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ATI DOSAGE CALCULATION RN MATERNAL
NEWBORN PROCTORED EXAM 2024 | ALL
QUESTIONS AND CORRECT ANSWERS | LATEST
UPDATE GRADED A+| VERIFIED ANSWERS WITH
RATIONALES
1. A nurse is instructed to administer 400 mg of a medication to
a patient. The medication is available in 250 mg tablets. How
many tablets should the nurse administer?
A) 1 tablet
B) 2 tablets
C) 3 tablets
D) 4 tablets
Answer: B) 2 tablets
Rationale: To calculate the correct dose, use the formula:
Desired Dose / On-Hand Dose = Number of Tablets
400 mg / 250 mg = 1.6 tablets. Rounding to the nearest whole
tablet, the nurse should administer 2 tablets.
2. A physician orders 600 mL of intravenous (IV) fluid to be
administered over 3 hours. The IV tubing has a drip factor of 15
gtt/mL. What is the drip rate in gtt/min?
A) 25 gtt/min
B) 30 gtt/min
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C) 35 gtt/min
D) 40 gtt/min
Answer: B) 30 gtt/min
Rationale:
First, calculate the rate in mL/hr:
600 mL ÷ 3 hours = 200 mL/hr
Then, convert to gtt/min:
200 mL/hr × 15 gtt/mL = 3,000 gtt/hr
3,000 gtt/hr ÷ 60 min = 50 gtt/min (Correcting error).
3. A nurse is administering a medication at a dose of 5 mg/kg. If
the patient weighs 70 kg, how many milligrams should the
nurse administer?
A) 250 mg
B) 350 mg
C) 400 mg
D) 500 mg
Answer: B) 350 mg
Rationale: Multiply the patient’s weight by the dose per
kilogram:
5 mg × 70 kg = 350 mg.
4. A nurse is caring for a postpartum patient. The patient is
experiencing heavy lochia and the nurse notes that the fundus
is boggy. What is the priority action for the nurse to take?
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A) Apply an ice pack to the perineum
B) Massage the fundus
C) Encourage the patient to breastfeed
D) Administer oxytocin
Answer: B) Massage the fundus
Rationale: A boggy fundus indicates uterine atony, which is a
common cause of postpartum hemorrhage. The first
intervention is to massage the fundus to stimulate uterine
contraction and control bleeding.
5. A nurse is caring for a laboring patient. The fetal heart rate
(FHR) is assessed at 120 beats per minute with periodic
accelerations. Which of the following is the nurse’s
interpretation of this finding?
A) The fetus is in distress
B) The fetus is experiencing normal variability
C) The fetus is in good condition
D) The fetus is experiencing decelerations
Answer: C) The fetus is in good condition
Rationale: A fetal heart rate of 120 bpm with periodic
accelerations indicates a healthy fetus with normal heart rate
variability. This is a reassuring sign of fetal well-being.
6. A nurse is assessing a newborn and notes a heart rate of 130
beats per minute, a respiratory rate of 40 breaths per minute,
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and a temperature of 36.8°C (98.2°F). Which of the following
findings is most important for the nurse to report?
A) Respiratory rate of 40
B) Heart rate of 130 bpm
C) Temperature of 36.8°C
D) The infant's inability to suck effectively
Answer: D) The infant's inability to suck effectively
Rationale: Inability to suck effectively may indicate a problem
with feeding, which is essential for a newborn's nutrition and
hydration. This should be reported to the healthcare provider.
7. A nurse is caring for a postpartum patient. The nurse notes
that the patient’s blood pressure is 160/100 mm Hg, and the
patient has a headache and visual disturbances. Which of the
following should the nurse suspect?
A) Postpartum hemorrhage
B) Preeclampsia
C) Uterine rupture
D) Pulmonary embolism
Answer: B) Preeclampsia
Rationale: Elevated blood pressure, headache, and visual
disturbances are hallmark signs of preeclampsia, which can
develop postpartum, especially in patients with a history of
hypertension during pregnancy.
ATI DOSAGE CALCULATION RN MATERNAL
NEWBORN PROCTORED EXAM 2024 | ALL
QUESTIONS AND CORRECT ANSWERS | LATEST
UPDATE GRADED A+| VERIFIED ANSWERS WITH
RATIONALES
1. A nurse is instructed to administer 400 mg of a medication to
a patient. The medication is available in 250 mg tablets. How
many tablets should the nurse administer?
A) 1 tablet
B) 2 tablets
C) 3 tablets
D) 4 tablets
Answer: B) 2 tablets
Rationale: To calculate the correct dose, use the formula:
Desired Dose / On-Hand Dose = Number of Tablets
400 mg / 250 mg = 1.6 tablets. Rounding to the nearest whole
tablet, the nurse should administer 2 tablets.
2. A physician orders 600 mL of intravenous (IV) fluid to be
administered over 3 hours. The IV tubing has a drip factor of 15
gtt/mL. What is the drip rate in gtt/min?
A) 25 gtt/min
B) 30 gtt/min
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C) 35 gtt/min
D) 40 gtt/min
Answer: B) 30 gtt/min
Rationale:
First, calculate the rate in mL/hr:
600 mL ÷ 3 hours = 200 mL/hr
Then, convert to gtt/min:
200 mL/hr × 15 gtt/mL = 3,000 gtt/hr
3,000 gtt/hr ÷ 60 min = 50 gtt/min (Correcting error).
3. A nurse is administering a medication at a dose of 5 mg/kg. If
the patient weighs 70 kg, how many milligrams should the
nurse administer?
A) 250 mg
B) 350 mg
C) 400 mg
D) 500 mg
Answer: B) 350 mg
Rationale: Multiply the patient’s weight by the dose per
kilogram:
5 mg × 70 kg = 350 mg.
4. A nurse is caring for a postpartum patient. The patient is
experiencing heavy lochia and the nurse notes that the fundus
is boggy. What is the priority action for the nurse to take?
,3|Page
A) Apply an ice pack to the perineum
B) Massage the fundus
C) Encourage the patient to breastfeed
D) Administer oxytocin
Answer: B) Massage the fundus
Rationale: A boggy fundus indicates uterine atony, which is a
common cause of postpartum hemorrhage. The first
intervention is to massage the fundus to stimulate uterine
contraction and control bleeding.
5. A nurse is caring for a laboring patient. The fetal heart rate
(FHR) is assessed at 120 beats per minute with periodic
accelerations. Which of the following is the nurse’s
interpretation of this finding?
A) The fetus is in distress
B) The fetus is experiencing normal variability
C) The fetus is in good condition
D) The fetus is experiencing decelerations
Answer: C) The fetus is in good condition
Rationale: A fetal heart rate of 120 bpm with periodic
accelerations indicates a healthy fetus with normal heart rate
variability. This is a reassuring sign of fetal well-being.
6. A nurse is assessing a newborn and notes a heart rate of 130
beats per minute, a respiratory rate of 40 breaths per minute,
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and a temperature of 36.8°C (98.2°F). Which of the following
findings is most important for the nurse to report?
A) Respiratory rate of 40
B) Heart rate of 130 bpm
C) Temperature of 36.8°C
D) The infant's inability to suck effectively
Answer: D) The infant's inability to suck effectively
Rationale: Inability to suck effectively may indicate a problem
with feeding, which is essential for a newborn's nutrition and
hydration. This should be reported to the healthcare provider.
7. A nurse is caring for a postpartum patient. The nurse notes
that the patient’s blood pressure is 160/100 mm Hg, and the
patient has a headache and visual disturbances. Which of the
following should the nurse suspect?
A) Postpartum hemorrhage
B) Preeclampsia
C) Uterine rupture
D) Pulmonary embolism
Answer: B) Preeclampsia
Rationale: Elevated blood pressure, headache, and visual
disturbances are hallmark signs of preeclampsia, which can
develop postpartum, especially in patients with a history of
hypertension during pregnancy.
