Which of the following biological alterations explains this change?
a. Increased maternal weight
b. Increased blood volume
c. Change in hematocrit levels
d. Change in heart size - ANSWERb. Increased blood volume-
Increase in blood volume during pregnancy increase the workload of the heart, which
causes the symptoms.
A nurse is providing teaching about nonpharmacological pain management for a
postpartum client who is breastfeed and has engorgement. Which of the following
methods should the nurse recommend?
a. Cold cabbage leaves.
b. Modified lanolin cream
c. A breast binder
d. Breast shells - ANSWERa. Cold cabbage leaves-Application of this is an effective
nonpharmacological method to relieve pain associated with engorgement.
A nurse is providing discharge teaching to a client who is postpartum about resuming
sexual activity. Which of the following instructions should the nurse include in the
teaching?
a. You should use a water soluble gel for lubrication.
b. You can resume sexual activity in 10 days
c. You physical reaction to sexual stimulation will not be altered
d. You will not ovulate for 3 months after delivery. - ANSWERa. You should use a water
soluble gel for lubrication-This will prevent discomfort.
,A nurse is admitting a client who is in labor. The client admits to recent cocaine use. For
which of the following complications should be the nurse assess?
a. Abruptio placenta.
b. Placenta previa
c. Preeclampsia
d. Maternal bradycardia - ANSWERa. Abruptio placenta-Cocaine increases the risk for
vasoconstriction and possible abruption placenta
A nurse is providing dietary teaching with a client who has hyperemesis gravidarum.
Which of the following statements
by the client indicates an understanding of the teaching?
a. I should eat to taste instead of trying to balance my meals.
b. I will avoid having a snack at bedtime.
c. I will have 8 oz of hot tea with each meal.
d. I should pair my sweets with a starch instead of eating them alone. - ANSWERa. I
should eat to taste instead of trying to balance my meals-Eat to taste to avoid nausea.
A nurse is preparing to collect a blood specimen from a newborn via a heal stick. Which
of the following techniques should the nurse use to help minimize the pain of the
procedure for the newborn?
a. Warm the heel prior to the puncture.
b. Request a prescription for IM analgesic.
c. Use a manual lance blade to pierce the skin.
d. Swaddle the newborn after the heel puncture. - ANSWERd. Swaddle the newborn
after the heel puncture-Effective technique to diminish the pain experience for the
newborn.
A nurse is providing dietary teaching about reducing the risk of infection to a client who
has cancer and is receiving chemotherapy. Which of the followings statements made by
the client indicates an understanding of the teaching? - ANSWERa. I will discard
leftovers after 3 days..
*thaw foods in the refrigerator
-use home canned goods within a year
-keep cooked food at a temp greater than 140
A nurse is caring for a client who is receiving total parenteral nutrition. Which of the
following laboratory findings indicates that the total parenteral nutrition is effective? -
ANSWERPrealbumin 30 mg/dL
A nurse providing dietary teaching for a client who has chronic skin ulcers of the lower
extremities. Which of the following foods should the nurse recommend as containing the
highest amount of ZINC? - ANSWER4 oz of ground beef patty.
A nurse teaching a client about stress management. Which of the following statements
should indicate to the nurse that the client understands the teaching? - ANSWERI will
take long walk every evening.
Exercise is good stress relief
A nurse is providing teaching for a client who has a new prescription for NIFEDIPINE.
Which of the following foods should the nurse instruct the client to avoid? -
ANSWERGrapefruit juice
NIFEDIPINE is a calcium channel blocker and antihypertensive drug. It can treat high
blood pressure and chest pain (angina).
A nurse is assessing a patient who has diabetes. Which of the following findings should
the nurse identify as hypoglycemia? - ANSWERDiaphoresis= sweating
sign and symptoms: sweating, irritability, and tremors, tachycardia and hunger.
A nurse is teaching a female client about healthy diet to control hypertension. Which of
the following client statements indicates understanding of the teaching? - ANSWERI will
eat four servings of unsalted nuts per week
A nurse in a clinic is reviewing the laboratory findings of a client who has type 2
diabetes. which of the following findings indicates the client's plan or care is effective? -
ANSWERHBA1C of 6.5%
A nurse is providing dietary teaching for a client who has COPD. which of the following
instructions should the nurse include in the teaching? - ANSWEReat foods that are soft
and easy to swallow.
add gravy and sauces. drink high protein-and should eat small meals instead of large
meals.
A nurse is providing information regarding breastfeeding to the parents of a newborn.
Which of the following statements should the nurse make? - ANSWERBreast mils is
nutritionally complete for an infant up to 6 months of age.
A home health nurse is providing dietary teaching to the parent of a 3 year old. Which of
the following statements by the parents should the nurse identify as understanding the
teaching? - ANSWERI will put low-fat milk in her cup for her to drink.
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