ATI Fundamentals of Nursing Final Exam
2025 With Actual Questions and Well
Elaborated Answers Top Rated Version New
and Revised
signs and symptoms of hypoglycemia - CORRECT ANSWER >>>reduced cognition,
tremors, diaphoresis, weakness, hunger, headache, irritability, seizure, clammy skin,
blurred/double vision, shallowed respirations
Signs and symptoms of hyperglycemia - CORRECT ANSWER >>>polyuria, polydipsia,
polyphagia, nausea/vomiting, abdominal pain, constipation, drowsiness, headaches,
flushed/dry skin, fruity breath odor, weak rapid pulse, urine positive for glucose and acetone,
blood glucose above 200
A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive. Which of the
following actions should the nurse take?
A) administer penicillin G 2.4 million units IM to client
B) instruct the client to schedule an annual pelvic examination
C) tell the client she will start medication for HIV immediately after delivery
D) report the clients condition to the local Heath department - CORRECT ANSWER >>>D)
report the clients condition to the local health department
HIV is one of the conditions on the nationally notifiable infections conditions that is required to
be reported
When does treatment begin for pregnant women with HIV? And what type of treatment is
used? - CORRECT ANSWER >>>Treatment for HIV will be during the prenatal and
perinatal periods. Treatment with anti-retroviral prophylaxis such as Zidovudine, triple drug
1|Page
,antiretroviral therapy (ART), or highly active antiretroviral therapy (HAART) during pregnancy
have been reported to decrease transmission of HIV to the newborn.
What medication would be given IM for a client who has syphillis and is pregnant? -
CORRECT ANSWER >>>Penicillin G
Major adverse affect of combined oral contraceptives? - CORRECT ANSWER
>>>Depression.
Other common adverse affects of the medication include amenorrhea, weight gain, headache,
nausea, breakthrough bleeding, and breast tenderness.
A nurse is providing teaching to a client who is at 40 weeks of gestation and has a new
prescription for misoprostol. Which of the following instructions should the nurse include in the
teaching?
A) "I can administer oxytocin 4 hours after the insertion of the medication"
B) "you will need a full bladder prior to insertion of the medication
C) "remain in a side lying position for 15 minutes after the medication is inserted"
D) "an antacid will be given 20 minutes prior to the insertion of the medication - CORRECT
ANSWER >>>A) "I can administer oxytocin 4 hours after the insertion of the medication"
The nurse can administer oxytocin no sooner than four hours after the last dose of misoprostol.
Oxytocin can be administered following misoprostol for clients who have cervical ripening and
have not begun labor.
How long should a patient stay in a side lying position after insertion of misoprostol? -
CORRECT ANSWER >>>30-40 minutes after insertion
What medications (class) should you avoid giving with misoprostol? - CORRECT ANSWER
2|Page
,>>>Avoid administering aluminum hydroxide and magnesium containing antacids with
misoprostol
A nurse is caring for A prenatal client who has parvovirus B19 (fifth disease). Which of the
following actions should the nurse take?
A) administer antiviral medication
B) schedule and ultrasound examination
C) administer haemophilus influenzae type b vaccine
D) schedule an indirect Coombs test - CORRECT ANSWER >>>B) schedule and ultrasound
examination
The nurse should schedule serial ultrasound examinations to monitor the fetus during the
pregnancy to detect a possible development of fetal hydrops. Also the virus can cause
miscarriage, intrauterine growth restriction, fetal anemia, or stillbirth.
What is a indirect Coombs test used for? - CORRECT ANSWER >>>This test determines
whether the client has antibodies to the Rh antigen. The titer determines the prenatal clients
sensitization and if there is RH incompatibility.
What is another name for parvovirus B19, and what does it affect? Is it transmissible from a
pregnant woman to her baby? - CORRECT ANSWER >>>This virus spreads through
respiratory secretions such as saliva, sputum, or nasal mucus when an infected person coughs
or sneezes. Another name for this virus is fifths disease. The virus can also spread through blood
or blood products therefore a pregnant woman who is infected with the virus can pass the virus
to her baby. There are currently no vaccinations to protect against fifth disease.
A nurse is caring for a client who is at 24 weeks of gestation and has a suspected placental
abruption. Which of the following laboratory tests should the nurse expect a provider to
prescribe?
3|Page
, A) kleihaur-Betke test
B) progesterone serum level
C) lecithin/sphingomyelin (L/S) ratio
D) maternal alpha-fetoprotein (AFP) - CORRECT ANSWER >>>A) Kleihaur-Betke test
The nurse should expect the provider to prescribe a kleihauer-betke test for a client who has
suspected placental abruption to determine if fetal blood is in maternal circulation. This test is
useful to determine if RHo- (D) immune globulin therapy should be administered to a client who
is rh-negative.
What is the Kleihauer-Betke test? - CORRECT ANSWER >>>Blood test used to detect the
amount of fetal blood (hemoglobin) transferred from a fetus to a mothers bloodstream
A nurse is admitting a client who is in labor. The client admits to recent cocaine use. So which of
the following complication should the nurse assess?
A) abruptio placenta
B) placenta previa
C) preeclampsia
D) maternal bradycardia - CORRECT ANSWER >>>A) abruptio placenta
Cocaine use increases the risk for vasoconstriction and possible abruptio placenta
A nurse is planning care for a client who had a single lumen nasogastric tube for gastric
decompression. Which of the following actions should the nurse include in the plan of care?
(Select all that apply)
A) set the suction machine at 120mmHg
4|Page
2025 With Actual Questions and Well
Elaborated Answers Top Rated Version New
and Revised
signs and symptoms of hypoglycemia - CORRECT ANSWER >>>reduced cognition,
tremors, diaphoresis, weakness, hunger, headache, irritability, seizure, clammy skin,
blurred/double vision, shallowed respirations
Signs and symptoms of hyperglycemia - CORRECT ANSWER >>>polyuria, polydipsia,
polyphagia, nausea/vomiting, abdominal pain, constipation, drowsiness, headaches,
flushed/dry skin, fruity breath odor, weak rapid pulse, urine positive for glucose and acetone,
blood glucose above 200
A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive. Which of the
following actions should the nurse take?
A) administer penicillin G 2.4 million units IM to client
B) instruct the client to schedule an annual pelvic examination
C) tell the client she will start medication for HIV immediately after delivery
D) report the clients condition to the local Heath department - CORRECT ANSWER >>>D)
report the clients condition to the local health department
HIV is one of the conditions on the nationally notifiable infections conditions that is required to
be reported
When does treatment begin for pregnant women with HIV? And what type of treatment is
used? - CORRECT ANSWER >>>Treatment for HIV will be during the prenatal and
perinatal periods. Treatment with anti-retroviral prophylaxis such as Zidovudine, triple drug
1|Page
,antiretroviral therapy (ART), or highly active antiretroviral therapy (HAART) during pregnancy
have been reported to decrease transmission of HIV to the newborn.
What medication would be given IM for a client who has syphillis and is pregnant? -
CORRECT ANSWER >>>Penicillin G
Major adverse affect of combined oral contraceptives? - CORRECT ANSWER
>>>Depression.
Other common adverse affects of the medication include amenorrhea, weight gain, headache,
nausea, breakthrough bleeding, and breast tenderness.
A nurse is providing teaching to a client who is at 40 weeks of gestation and has a new
prescription for misoprostol. Which of the following instructions should the nurse include in the
teaching?
A) "I can administer oxytocin 4 hours after the insertion of the medication"
B) "you will need a full bladder prior to insertion of the medication
C) "remain in a side lying position for 15 minutes after the medication is inserted"
D) "an antacid will be given 20 minutes prior to the insertion of the medication - CORRECT
ANSWER >>>A) "I can administer oxytocin 4 hours after the insertion of the medication"
The nurse can administer oxytocin no sooner than four hours after the last dose of misoprostol.
Oxytocin can be administered following misoprostol for clients who have cervical ripening and
have not begun labor.
How long should a patient stay in a side lying position after insertion of misoprostol? -
CORRECT ANSWER >>>30-40 minutes after insertion
What medications (class) should you avoid giving with misoprostol? - CORRECT ANSWER
2|Page
,>>>Avoid administering aluminum hydroxide and magnesium containing antacids with
misoprostol
A nurse is caring for A prenatal client who has parvovirus B19 (fifth disease). Which of the
following actions should the nurse take?
A) administer antiviral medication
B) schedule and ultrasound examination
C) administer haemophilus influenzae type b vaccine
D) schedule an indirect Coombs test - CORRECT ANSWER >>>B) schedule and ultrasound
examination
The nurse should schedule serial ultrasound examinations to monitor the fetus during the
pregnancy to detect a possible development of fetal hydrops. Also the virus can cause
miscarriage, intrauterine growth restriction, fetal anemia, or stillbirth.
What is a indirect Coombs test used for? - CORRECT ANSWER >>>This test determines
whether the client has antibodies to the Rh antigen. The titer determines the prenatal clients
sensitization and if there is RH incompatibility.
What is another name for parvovirus B19, and what does it affect? Is it transmissible from a
pregnant woman to her baby? - CORRECT ANSWER >>>This virus spreads through
respiratory secretions such as saliva, sputum, or nasal mucus when an infected person coughs
or sneezes. Another name for this virus is fifths disease. The virus can also spread through blood
or blood products therefore a pregnant woman who is infected with the virus can pass the virus
to her baby. There are currently no vaccinations to protect against fifth disease.
A nurse is caring for a client who is at 24 weeks of gestation and has a suspected placental
abruption. Which of the following laboratory tests should the nurse expect a provider to
prescribe?
3|Page
, A) kleihaur-Betke test
B) progesterone serum level
C) lecithin/sphingomyelin (L/S) ratio
D) maternal alpha-fetoprotein (AFP) - CORRECT ANSWER >>>A) Kleihaur-Betke test
The nurse should expect the provider to prescribe a kleihauer-betke test for a client who has
suspected placental abruption to determine if fetal blood is in maternal circulation. This test is
useful to determine if RHo- (D) immune globulin therapy should be administered to a client who
is rh-negative.
What is the Kleihauer-Betke test? - CORRECT ANSWER >>>Blood test used to detect the
amount of fetal blood (hemoglobin) transferred from a fetus to a mothers bloodstream
A nurse is admitting a client who is in labor. The client admits to recent cocaine use. So which of
the following complication should the nurse assess?
A) abruptio placenta
B) placenta previa
C) preeclampsia
D) maternal bradycardia - CORRECT ANSWER >>>A) abruptio placenta
Cocaine use increases the risk for vasoconstriction and possible abruptio placenta
A nurse is planning care for a client who had a single lumen nasogastric tube for gastric
decompression. Which of the following actions should the nurse include in the plan of care?
(Select all that apply)
A) set the suction machine at 120mmHg
4|Page
