ATI MATERNAL NEWBORN PROCTORED EXAM A & B 2019 GUIDE UPDATED FOR 2024/2025 A nurse is caring for a client who is at 33 weeks of gestation following an
... [Show More] amniocentesis. The nurse should monitor the client for which of the following complications?
a. Vomiting
b. Hypertension
c. Epigastric pain d. Contractions
2. A nurse is providing teaching to an older adult client about methods to promote nighttime sleep. Which of the following instructions should the nurse include?
a. Stay in bed at least 1 hr if unable to fall asleep
b. Take a 1 hr nap during the day
c. Perform exercises prior to bedtime d. Eat a light snack before bedtime
3. A nurse is admitting a client who 1 week postpartum and reports excessive vaginal bleeding. The nurse does not speak the same language as the client. The client’s partner and 10-year- old child are accompanying her. Which of the following actions should the nurse take to gather the client’s admission data?
a. Have the client’s child translate
b. Allow the client’s partner to translate c. Request a female interpreter through the facility
d. Ask a nursing student who speaks the same language as the client to translate
4. A nurse is caring for a client who is febrile (High fever). To reduce the client’s fever, the nurse applies a cooling blanket. Which of the following findings indicates the client is having an adverse reaction to the cooling?
a. Flushing
b. Tachycardia
c. Restlessness d. Shivering (Hypothermic)
5. A nurse is caring for a client who has deep-vein-thrombosis of the left lower extremity. Which of the following actions should the nurse take? (Exhibit)
a. Position the client with the affected extremity lower than the heart b. Withhold heparin IV infusion PTT- 30-40 seconds; x2 if on heparin
c. Administer acetaminophen
d. Massage the affected extremity every 4 hr
6. A nurse is reviewing assessment data from several clients. For which of the following clients should the nurse recommend referral to a dietitian?
a. An older adult client who has a BMI of 24 (18.5-24.9) b. A client who has a nonhealing leg ulcer (diet isn’t good)
c. An older adult client who has presbyopia (age related far-sightness)
d. A client who has an albumin level of 3.7 g/dL (normal 3.4-5.4)
7. A nurse is providing discharge teaching to a client who has a chronic kidney disease and is receiving hemodialysis. Which of the following instructions should the nurse include in the teaching? a. Eat 1 g/kg of protein per day
b. Take magnesium hydroxide for indigestion
c. Drink at least 3 L of fluid daily-
d. Consume foods high in potassium- restrict
8. A nurse is caring for a client who is receiving intermittent enteral tube feedings. Which of the following places the client at risk for aspiration?
a. Sitting in a high-Fowler’s position during the feeding b. A history of gastroesophageal reflux disease
c. Receiving a high osmolarity formula
d. A residual of 65 mL 1 hr postprandial?
9. A nurse is caring for a client who is on bed rest. The nurse should recognize that which of the following findings is a complication of immobility?
a. Decreased serum calcium levels- increased serum calcium
b. Increased blood pressure- hypotension c. Swollen area on calf
d. Urinary frequency-
10. A nurse is providing teaching to a client who has a depressive disorder and a new prescription for phenelzine. Which of the following foods should the nurse instruct the client to avoid?
a. Grapefruit
b. Spinach
c. Cottage cheese- cream cheese ok. d. Smoked salmon TYRAMINE!
11. A nurse is planning care for a client who has bipolar disorder and is experiencing mania. Which of the following interventions should the nurse include in the plan?
a. Encourage the client to spend time in the day room
b. Withdraw the client’s TV privileges if he does not attend group therapy c. Encourage the client to take frequent rest periods
d. Place the client in seclusion when he exhibits signs of anxiety
12. A nurse is caring for a client who is at 11 weeks of gestation. Which of the following immunizations should the nurse ? a. Influenza
b. Measles, mumps and rubella
c. Human papilloma virus
d. Varicella
13. A nurse is providing teaching to a client who is at 14 weeks of gestation about findings to report to the provider. Which of the following findings should the nurse include in the teaching?
a. Bleeding gums- low platelet
b. Faintness upon rising c. Swelling of the face
d. Urinary frequency
14. A nurse has received change-of-shift report for a group of clients. Which of the following actions should the nurse take to manage time effectively?
a. Document client care at the end of the shift b. Make the client to-do list for the day
c. Skip breaks until the client tasks are completed
d. Focus on several client tasks at a time
15. A nurse is assessing the fontanels of an 8-month-old infant. Which of the following findings should the nurse recognize as an expected finding? a. The [Show Less]