Maternity ATI Capstone Practice Questions

Maternity ATI Capstone Practice Questions Which of the following strategies should a nurse use to establish a helping relationship with a client? a. make sure the communication is equally reciprocal between the nurse and the client. B. encourage the client to communicate his thoughts and feelings. c. Give the nurse‐client communication no time limits. D. allow communication to occur spontaneously throughout the nurse‐client relationship. B. CORRECT: Therapeutic communication facilitates a helping relationship that maximizes the client's ability A nurse is caring for a school‐age child who is sitting in a chair. To facilitate effective communication, which of the following actions should the nurse take? a. Touch the child's arm. B. Sit at eye level with the child. c. Stand facing the child. D. Stand with a relaxed posture. B. CORRECT: The nurse should be at the same eye level as the child to facilitate communication. A nurse is caring for a client who has leukemia and has developed thrombocytopenia. Which of the following actions should the nurse take first? a. Plan for the client to take rest periods throughout the day. B. encourage the client to cough, turn, and deep breath every 2 hr. C. assess temperature every 4 hr. D. Monitor platelet counts. D. CORRECT: The greatest risk to the client who has thrombocytopenia is injury due to bleeding. The priority action for the nurse to take is to initiate bleeding precautions, such monitoring platelet count. A nurse is reviewing the health record of a client who has suspected ovarian cancer. Which of the following findings supports this diagnosis? (select all that apply.) a. Previous treatment for endometriosis B. Family history of colon cancer C. First pregnancy at age 24 D. report of scant menses e. Use of oral contraceptives for 10 years a. CORRECT: endometriosis is a risk factor for ovarian cancer. B. CORRECT: a family history of breast, ovarian, or colon cancer is a risk factor for ovarian cancer. A nurse is caring for a client 24 hr following a liver lobectomy for hepatocellular carcinoma. Which of the following laboratory reports should the nurse monitor? a. Urine specific gravity B. Blood glucose C. serum amylase D. D‐dimer B. CORRECT: Blood glucose should be monitored during the first 24 to 48 hr following a liver lobectomy due to decreased gluconeogenesis and stress to the liver from surgery. A nurse is providing teaching about colon cancer to a group of women 45 to 65 years of age. Which of the following statements should the nurse include in the teaching? a. "Colonoscopies for individuals with no family history of cancer should begin at age 40." B. "a sigmoidoscopy is recommended every 5 years beginning at age 60." C."Fecal occult blood tests should be done annually beginning at age 50." D."an endoscopy provides a definitive diagnosis of colon cancer." C. CORRECT: Fecal occult blood tests should be done annually by clients ages 50 to 75. A nurse is caring for a client who has multiple types of skin lesions. Which of the following skin lesions are indicative of a malignant melanoma? (select all that apply.) a. Diffuse vesicles B. Uniformly colored papule C. area with asymmetric borders D. rough, scaly patch e. irregular colored mole C. CORRECT: a lesion with asymmetric borders is considered suspicious for a melanoma. e. CORRECT: a lack of uniformity of pigmentation of a mole is considered suspicious for a melanoma. A nurse in a clinic is caring for a group of female clients who are being evaluated for infertility. Which of the following clients should the nurse anticipate the provider will refer to a genetic counselor? A. A client whose sister has alopecia B. A client whose partner has von Willebrand disease C. A client who has an allergy to sulfa D. A client who had rubella 3 months ago B. CORRECT: Von Willebrand disease is a genetic bleeding disorder and warrants a client being referred to a genetic counselor. A nurse is caring for a couple who is being evaluated for infertility. Which of the following statements by the nurse indicates understanding of the infertility assessment process? A. "you will need to see a genetic counselor as part of the assessment." B. "It is usually the woman who is having trouble, so the man doesn't have to be involved." C."the man is the easiest to assess, and the provider will usually begin there." D."think about adopting first because there are many babies that need good homes." C. CORRECT: A sperm analysis is one of the first steps in the infertility assessment process and can identify a cause of infertility in a less invasive and costly manner. A nurse in an infertility clinic is providing care to a couple who has been unable to conceive for 18 months. Which of the following data should be included in the assessment? (Select all that apply.) A. Occupation B. Menstrual history C. Childhood infectious diseases D. History of falls e. recent blood transfusions A. CORRECT: Occupational hazards include exposure to teratogenic substances in the workplace, such as radiation, chemicals, herbicides, and pesticides B. CORRECT: Menstrual history can identify hormone-related patterns, such as anovulation, pituitary disorders, and endometriosis. C. CORRECT: Childhood infectious diseases can identify the male partner having had the mumps. A nurse in a clinic is caring for a client who is to be seen by the provider for a postoperative appointment following a salpingectomy due to an ectopic pregnancy. Which of the following statements by the client requires clarification? A. "It is good to know that I won't have a tubal pregnancy in the future." B. "the doctor said that this surgery can affect my ability to get pregnant again." C."I understand that one of my fallopian tubes had to be removed." D."Ovulation can still occur because my ovaries were not affected." A. CORRECT: the risk of recurrence of an ectopic pregnancy is increased following an ectopic pregnancy. A nurse is reviewing the health record of a client who is to undergo ysterosalpingography. Which of the following data alert the nurse that the client is at risk for a complication related to this procedure? VITAL SIGNS temperature 37.2° C (98.9° f) BMI 40.3 HISTORY AND PHYSICAL employed as a radiology technician Allergy to shrimp tonsillectomy at age 18 LABORATORY FINDINGS