ATI practice test A
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?
"I can administer oxytocin 4 hours after the insertion of the medication"
a nurse is teaching a client who is at 10 weeks of gestation about nutrition during pregnancy. which of the following statements by the client indicates an understanding of the teaching?
"I should take 600 micrograms of folic acid each day"
a nurse is teaching a newly licensed nurse about collecting a specimen for the universal newborn screening. which of the following statements should the nurse include in the teaching?
"ensure that the newborn has been receiving feedings for 24 hours prior to obtaining the specimen."
a nurse is demonstrating to a client how to bathe their newborn. in which order should the nurse perform the following actions?
- wipe the newborn's eyes from the inner canthus outward - wash the newborn's neck by lifting the newborn's chin - cleanse the skin around the newborn's umbilical cord stump - wash the newborn's legs and feet - clean the newborn's diaper area
a nurse in a prenatal clinic is assessing a group of clients. which of the following clients should the nurse see first?
a client who is at 11 weeks of gestation and reports abdominal cramping
a nurse is assessing four newborns. which of the following findings should the nurse report to the provider?
a newborn who is 18 hours old and has an axillary temperature of 37.7 degrees C (99.9 F)
a nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress test. the nurse should plan to prepare the client for which of the following diagnostic tests?
biophysical profile
a nurse is assessing a client who has severe preeclampsia. which of the following manifestations should the nurse expect?
blurred vision
a nurse is providing teaching for a client who has a new prescription for combined oral contraceptives. which of the following findings should the nurse include as an adverse effect of this medication?
depression
a nurse is caring for a client who is to receive oxytocin to augment her labor. which of the following findings contraindicates the initiation of the oxytocin infusion and should be reported to the provider?
late decelerations
a nurse is caring for a postpartum client who is receiving heparin via a continuous IV infusion for thrombophlebitis in her left calf. which of the following actions should the nurse take?
maintain the client on bed rest
a nurse is caring for a client who has uterine atony and is experiencing postpartum hemorrhage. which of the following actions is the nurse's priority?
massage the client's fundus
a nurse is assessing a newborn who was born at 26 weeks of gestation using the new ballard score. which of the following findings should the nurse expect?
minimal arm recoil
a charge nurse on a labor and delivery unit is teaching a newly licensed nurse how to perform Leopold maneuvers. which of the following images indicates the first step of Leopold maneuvers?
palpate top of abdomen with palms to determine which fetal part is in the uterine fundus; also determines the lie & presentation
a nurse is creating a plan of care for a client who is postpartum and adheres to traditional hispanic cultural beliefs. which of the following cultural practices should the nurse include in the plan of care?
protect the client's head and feet from cold air
a nurse is assessing a late preterm newborn. which of the following manifestations is an indication of hypoglycemia?
respiratory distress
a nurse is caring for a client who is at 30 weeks of gestation and has a prescription for magnesium sulfate IV to treat preterm labor. the nurse should notify the provider of which of the following adverse effects?
respiratory rate 10/min
a nurse is assessing a client who is 1 day postpartum and has a vaginal hematoma. which of the following manifestations should the nurse expect?
vaginal pressure
