Page 1 of 59
“ATI NURSING “ LATEST 2025 EXAM UPDATED
2025 – 2026 SOLVED QUESTIONS & ANSWERS
VERIFIED 100% GRADED A+ (LATEST VERSION)
A pregnant client has been told by the nurse practitioner that she is in false
labor. which is indicative of false labor?
a. rhythmic uterine contractions that grow stronger
b. increased duration of each contractions
c. irregular pattern of uterine contractions
d. lower-back pain that moves gradually around to the abdomen
C
Rationale: characteristics of false labor include contractions felt low in the abdomen;
irregular contractions, the inseity of which does not grow with time, no cervical
changes, and no bloody show. rhythmic uterine contractions that grow stronger and
increase in duration and lower-back pain that moves gradually around o the
abdomen are characteristics of true labor.
A nurse is assessing a client in the postpartum period. Which is normal a
normal assessment in the postpartum period?
a. involution of the uterus
b. pain behind the knee on flexion of the feet
c. voiding of small amounts of urine
d. redness, pain, and swelling along a vein
A
Rationale: Involution is a normal process in which the client's reproductive organs
begin to return to their normal pre-pregnant size. pain behind the knee on flexion of
the feet indicates a positive Homans sign and suggests thrombophlebitis. redness,
pain, and swelling along the path of a vein may indicate superficial thrombophlebitis.
bruising and swelling of the urethra and general los of muscle tone could cause
voiding of small amounts of urine
a nurse is assessing a client to whom oxytocin is being given for labor
augmentation. In which situation should the nurse immediately report the
observation of contractions?
a. if the contractions are rhythmic and becoming stronger
b. if the contractions come more often than every 2 minutes
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c. if the uterine contractions are causing pain
d. if each contraction ilasts less than 90 sec
B
Rationale: the nurse reports immediately if contractions come more often than every
2 minutes or if each contraction lasts 90 seconds or longer. in these cases, there is
not enough relaxation time for the fetus to be well oxygenated. this is event is rare
during normal labor but must be carefully watched for when oxytocin is used for labor
augmentation or induction. Rhythmic contractions becoming stronger or contractions
causing pain are normal and not cause of concern. contractions lasting less than 90
sec are normal.
Which characteristic of amniotic fluid is abnormal?
a. clear and colorless
b. slightly salty odor
c. yellow, green, or cloudy
d. pH of 7.0 to 7.5
C
Rationale: yellow or green fluid may indicate that the fetus has passed meconium, or
stool, while still in utero and is therefore abnormal. Normal amniotic fluid is clear and
colorless and has a slightly salty odor with a oH of 7.0-7.5 (neutral to slightly
alkaline)
a client who is breastfeeding her baby complains of painful and swollen
breasts. Which measure helps to relieve the nursing mother's breast
engorgement?
a. using medications (usually acetaminophen) as prescribed
b. placing cold packs on her breasts three to four times a day
c. avoiding manual expression or pumping of the breasts
d. wearing a supportive bra and breastfeeding frequently
D
Rationale: Wearing a supportive bra, frequent breastfeeding, and applying warm
packs to the breast for 15 minutes before nursing or standing in the shower with
warm water spraying on the breast for 15 minutes before nursing are measures that
help to relieve the nursing mother's engorge-ment. Using medications, placing cold
packs on her breasts, and avoiding manual expression or pumping are measures
that can help to relieve breast engorgement in the non-nursing mother, not the
nursing mother.
a nurse is assessing the progress of labor of a client. which station indicates
that the fetus is "floating"?
a. station + 5
b. station 0
c. station -5
d. station -1
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C
Rationale: A station of 25 is considered "floating." The station at which the fetus is
fully engaged is called station 0; that is, the widest part of the presenting part of the
fetus has lodged in the pel-vic inlet, and the lowest part of the fetal skull is at the
level of the mother's ischial spines. A station of 1 5 means that the fetal head is at
the vaginal opening. Station 21 is 1 cm above the ischial spines.
a nurse is assessing the lochia of a postpartum client. which of the following
are abnormal characteristics of lochia? select all that apply.
a. large clots are present in lochia
b. clear serous discharge occurs for the first 2 days
c. lochia does not change color or characteristics
d. lochia has a fleshy or metallic odor
e. lochia serosa has a slightly earthy odor
A
B
C
Rationale: Large clots, clear serous discharge that occurs for the first 2 days and
lochia that does not change color or characteristics are all abnormal findings of
lochia. For the first 2 days, lochia is mostly red and bloody, not clear and serous.
Lochia should have a fleshy or metallic but never a foul odor. Lochia serosa has a
slightly earthy odor, and lochia alba also has an earthy smell.
given below are the steps for application of an external monitor, in random
order. Arrange the steps in the correct order.
a. attach straps to the Doppler instrument and secure. Place tocodynamometer
on the abdomen between umbilicus and top of fundus
b. review fetal heart rate and uterine assessment data with client and family.
use thorough description of data.
c. apply conductive jelly to Doppler instrument and place on client's abdomen
until a strong fetal heart rate is heard and a consistent signal is obtained
d. elevate head of bed 15 to 30 degrees, or place the client in lateral position.
perform Leopold's maneuvers and place two straps under the client.
Correct order: D, C, A, B
Rationale: Elevate the head of bed about 15 to 30 degrees, or place the client in
lateral position, because elevation and uterine displacement decrease compression
of the aorta and vena cava. Perform Leopold maneuvers and place two straps under
the client. This locates fetal position and best placement of the Doppler instrument.
Apply conductive jelly to the Doppler. This helps to locate the area of maximum fetal
heart rate Place the Doppler on the client's abdomen until a strong FHR is heard and
a consistent signal is obtained. Attach straps to the Doppler and secure. Place the
tocodynamometer on the abdomen between the umbilicus and top of fundus,
because this is the contractile portion of the uterus. Care must be taken to avoid
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placing the tocodynamometer too high on the fundus; otherwise, respirations will be
recorded on the monitor. Review FHR and uterine assessment data with client and
family. Use thorough descriptions of data. This review promotes understanding of
what the client and her family will be observing on the monitor.
when inspecting a newborn, the nurse notices a flat, purple-red area with
sharp boarders on the infant's skin. which condition does this indicate?
a. Epstein pearls
b. Milia spots
c. Stork bite
d. Port-wine stain
D
Rationale: A port-wine stain is a flat, purple-red area with sharp borders. This is a
permanent birth-mark. Epstein pearls are white- or grayish-colored bumps that are
sometimes found on the hard and soft palate of the mouth. Milia spots are pinhead-
sized white spots that appear on the nose and cheeks and are caused by unopened
oil and sweat glands. Stork bites are marks that often appear on the newborn's
eyelids or forehead.
a nurse is assigned to manage and care for a newborn immediately after
delivery. Which should be the immediate action of the nurse?
a. establish and maintain airway and respiration
b. assist and guide the mother in nursing the baby
c. give a warm water tub bath to the infant
d. record the weight of the newborn infant
A
Rationale: The most important goal for immediate care of the newborn is to establish
and maintain the airway and respiration. Assisting the mother to nurse the child and
assessing the weight of the child are mandatory; however, these steps can be
performed after the physical condition of the child is stabilized. A warm tub bath can
be given only after the cord falls off, which is usually 10 to 14 days after birth.
a nurse is assessing a newborn baby. which characteristic indicates an
abnormality in the newborn?
a. baby weighs 2,700 g
b. baby's length in 50 cm
c. head circumference is 35cm
d. chest circumference is 32cm
D
Rationale: The chest circumference of a normal newborn ranges from 25.5 to 30.5
cm. Thus, 32 cm is an abnormality. The normal newborn weighs 2,500 to 4,250 g.
Normal newborn length ranges from 18 to 22 in (46 to 56 cm). The head usually has
a circumference of 33 to 35.5 cm.
“ATI NURSING “ LATEST 2025 EXAM UPDATED
2025 – 2026 SOLVED QUESTIONS & ANSWERS
VERIFIED 100% GRADED A+ (LATEST VERSION)
A pregnant client has been told by the nurse practitioner that she is in false
labor. which is indicative of false labor?
a. rhythmic uterine contractions that grow stronger
b. increased duration of each contractions
c. irregular pattern of uterine contractions
d. lower-back pain that moves gradually around to the abdomen
C
Rationale: characteristics of false labor include contractions felt low in the abdomen;
irregular contractions, the inseity of which does not grow with time, no cervical
changes, and no bloody show. rhythmic uterine contractions that grow stronger and
increase in duration and lower-back pain that moves gradually around o the
abdomen are characteristics of true labor.
A nurse is assessing a client in the postpartum period. Which is normal a
normal assessment in the postpartum period?
a. involution of the uterus
b. pain behind the knee on flexion of the feet
c. voiding of small amounts of urine
d. redness, pain, and swelling along a vein
A
Rationale: Involution is a normal process in which the client's reproductive organs
begin to return to their normal pre-pregnant size. pain behind the knee on flexion of
the feet indicates a positive Homans sign and suggests thrombophlebitis. redness,
pain, and swelling along the path of a vein may indicate superficial thrombophlebitis.
bruising and swelling of the urethra and general los of muscle tone could cause
voiding of small amounts of urine
a nurse is assessing a client to whom oxytocin is being given for labor
augmentation. In which situation should the nurse immediately report the
observation of contractions?
a. if the contractions are rhythmic and becoming stronger
b. if the contractions come more often than every 2 minutes
, Page 2 of 59
c. if the uterine contractions are causing pain
d. if each contraction ilasts less than 90 sec
B
Rationale: the nurse reports immediately if contractions come more often than every
2 minutes or if each contraction lasts 90 seconds or longer. in these cases, there is
not enough relaxation time for the fetus to be well oxygenated. this is event is rare
during normal labor but must be carefully watched for when oxytocin is used for labor
augmentation or induction. Rhythmic contractions becoming stronger or contractions
causing pain are normal and not cause of concern. contractions lasting less than 90
sec are normal.
Which characteristic of amniotic fluid is abnormal?
a. clear and colorless
b. slightly salty odor
c. yellow, green, or cloudy
d. pH of 7.0 to 7.5
C
Rationale: yellow or green fluid may indicate that the fetus has passed meconium, or
stool, while still in utero and is therefore abnormal. Normal amniotic fluid is clear and
colorless and has a slightly salty odor with a oH of 7.0-7.5 (neutral to slightly
alkaline)
a client who is breastfeeding her baby complains of painful and swollen
breasts. Which measure helps to relieve the nursing mother's breast
engorgement?
a. using medications (usually acetaminophen) as prescribed
b. placing cold packs on her breasts three to four times a day
c. avoiding manual expression or pumping of the breasts
d. wearing a supportive bra and breastfeeding frequently
D
Rationale: Wearing a supportive bra, frequent breastfeeding, and applying warm
packs to the breast for 15 minutes before nursing or standing in the shower with
warm water spraying on the breast for 15 minutes before nursing are measures that
help to relieve the nursing mother's engorge-ment. Using medications, placing cold
packs on her breasts, and avoiding manual expression or pumping are measures
that can help to relieve breast engorgement in the non-nursing mother, not the
nursing mother.
a nurse is assessing the progress of labor of a client. which station indicates
that the fetus is "floating"?
a. station + 5
b. station 0
c. station -5
d. station -1
, Page 3 of 59
C
Rationale: A station of 25 is considered "floating." The station at which the fetus is
fully engaged is called station 0; that is, the widest part of the presenting part of the
fetus has lodged in the pel-vic inlet, and the lowest part of the fetal skull is at the
level of the mother's ischial spines. A station of 1 5 means that the fetal head is at
the vaginal opening. Station 21 is 1 cm above the ischial spines.
a nurse is assessing the lochia of a postpartum client. which of the following
are abnormal characteristics of lochia? select all that apply.
a. large clots are present in lochia
b. clear serous discharge occurs for the first 2 days
c. lochia does not change color or characteristics
d. lochia has a fleshy or metallic odor
e. lochia serosa has a slightly earthy odor
A
B
C
Rationale: Large clots, clear serous discharge that occurs for the first 2 days and
lochia that does not change color or characteristics are all abnormal findings of
lochia. For the first 2 days, lochia is mostly red and bloody, not clear and serous.
Lochia should have a fleshy or metallic but never a foul odor. Lochia serosa has a
slightly earthy odor, and lochia alba also has an earthy smell.
given below are the steps for application of an external monitor, in random
order. Arrange the steps in the correct order.
a. attach straps to the Doppler instrument and secure. Place tocodynamometer
on the abdomen between umbilicus and top of fundus
b. review fetal heart rate and uterine assessment data with client and family.
use thorough description of data.
c. apply conductive jelly to Doppler instrument and place on client's abdomen
until a strong fetal heart rate is heard and a consistent signal is obtained
d. elevate head of bed 15 to 30 degrees, or place the client in lateral position.
perform Leopold's maneuvers and place two straps under the client.
Correct order: D, C, A, B
Rationale: Elevate the head of bed about 15 to 30 degrees, or place the client in
lateral position, because elevation and uterine displacement decrease compression
of the aorta and vena cava. Perform Leopold maneuvers and place two straps under
the client. This locates fetal position and best placement of the Doppler instrument.
Apply conductive jelly to the Doppler. This helps to locate the area of maximum fetal
heart rate Place the Doppler on the client's abdomen until a strong FHR is heard and
a consistent signal is obtained. Attach straps to the Doppler and secure. Place the
tocodynamometer on the abdomen between the umbilicus and top of fundus,
because this is the contractile portion of the uterus. Care must be taken to avoid
, Page 4 of 59
placing the tocodynamometer too high on the fundus; otherwise, respirations will be
recorded on the monitor. Review FHR and uterine assessment data with client and
family. Use thorough descriptions of data. This review promotes understanding of
what the client and her family will be observing on the monitor.
when inspecting a newborn, the nurse notices a flat, purple-red area with
sharp boarders on the infant's skin. which condition does this indicate?
a. Epstein pearls
b. Milia spots
c. Stork bite
d. Port-wine stain
D
Rationale: A port-wine stain is a flat, purple-red area with sharp borders. This is a
permanent birth-mark. Epstein pearls are white- or grayish-colored bumps that are
sometimes found on the hard and soft palate of the mouth. Milia spots are pinhead-
sized white spots that appear on the nose and cheeks and are caused by unopened
oil and sweat glands. Stork bites are marks that often appear on the newborn's
eyelids or forehead.
a nurse is assigned to manage and care for a newborn immediately after
delivery. Which should be the immediate action of the nurse?
a. establish and maintain airway and respiration
b. assist and guide the mother in nursing the baby
c. give a warm water tub bath to the infant
d. record the weight of the newborn infant
A
Rationale: The most important goal for immediate care of the newborn is to establish
and maintain the airway and respiration. Assisting the mother to nurse the child and
assessing the weight of the child are mandatory; however, these steps can be
performed after the physical condition of the child is stabilized. A warm tub bath can
be given only after the cord falls off, which is usually 10 to 14 days after birth.
a nurse is assessing a newborn baby. which characteristic indicates an
abnormality in the newborn?
a. baby weighs 2,700 g
b. baby's length in 50 cm
c. head circumference is 35cm
d. chest circumference is 32cm
D
Rationale: The chest circumference of a normal newborn ranges from 25.5 to 30.5
cm. Thus, 32 cm is an abnormality. The normal newborn weighs 2,500 to 4,250 g.
Normal newborn length ranges from 18 to 22 in (46 to 56 cm). The head usually has
a circumference of 33 to 35.5 cm.
