RN ATI MATERNAL EXAM PREP 2026 STUDY
SHEET WITH FULL SOLUTIONS
▶ The nurse prepares to teach a patient recovering from a myocardial
infarction (MI) about combination durg therapy based on "best practice" for
controlling hypertension. Which drugs does the nurse include in the
teaching plan? SELECT ALL THAT APPLY!!!
A) NSAID's
B) Aspirin
C) Aldosterone antagonists
D) ACE Inhibitors or ARB's
E) Central alpha Agonists
F) Beta Blockers
G) Diuretics. Answer: B,C,D,F,G
▶ The nurse is caring for a client who is disoriented as the result of a
stroke. Which action does the nurse implement to help orient this client?
A) Turn on the television to a 24-hour news station.
B) Provide auditory and visual stimulation simultaneously.
C) Ask the family to bring in pictures familiar to the client.
D) Maintain a calm and quite environment by minimizing visitors.. Answer:
C
For the client with disorientation, the nurse can request that the family bring
in pictures or objects that are familiar to the client. The nurse explains what
the object or picture represents in simple terms. These stimuli can be
presented several times daily. Visitors can also be familiar stimuli to
reorient the client. Too much stimuli and constant stimuli can lead to further
confusion.
▶ The nurse is caring for an anorexic client who is severely malnourished.
A nasogastric feeding tube is inserted, and tube feedings are started.
Which laboratory finding is the best indication that the client's nutritional
status is improving?
A) Creatinine has dropped from 1.9 to 0.5 mg/dL.
,B) Blood urea nitrogen (BUN) level has dropped from 15 to 11 mg/dL.
C) Prealbumin level has risen from 9 to 13 mg/dL.
D) Sodium has risen from 130 to 144 mg/dL.. Answer: C
The prealbumin level is a good measure of nutritional status because its
half-life is only 2 days, so it reflects current nutritional status. The client's
prealbumin level is rising and almost normal, indicating that the client's
nutritional status is improving. The other laboratory values are more
reflective of fluid balance and kidney function.
▶ When conducting a health history assessment, the nurse would want to
know what important information about the patient's elimination status?
(Select all that apply.)
A) Time of day patient defecates
B) Patient's preferences for toileting
C) List of medications taken by patient
D) Recent changes in elimination patterns
E) Changes in color, consistency, or odor of stool or urine
F) Discomfort or pain with elimination. Answer: C,D,E,F
Recent changes in elimination patterns, color, consistency, or odor are
important for the nurse to know concerning elimination. Discomfort or pain
during elimination is important for the nurse to know. A nurse should also
know which medications the patient is on as this may affect elimination.
Time of day is not important, nor is the patient's preferences for toileting.
They are personal preferences and do not affect elimination.
▶ A confused client is hospitalized for possible pneumonia and is admitted
from the emergency department with an indwelling catheter in place.
During interdisciplinary rounds the following day, what question by the
nurse takes priority?
A) "Can we discontinue the in-dwelling catheter?"
B) "Will the client be able to return home?"
C) "Should we get another chest x-ray today?"
D) "Do you want daily weights on this client?". Answer: A
An in-dwelling catheter dramatically increases the risks of urinary tract
infection and urosepsis. Nursing staff should ensure that catheters are left
,in place only as long as they are medically needed. The nurse should
inquire about removing the catheter. All other questions might be
appropriate, but because of client safety, this question takes priority.
▶ The nurse is assessing a client who had a stroke in the right cerebral
hemisphere. Which neurologic deficit does the nurse assess for in this
client?
A) Agraphia
B) Aphasia
C) Impaired olfaction
D) Impaired proprioception. Answer: D
A stroke to the right cerebral hemisphere causes impaired visual and
spatial awareness. The client may present with impaired proprioception and
may be disoriented as to time and place. The right cerebral hemisphere
does not control speech, smell, or the client's ability to write.
▶ A client has newly diagnosed diabetes. To delay the onset of
microvascular and macrovascular complications in this client, the nurse
stresses that the client take which action?
A) Restrict fluid intake.
B) Prevent ketosis.
C) Control hyperglycemia.
D) Prevent hypoglycemia.. Answer: C
Hyperglycemia is a critical factor in the pathogenesis of long-term diabetic
complications. Maintaining tight glycemic control will help delay the onset of
complications. Preventing hypoglycemia and ketosis, although important, is
not as important as maintaining daily glycemic control. Restricting fluid
intake is not part of the treatment plan for clients with diabetes.
▶ Which interventions are necessary to provide safe, quality care to a
patient receiving enteral tube feedings? SELECT ALL THAT APPLY!!
A) check the residual volume every 4-6 hours
B) use clean technique when changing the feeding system
C) keep the head of the beg elevated at least 30 degrees
D) change the feeding bag & tubing every 12 hours
E) allow closed system containers to hang for 24 hours. Answer: A,B,C,E
, ▶ A client with a pressure ulcer has the following laboratory values: white
blood count 8000/mm3, prealbumin 15.2 mg/dL, albumin 4.2 mg/dL, and
lymphocyte count 2000/mm3. Which action by the nurse is most
appropriate?
A) Request a dietary consult.
B) Assess the client's vital signs.
C) Document the findings.
D) Place the client in isolation.. Answer: A
Albumin, prealbumin, and lymphocyte counts all give information related to
nutritional status. The albumin and lymphocyte counts given are normal.
The white blood cell count is not directly related to nutritional status. The
prealbumin count is low and is a more specific indicator of nutritional status
than is the albumin count. This puts the client at risk for impaired wound
healing, so the nurse should request a dietary consult.
▶ A nurse is explaining to a student nurse about perfusion. The nurse
knows the student understands the concept of perfusion when the student
states, "Perfusion
A) is a normal function of the body, and I don't have to be concerned about
it."
B) varies as a person ages, so I would expect changes in the body."
C) is monitored by the physician, and I just follow orders."
D) is monitored by vital signs and capillary refill.". Answer: D
The best method to monitor perfusion is to monitor vital signs and capillary
refill. This allows the nurse to know if perfusion is adequate to maintain vital
organs. The nurse does have to be concerned about perfusion. Perfusion is
not only monitored by the physician but the nurse too. Perfusion does not
always change as the person ages.
▶ The nurse is a assessing a client with hypertension. Which client
outcome is indicative of effective hypertension management?
A) No complaints of sexual dysfunction occur.
B) Pedal edema is not present in the lower legs.
C) No indication of renal impairment is present.
SHEET WITH FULL SOLUTIONS
▶ The nurse prepares to teach a patient recovering from a myocardial
infarction (MI) about combination durg therapy based on "best practice" for
controlling hypertension. Which drugs does the nurse include in the
teaching plan? SELECT ALL THAT APPLY!!!
A) NSAID's
B) Aspirin
C) Aldosterone antagonists
D) ACE Inhibitors or ARB's
E) Central alpha Agonists
F) Beta Blockers
G) Diuretics. Answer: B,C,D,F,G
▶ The nurse is caring for a client who is disoriented as the result of a
stroke. Which action does the nurse implement to help orient this client?
A) Turn on the television to a 24-hour news station.
B) Provide auditory and visual stimulation simultaneously.
C) Ask the family to bring in pictures familiar to the client.
D) Maintain a calm and quite environment by minimizing visitors.. Answer:
C
For the client with disorientation, the nurse can request that the family bring
in pictures or objects that are familiar to the client. The nurse explains what
the object or picture represents in simple terms. These stimuli can be
presented several times daily. Visitors can also be familiar stimuli to
reorient the client. Too much stimuli and constant stimuli can lead to further
confusion.
▶ The nurse is caring for an anorexic client who is severely malnourished.
A nasogastric feeding tube is inserted, and tube feedings are started.
Which laboratory finding is the best indication that the client's nutritional
status is improving?
A) Creatinine has dropped from 1.9 to 0.5 mg/dL.
,B) Blood urea nitrogen (BUN) level has dropped from 15 to 11 mg/dL.
C) Prealbumin level has risen from 9 to 13 mg/dL.
D) Sodium has risen from 130 to 144 mg/dL.. Answer: C
The prealbumin level is a good measure of nutritional status because its
half-life is only 2 days, so it reflects current nutritional status. The client's
prealbumin level is rising and almost normal, indicating that the client's
nutritional status is improving. The other laboratory values are more
reflective of fluid balance and kidney function.
▶ When conducting a health history assessment, the nurse would want to
know what important information about the patient's elimination status?
(Select all that apply.)
A) Time of day patient defecates
B) Patient's preferences for toileting
C) List of medications taken by patient
D) Recent changes in elimination patterns
E) Changes in color, consistency, or odor of stool or urine
F) Discomfort or pain with elimination. Answer: C,D,E,F
Recent changes in elimination patterns, color, consistency, or odor are
important for the nurse to know concerning elimination. Discomfort or pain
during elimination is important for the nurse to know. A nurse should also
know which medications the patient is on as this may affect elimination.
Time of day is not important, nor is the patient's preferences for toileting.
They are personal preferences and do not affect elimination.
▶ A confused client is hospitalized for possible pneumonia and is admitted
from the emergency department with an indwelling catheter in place.
During interdisciplinary rounds the following day, what question by the
nurse takes priority?
A) "Can we discontinue the in-dwelling catheter?"
B) "Will the client be able to return home?"
C) "Should we get another chest x-ray today?"
D) "Do you want daily weights on this client?". Answer: A
An in-dwelling catheter dramatically increases the risks of urinary tract
infection and urosepsis. Nursing staff should ensure that catheters are left
,in place only as long as they are medically needed. The nurse should
inquire about removing the catheter. All other questions might be
appropriate, but because of client safety, this question takes priority.
▶ The nurse is assessing a client who had a stroke in the right cerebral
hemisphere. Which neurologic deficit does the nurse assess for in this
client?
A) Agraphia
B) Aphasia
C) Impaired olfaction
D) Impaired proprioception. Answer: D
A stroke to the right cerebral hemisphere causes impaired visual and
spatial awareness. The client may present with impaired proprioception and
may be disoriented as to time and place. The right cerebral hemisphere
does not control speech, smell, or the client's ability to write.
▶ A client has newly diagnosed diabetes. To delay the onset of
microvascular and macrovascular complications in this client, the nurse
stresses that the client take which action?
A) Restrict fluid intake.
B) Prevent ketosis.
C) Control hyperglycemia.
D) Prevent hypoglycemia.. Answer: C
Hyperglycemia is a critical factor in the pathogenesis of long-term diabetic
complications. Maintaining tight glycemic control will help delay the onset of
complications. Preventing hypoglycemia and ketosis, although important, is
not as important as maintaining daily glycemic control. Restricting fluid
intake is not part of the treatment plan for clients with diabetes.
▶ Which interventions are necessary to provide safe, quality care to a
patient receiving enteral tube feedings? SELECT ALL THAT APPLY!!
A) check the residual volume every 4-6 hours
B) use clean technique when changing the feeding system
C) keep the head of the beg elevated at least 30 degrees
D) change the feeding bag & tubing every 12 hours
E) allow closed system containers to hang for 24 hours. Answer: A,B,C,E
, ▶ A client with a pressure ulcer has the following laboratory values: white
blood count 8000/mm3, prealbumin 15.2 mg/dL, albumin 4.2 mg/dL, and
lymphocyte count 2000/mm3. Which action by the nurse is most
appropriate?
A) Request a dietary consult.
B) Assess the client's vital signs.
C) Document the findings.
D) Place the client in isolation.. Answer: A
Albumin, prealbumin, and lymphocyte counts all give information related to
nutritional status. The albumin and lymphocyte counts given are normal.
The white blood cell count is not directly related to nutritional status. The
prealbumin count is low and is a more specific indicator of nutritional status
than is the albumin count. This puts the client at risk for impaired wound
healing, so the nurse should request a dietary consult.
▶ A nurse is explaining to a student nurse about perfusion. The nurse
knows the student understands the concept of perfusion when the student
states, "Perfusion
A) is a normal function of the body, and I don't have to be concerned about
it."
B) varies as a person ages, so I would expect changes in the body."
C) is monitored by the physician, and I just follow orders."
D) is monitored by vital signs and capillary refill.". Answer: D
The best method to monitor perfusion is to monitor vital signs and capillary
refill. This allows the nurse to know if perfusion is adequate to maintain vital
organs. The nurse does have to be concerned about perfusion. Perfusion is
not only monitored by the physician but the nurse too. Perfusion does not
always change as the person ages.
▶ The nurse is a assessing a client with hypertension. Which client
outcome is indicative of effective hypertension management?
A) No complaints of sexual dysfunction occur.
B) Pedal edema is not present in the lower legs.
C) No indication of renal impairment is present.
