RN ATI MATERNAL PRACTICE TEST 2026 FULL
SOLUTION VIEW AHEAD
▶ The nurse is caring for a client who has experienced a stroke. Which
nursing intervention for nutrition does the nurse implement to prevent
complications from cranial nerve IX impairment?
A) Place the client in high Fowler's position.
B) Verbalize the placement of food on the client's plate.
C) Order a clear liquid diet for the client.
D) Turn the client's plate around halfway through the meal.. Answer: A
Cranial nerve IX, the glossopharyngeal nerve, controls the gag reflex.
Clients with impairment of this nerve are at great risk for aspiration. The
client should be in high Fowler's position and should drink thickened liquids
if swallowing difficulties are present. The client would not have vision
problems. Turning the plate around would not prevent a complication, nor
would limiting the client's diet to clear liquids.
▶ Which statement indicates that the client needs more teaching about
mucositis?
A) "I will use a soft-bristled toothbrush to prevent trauma."
B) "I will rinse my mouth with water after every meal."
C) "I should use an alcohol-based mouth rinse to kill bacteria."
D) "I cannot use floss because it may irritate my gums.". Answer: C
Mouthwashes that contain alcohol are drying and can exacerbate mucosal
irritation, leading to painful mouth sores. Rinsing the mouth with water or
normal saline is indicated. Interventions aimed at decreasing risk for
trauma or irritation are matters of priority because of inflammation
associated with mucositis.
▶ A young woman is being treated with amoxicillin (Amoxil) for a urinary
tract infection. Which is the highest priority instruction for the nurse to give
this client?
A) "You may experience an irregular heartbeat while on the drug."
,B) "Watch for blood in your urine while taking this drug."
C) "Use a second form of birth control while on the drug."
D) "You will experience increased menstrual bleeding while on this drug.".
Answer: C
The client should use a second form of birth control because penicillin
seems to reduce the effectiveness of estrogen-containing contraceptives.
She should not experience increased menstrual bleeding, an irregular
heartbeat, or blood in her urine while taking the medication.
▶ 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!!
SOLUTION VIEW AHEAD
▶ The nurse is caring for a client who has experienced a stroke. Which
nursing intervention for nutrition does the nurse implement to prevent
complications from cranial nerve IX impairment?
A) Place the client in high Fowler's position.
B) Verbalize the placement of food on the client's plate.
C) Order a clear liquid diet for the client.
D) Turn the client's plate around halfway through the meal.. Answer: A
Cranial nerve IX, the glossopharyngeal nerve, controls the gag reflex.
Clients with impairment of this nerve are at great risk for aspiration. The
client should be in high Fowler's position and should drink thickened liquids
if swallowing difficulties are present. The client would not have vision
problems. Turning the plate around would not prevent a complication, nor
would limiting the client's diet to clear liquids.
▶ Which statement indicates that the client needs more teaching about
mucositis?
A) "I will use a soft-bristled toothbrush to prevent trauma."
B) "I will rinse my mouth with water after every meal."
C) "I should use an alcohol-based mouth rinse to kill bacteria."
D) "I cannot use floss because it may irritate my gums.". Answer: C
Mouthwashes that contain alcohol are drying and can exacerbate mucosal
irritation, leading to painful mouth sores. Rinsing the mouth with water or
normal saline is indicated. Interventions aimed at decreasing risk for
trauma or irritation are matters of priority because of inflammation
associated with mucositis.
▶ A young woman is being treated with amoxicillin (Amoxil) for a urinary
tract infection. Which is the highest priority instruction for the nurse to give
this client?
A) "You may experience an irregular heartbeat while on the drug."
,B) "Watch for blood in your urine while taking this drug."
C) "Use a second form of birth control while on the drug."
D) "You will experience increased menstrual bleeding while on this drug.".
Answer: C
The client should use a second form of birth control because penicillin
seems to reduce the effectiveness of estrogen-containing contraceptives.
She should not experience increased menstrual bleeding, an irregular
heartbeat, or blood in her urine while taking the medication.
▶ 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!!
