ATI PN FUNDAMENTALS 2022
(Answered) ALL VERIFIED ANSWERS,
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.
d. 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
a mother who is Rh-negative and gives birth to a Rh-positive infant.
RhoGAM is administered at __ weeks of gestation
28 weeks of pregnancy
RhoGAM is recommended following an amniocentesis because
of 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
a. 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
a. 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
b. 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
b. 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
a. 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.
a. 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
,a. 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.
a. 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.
d. 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?
a. 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?
Prealbumin 30 mg/dL
*normal values:
-prealbumin 20-40 mg/dL
-Calcium 8.5-10.5
-hemoglbin 14-18
-cholesterol less than 200
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?
4 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?
, I 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?
Grapefruit 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?
Diaphoresis= 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?
I 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?
HBA1C 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?
eat 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?
Breast 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?
I will put low-fat milk in her cup for her to drink.
Children consume whole milk for up to their 2 years old and when they become 3 they
can consume low fat milk.
prevent children from consuming foods that are easily to swallow such as popcorn and
pretzels until they are 4 year of age to prevent shocking.
-avoid giving children high amounts of celery and peanut butter because of the risk of
aspiration, and should spread the peanut butter on a thin piece.
A nurse is teaching a client about managing irritable bowel syndrome. which of
the following information should the nurse include in the teaching?
Take peppermint oil during exacerbations.
decrease fresh fruit.
(Answered) ALL VERIFIED ANSWERS,
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.
d. 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
a mother who is Rh-negative and gives birth to a Rh-positive infant.
RhoGAM is administered at __ weeks of gestation
28 weeks of pregnancy
RhoGAM is recommended following an amniocentesis because
of 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
a. 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
a. 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
b. 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
b. 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
a. 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.
a. 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
,a. 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.
a. 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.
d. 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?
a. 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?
Prealbumin 30 mg/dL
*normal values:
-prealbumin 20-40 mg/dL
-Calcium 8.5-10.5
-hemoglbin 14-18
-cholesterol less than 200
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?
4 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?
, I 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?
Grapefruit 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?
Diaphoresis= 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?
I 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?
HBA1C 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?
eat 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?
Breast 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?
I will put low-fat milk in her cup for her to drink.
Children consume whole milk for up to their 2 years old and when they become 3 they
can consume low fat milk.
prevent children from consuming foods that are easily to swallow such as popcorn and
pretzels until they are 4 year of age to prevent shocking.
-avoid giving children high amounts of celery and peanut butter because of the risk of
aspiration, and should spread the peanut butter on a thin piece.
A nurse is teaching a client about managing irritable bowel syndrome. which of
the following information should the nurse include in the teaching?
Take peppermint oil during exacerbations.
decrease fresh fruit.
