NSG 4525 EXAM 1: ATI QUESTIONS AND ANSWERS
A nurse is caring for a client who is pregnant and states that their last menstrual period
was April 1st. Which of the following is the client's estimated date of delivery?
A) January 8
B) January 15
C) February 8
D) February 15 - Answers - A) January 8
A nurse in a prenatal clinic is caring for a client who is in the first trimester of pregnancy.
The client's health record includes this data: G3 T1 P0 A1 L1. How should the nurse
interpret this information? (SATA)
A) Client has delivered one newborn at term
B) Client has experienced no preterm labor
C) Client has been through active labor
D) Client has had two prior pregnancies
E) Client has one living child - Answers - A) Client has delivered one newborn at term
B) Client has experienced no preterm labor
D) Client has had two prior pregnancies
E) Client has one living child
A nurse is reviewing the health record of a client who is pregnant. The provider
indicated the client exhibits probable signs of pregnancy. Which of the following findings
should the nurse expect? (SATA)
A) Montgomery's glands
B) Goodell's sign
C) Ballottement
D) Chadwick's sign
E) Quickening - Answers - B) Goodell's sign
C) Ballottement
D) Chadwick's sign
A nurse in a prenatal clinic is caring for a client who is pregnant and experiencing
episodes of maternal hypotension. The client asks the nurse what causes these
episodes. Which of the following responses should the nurse make?
A) "This is due to an increase in blood volume."
B) "This is due to pressure from the uterus on the diaphragm."
C) "This is due to the weight of the uterus on the vena cava."
D) "This is due to increased cardiac output." - Answers - C) "This is due to the weight of
the uterus on the vena cava."
,A nurse in a clinic receives a phone call from a client who would like to be tested in the
clinic to confirm pregnancy. Which of the following information should the nurse provide
to the client?
A) "You should wait until 4 weeks after conception to be tested."
B) "You should be off any medications for 24 hours prior to the test."
C) "You should be NPO for at least 8 hours prior to the test."
D) "You should collect urine from the first morning void." - Answers - D) "You should
collect urine from the first morning void."
A nurse is teaching a group of clients who are pregnant about measures to relieve
backache during pregnancy. Which of the following measures should the nurse include?
(SATA)
A) Avoid any lifting
B) Perform Kegel exercises twice a day
C) Perform the pelvic rock exercise every day
D) Use proper body mechanics
E) Avoid constrictive clothing - Answers - C) Perform the pelvic rock exercise every day
D) Use proper body mechanics
A nurse is caring for a client who is pregnant and reviewing manifestations of
complications the client should promptly report to the provider. Which of the following
complications should the nurse include?
A) Vaginal bleeding
B) Swelling of the ankles
C) Heartburn after eating
D) Lightheadedness when lying on back - Answers - A) Vaginal bleeding
A client who is at 7 weeks of gestation is experiencing nausea and vomiting in the
morning. Which of the following information should the nurse include?
A) Eat crackers or plain toast before getting out of bed
B) Awaken during the night to eat a snack
C) Skip breakfast and eat lunch after nausea has subsided
D) Eat a large evening meal - Answers - A) Eat crackers or plain toast before getting out
of bed
A nurse is teaching a client who is at 6 weeks of gestation about common discomforts of
pregnancy. Which of the following findings should the nurse include? (SATA)
A) Breast tenderness
B) Urinary frequency
C) Epistaxis
D) Dysuria
, E) Epigastric pain - Answers - A) Breast tenderness
B) Urinary frequency
C) Epistaxis
A client who is at 8 weeks of gestation tells the nurse, "I am not sure I am happy about
being pregnant." Which of the following responses should the nurse make?
A) "I will inform the provider that you are having these feelings."
B) "It is normal to have these feelings during the first few months of pregnancy."
C) "You should be happy that you are going to bring new life into the world."
D) "I am going to make an appointment with the counselor for you to discuss these
thoughts." - Answers - B) "It is normal to have these feelings during the first few months
of pregnancy."
A nurse in a prenatal clinic is providing education to a client who is at 8 weeks of
gestation. The client states, "I don't like milk." Which of the following foods should the
nurse recommend as a good source of calcium?
A) Dark green leafy vegetables
B) Deep red or orange vegetables
C) White breads and rice
D) Meat, poultry, and fish - Answers - A) Dark green leafy vegetables
A nurse in a prenatal clinic is caring for four clients. Which of the following clients'
weight gain should the nurse report to the provider?
A) 1.8kg (4lb) weight gain and is in the first trimester
B) 3.6kg (8lb) weight gain and is in the first trimester
C) 6.8kg (8lb) weight gain and is in the second trimester
D) 11.3kg (25lb) weight gain and is in the third trimester - Answers - B) 3.6kg (8lb)
weight gain and is in the first trimester
A nurse in a clinic is teaching a client of childbearing age about recommended folic acid
supplements. Which of the following defects can occur in the fetus or neonate as a
result of folic acid deficiency?
A) Iron deficiency anemia
B) Poor bone formation
C) Macrosomic fetus
D) Neural tube defects - Answers - D) Neural tube defects
A nurse is reviewing a new prescription for iron supplements with a client who is at 8
weeks of gestation and has iron deficiency anemia. Which of the following beverages
should the nurse instruct the client to take the iron supplements with?
A) Ice water
A nurse is caring for a client who is pregnant and states that their last menstrual period
was April 1st. Which of the following is the client's estimated date of delivery?
A) January 8
B) January 15
C) February 8
D) February 15 - Answers - A) January 8
A nurse in a prenatal clinic is caring for a client who is in the first trimester of pregnancy.
The client's health record includes this data: G3 T1 P0 A1 L1. How should the nurse
interpret this information? (SATA)
A) Client has delivered one newborn at term
B) Client has experienced no preterm labor
C) Client has been through active labor
D) Client has had two prior pregnancies
E) Client has one living child - Answers - A) Client has delivered one newborn at term
B) Client has experienced no preterm labor
D) Client has had two prior pregnancies
E) Client has one living child
A nurse is reviewing the health record of a client who is pregnant. The provider
indicated the client exhibits probable signs of pregnancy. Which of the following findings
should the nurse expect? (SATA)
A) Montgomery's glands
B) Goodell's sign
C) Ballottement
D) Chadwick's sign
E) Quickening - Answers - B) Goodell's sign
C) Ballottement
D) Chadwick's sign
A nurse in a prenatal clinic is caring for a client who is pregnant and experiencing
episodes of maternal hypotension. The client asks the nurse what causes these
episodes. Which of the following responses should the nurse make?
A) "This is due to an increase in blood volume."
B) "This is due to pressure from the uterus on the diaphragm."
C) "This is due to the weight of the uterus on the vena cava."
D) "This is due to increased cardiac output." - Answers - C) "This is due to the weight of
the uterus on the vena cava."
,A nurse in a clinic receives a phone call from a client who would like to be tested in the
clinic to confirm pregnancy. Which of the following information should the nurse provide
to the client?
A) "You should wait until 4 weeks after conception to be tested."
B) "You should be off any medications for 24 hours prior to the test."
C) "You should be NPO for at least 8 hours prior to the test."
D) "You should collect urine from the first morning void." - Answers - D) "You should
collect urine from the first morning void."
A nurse is teaching a group of clients who are pregnant about measures to relieve
backache during pregnancy. Which of the following measures should the nurse include?
(SATA)
A) Avoid any lifting
B) Perform Kegel exercises twice a day
C) Perform the pelvic rock exercise every day
D) Use proper body mechanics
E) Avoid constrictive clothing - Answers - C) Perform the pelvic rock exercise every day
D) Use proper body mechanics
A nurse is caring for a client who is pregnant and reviewing manifestations of
complications the client should promptly report to the provider. Which of the following
complications should the nurse include?
A) Vaginal bleeding
B) Swelling of the ankles
C) Heartburn after eating
D) Lightheadedness when lying on back - Answers - A) Vaginal bleeding
A client who is at 7 weeks of gestation is experiencing nausea and vomiting in the
morning. Which of the following information should the nurse include?
A) Eat crackers or plain toast before getting out of bed
B) Awaken during the night to eat a snack
C) Skip breakfast and eat lunch after nausea has subsided
D) Eat a large evening meal - Answers - A) Eat crackers or plain toast before getting out
of bed
A nurse is teaching a client who is at 6 weeks of gestation about common discomforts of
pregnancy. Which of the following findings should the nurse include? (SATA)
A) Breast tenderness
B) Urinary frequency
C) Epistaxis
D) Dysuria
, E) Epigastric pain - Answers - A) Breast tenderness
B) Urinary frequency
C) Epistaxis
A client who is at 8 weeks of gestation tells the nurse, "I am not sure I am happy about
being pregnant." Which of the following responses should the nurse make?
A) "I will inform the provider that you are having these feelings."
B) "It is normal to have these feelings during the first few months of pregnancy."
C) "You should be happy that you are going to bring new life into the world."
D) "I am going to make an appointment with the counselor for you to discuss these
thoughts." - Answers - B) "It is normal to have these feelings during the first few months
of pregnancy."
A nurse in a prenatal clinic is providing education to a client who is at 8 weeks of
gestation. The client states, "I don't like milk." Which of the following foods should the
nurse recommend as a good source of calcium?
A) Dark green leafy vegetables
B) Deep red or orange vegetables
C) White breads and rice
D) Meat, poultry, and fish - Answers - A) Dark green leafy vegetables
A nurse in a prenatal clinic is caring for four clients. Which of the following clients'
weight gain should the nurse report to the provider?
A) 1.8kg (4lb) weight gain and is in the first trimester
B) 3.6kg (8lb) weight gain and is in the first trimester
C) 6.8kg (8lb) weight gain and is in the second trimester
D) 11.3kg (25lb) weight gain and is in the third trimester - Answers - B) 3.6kg (8lb)
weight gain and is in the first trimester
A nurse in a clinic is teaching a client of childbearing age about recommended folic acid
supplements. Which of the following defects can occur in the fetus or neonate as a
result of folic acid deficiency?
A) Iron deficiency anemia
B) Poor bone formation
C) Macrosomic fetus
D) Neural tube defects - Answers - D) Neural tube defects
A nurse is reviewing a new prescription for iron supplements with a client who is at 8
weeks of gestation and has iron deficiency anemia. Which of the following beverages
should the nurse instruct the client to take the iron supplements with?
A) Ice water
