A and B with NGN each Test Contains 60
Questions and Correct Answers with Rationales
ATI RN Maternal Newborn Online Practice 2019 A with NGN
The nurse is reviewing the adolescent's medical record. Which of the following
conditions is the client most likely developing?
Complete the following sentence by using the list of options.
History and Physical
Adolescent is sexually active with two current partners.
IUD in place
Reports not using condoms during sexual activity.
History of type 1 diabetes mellitus
Nurses' Notes
1300: Admitted adolescent reporting "cramping in my stomach." Reports pain as a
4 on 0 to 10 pain scale and describes pain as constant and dull. Reports nausea and
vomiting over past 24 hours.
Reports painful urination and pain during sexual intercourse with minimal vaginal
itching.
Tenderness with palpation to lower abdomen, guarding abdomen observed.
Greenish vaginal discharge observed.
Reports last menstrual period was 3 weeks ago as normal period lasted 4 day -
ANSWER-The adolescent is most likely developing
A. Pelvic inflammatory disease
pg. 1
,Pelvic inflammatory disease (PID) is an infection that involves the pelvic
reproductive organs. There are several causative agents that lead to infection,
including Neisseria gonorrhoeae and C. trachomatis. PID occurs as a result from
untreated infections ascending from the vagina.. Manifestations include fever,
increased C-reactive protein, nausea, and vomiting; therefore, the nurse should
suspect the adolescent is developing PID
As evidenced by
C. C-reactive protein
The adolescent's C-reactive protein is elevated, which is a manifestation of PID.
The nurse is reviewing laboratory results in the adolescent's medical record.
The nurse is planning care for the adolescent. Which of the following prescriptions
should the nurse expect the provider to prescribe?
Drag words from the choices below to fill in each blank in the following sentence.
History and Physical
Adolescent is sexually active with two current partners.
IUD in place
Reports not using condoms during sexual activity.
History of type 1 diabetes mellitus
Nurses' Notes
1300: Admitted adolescent reporting "cramping in my stomach." Reports pain as a
4 on 0 to 10 pain scale and describes pain as constant and dull. Reports nausea and
vomiting over past 24 hours.
pg. 2
,Reports painful urination and pain during sexual intercourse with minimal vaginal
itching.
Tenderness with palpation to lower abdomen, guarding abdomen observed.
Greenish vaginal discharge observed.
Reports last menstrual period was 3 weeks ago a - ANSWER-C. Ceftriaxone & E.
Doxycycline
Ceftriaxone is an anti-infective used to treat a variety of infections, including
gonorrheal infection. Ceftriaxone is administered as a one-time IM injection for the
treatment of gonorrhea. The adolescent is exhibiting manifestations of a gonorrheal
infection. Therefore, the nurse should anticipate a provider's prescription for
ceftriaxone. Doxycycline is an anti-infective used to treat a variety of infections.
Doxycycline and ceftriaxone are anti-infectives used in the treatment of mild to
moderate PID. The adolescent is exhibiting manifestations of a gonorrheal
infection and PID. Therefore, the nurse should anticipate a provider's prescription
for doxycycline.
A nurse is reviewing the provider's prescription in the adolescent's medical chart.
The nurse is reviewing the provider's prescriptions in the adolescent's medical
chart.
Complete the following sentence by using the list of options.
History and Physical
Adolescent is sexually active with two current partners.
IUD in place
Reports not using condoms during sexual activity.
History of type 1 diabetes mellitus
pg. 3
, Nurses' Notes
1300:Admitted adolescent reporting "cramping in my stomach." Reports pain as a
4 on 0 to 10 pain scale and describes pain as constant and dull. Reports nausea and
vomiting over past 24 hours.
Reports painful urination and pain during sexual intercourse with minimal vaginal
itching.
Tenderness with palpation to lower abdomen, guarding abdomen observed.
Greenish vaginal discharge observed.
Reports last menstrual period was 3 weeks ago as normal period that lasted 4 days.
Vital Signs
1300: Blood pre - ANSWER-The nurse should first implement
A. Providing education on medications
The nurse should first educate the adolescent regarding medications because
clients have the right to know the purpose and potential adverse reactions of all
prescribed medications before receiving them. An understanding of the prescribed
medications will increase the likelihood that the adolescent will adhere to the
prescribed therapy.
And
A. Administering ceftriaxone
Ceftriaxone is designated as a NOW prescription, which means it should be given
within 90 min of the provider writing the prescription. The nurse should administer
ceftriaxone after educating the adolescent about the purpose and potential adverse
reactions of the medication.
A nurse is reviewing the prenatal laboratory results for a client who is at 12 weeks
of gestation following an initial prenatal visit. Which of the following laboratory
findings should the nurse report to the provider?
pg. 4