ATI RN Maternal Newborn Practice Test 2026/2027
| ATI Maternal Newborn Nursing Study Guide,
Practice Questions & Answers, Pregnancy, Labor &
Delivery, Postpartum, Newborn Care, Complications
& NCLEX-RN Exam Prep
Question 1: A nurse manager is implementing a new evidence-based
protocol. According to Lewin's change theory, which action should the
manager take during the unfreezing stage?
A. Implement the new protocol on all units simultaneously
B. Reinforce staff adherence to the new protocol through recognition
C. Educate staff about the reasons for the change and the limitations of
current practices
D. Evaluate patient outcomes after the new protocol is implemented
CORRECT ANSWER: C. Educate staff about the reasons for the change
and the limitations of current practices
Rationale: Unfreezing involves creating awareness and readiness for
change by explaining why current practices are inadequate.
Implementation occurs in the moving stage, and reinforcement occurs
during refreezing.
Question 2: A registered nurse is caring for four clients. Which task is
appropriate for the nurse to delegate to assistive personnel (AP)?
A. Assess a client who reports new chest pain
B. Obtain vital signs for a stable postoperative client
C. Teach a client how to use an incentive spirometer
D. Evaluate a client's response to an antihypertensive medication
CORRECT ANSWER: B. Obtain vital signs for a stable postoperative
client
Rationale: Obtaining routine vital signs for a stable client is within the AP's
role. Assessment, teaching, and evaluation require RN-level judgment.
Question 3: Which client should the nurse assess first?
A. Client requesting assistance with bathing
B. Client with chronic arthritis reporting pain of 6/10
C. Client with COPD whose oxygen saturation decreased from 94% to 84%
D. Client awaiting discharge instructions
,CORRECT ANSWER: C. Client with COPD whose oxygen saturation
decreased from 94% to 84%
Rationale: An acute decrease in oxygen saturation indicates a potential
airway or breathing problem and takes priority according to the ABC
framework.
Question 4: A nurse manager encourages staff members to participate
in decisions and openly share ideas. Which leadership style is being
demonstrated?
A. Autocratic
B. Laissez-faire
C. Democratic
D. Bureaucratic
CORRECT ANSWER: C. Democratic
Rationale: Democratic leadership emphasizes participation, collaboration,
and shared decision-making.
Question 5: A client has limited English proficiency and is preparing for
surgery. What should the nurse do?
A. Ask a family member to translate
B. Use a qualified medical interpreter
C. Ask another client to interpret
D. Proceed because the procedure is routine
CORRECT ANSWER: B. Use a qualified medical interpreter
Rationale: A qualified interpreter promotes accurate communication and
protects the client's right to informed decision-making.
Question 6: Two nurses disagree about the assignment and refuse to
communicate. Which approach is most appropriate when the issue
requires a lasting solution?
A. Avoiding the conflict
B. Competing
C. Collaborating
D. Accommodating
CORRECT ANSWER: C. Collaborating
,Rationale: Collaboration seeks a mutually acceptable solution and
addresses the underlying concerns of both parties.
Question 7: Which action by an RN demonstrates appropriate
delegation?
A. Delegating assessment of a newly admitted client to an AP
B. Delegating medication administration to an AP regardless of policy
C. Assigning routine hygiene care to an AP
D. Asking an AP to determine whether a client needs suctioning
CORRECT ANSWER: C. Assigning routine hygiene care to an AP
Rationale: Routine hygiene is appropriate for APs. Assessment, clinical
judgment, and nursing decisions cannot be delegated.
Question 8: A nurse discovers that a client received the wrong
medication. Which action should the nurse take first?
A. Complete an incident report
B. Notify the risk-management department
C. Assess the client
D. Document the error in the incident report only
CORRECT ANSWER: C. Assess the client
Rationale: Client safety is the immediate priority. The nurse should assess
the client and initiate appropriate treatment before completing
administrative reporting.
Question 9: Which activity is an example of a process audit?
A. Measuring the number of falls on a unit
B. Reviewing whether nurses perform hand hygiene according to policy
C. Evaluating patient satisfaction scores
D. Assessing the availability of equipment on the unit
CORRECT ANSWER: B. Reviewing whether nurses perform hand
hygiene according to policy
Rationale: Process audits review how care is provided and assume a
relationship exists between nurses' actions and patient outcomes.
Question 10: A nurse is preparing to administer blood to a client. Which
action is the priority before initiating the transfusion?
, A. Premedicate the client with acetaminophen
B. Verify the blood product with a second nurse
C. Obtain the client's consent for the transfusion
D. Document the client's baseline vital signs
CORRECT ANSWER: B. Verify the blood product with a second nurse
Rationale: Verification of the blood product with a second nurse is a critical
safety step to prevent hemolytic transfusion reactions.
Question 11: When planning delegation of tasks to assistive personnel
(AP), a nurse considers the five rights of delegation. Which of the
following should the nurse consider when using one of the five rights of
delegation?
A. The AP's ability to prioritize
B. The AP has the knowledge and skill to perform the task
C. The AP's rapport with clients
D. The AP's ability to complete the task without assistance
CORRECT ANSWER: B. The AP has the knowledge and skill to perform
the task
Rationale: The right person is one of the five rights of delegation. The nurse
should seek information from the AP about their individual skill level before
delegating the task.
Question 12: A nurse is instructing an assistive personnel (AP) about
care for a client with a Do-Not-Resuscitate (DNR) order. Which
statement by the AP indicates understanding?
A. "If I cannot detect the client's pulse, I will have another AP verify it."
B. "If the client does not have a pulse, I will call for the rapid response team
immediately."
C. "I will initiate CPR until the nurse arrives if I cannot detect the client's
pulse."
D. "I will call the nurse to come to the room if I cannot detect the client's
pulse."
CORRECT ANSWER: D. "I will call the nurse to come to the room if I
cannot detect the client's pulse."
| ATI Maternal Newborn Nursing Study Guide,
Practice Questions & Answers, Pregnancy, Labor &
Delivery, Postpartum, Newborn Care, Complications
& NCLEX-RN Exam Prep
Question 1: A nurse manager is implementing a new evidence-based
protocol. According to Lewin's change theory, which action should the
manager take during the unfreezing stage?
A. Implement the new protocol on all units simultaneously
B. Reinforce staff adherence to the new protocol through recognition
C. Educate staff about the reasons for the change and the limitations of
current practices
D. Evaluate patient outcomes after the new protocol is implemented
CORRECT ANSWER: C. Educate staff about the reasons for the change
and the limitations of current practices
Rationale: Unfreezing involves creating awareness and readiness for
change by explaining why current practices are inadequate.
Implementation occurs in the moving stage, and reinforcement occurs
during refreezing.
Question 2: A registered nurse is caring for four clients. Which task is
appropriate for the nurse to delegate to assistive personnel (AP)?
A. Assess a client who reports new chest pain
B. Obtain vital signs for a stable postoperative client
C. Teach a client how to use an incentive spirometer
D. Evaluate a client's response to an antihypertensive medication
CORRECT ANSWER: B. Obtain vital signs for a stable postoperative
client
Rationale: Obtaining routine vital signs for a stable client is within the AP's
role. Assessment, teaching, and evaluation require RN-level judgment.
Question 3: Which client should the nurse assess first?
A. Client requesting assistance with bathing
B. Client with chronic arthritis reporting pain of 6/10
C. Client with COPD whose oxygen saturation decreased from 94% to 84%
D. Client awaiting discharge instructions
,CORRECT ANSWER: C. Client with COPD whose oxygen saturation
decreased from 94% to 84%
Rationale: An acute decrease in oxygen saturation indicates a potential
airway or breathing problem and takes priority according to the ABC
framework.
Question 4: A nurse manager encourages staff members to participate
in decisions and openly share ideas. Which leadership style is being
demonstrated?
A. Autocratic
B. Laissez-faire
C. Democratic
D. Bureaucratic
CORRECT ANSWER: C. Democratic
Rationale: Democratic leadership emphasizes participation, collaboration,
and shared decision-making.
Question 5: A client has limited English proficiency and is preparing for
surgery. What should the nurse do?
A. Ask a family member to translate
B. Use a qualified medical interpreter
C. Ask another client to interpret
D. Proceed because the procedure is routine
CORRECT ANSWER: B. Use a qualified medical interpreter
Rationale: A qualified interpreter promotes accurate communication and
protects the client's right to informed decision-making.
Question 6: Two nurses disagree about the assignment and refuse to
communicate. Which approach is most appropriate when the issue
requires a lasting solution?
A. Avoiding the conflict
B. Competing
C. Collaborating
D. Accommodating
CORRECT ANSWER: C. Collaborating
,Rationale: Collaboration seeks a mutually acceptable solution and
addresses the underlying concerns of both parties.
Question 7: Which action by an RN demonstrates appropriate
delegation?
A. Delegating assessment of a newly admitted client to an AP
B. Delegating medication administration to an AP regardless of policy
C. Assigning routine hygiene care to an AP
D. Asking an AP to determine whether a client needs suctioning
CORRECT ANSWER: C. Assigning routine hygiene care to an AP
Rationale: Routine hygiene is appropriate for APs. Assessment, clinical
judgment, and nursing decisions cannot be delegated.
Question 8: A nurse discovers that a client received the wrong
medication. Which action should the nurse take first?
A. Complete an incident report
B. Notify the risk-management department
C. Assess the client
D. Document the error in the incident report only
CORRECT ANSWER: C. Assess the client
Rationale: Client safety is the immediate priority. The nurse should assess
the client and initiate appropriate treatment before completing
administrative reporting.
Question 9: Which activity is an example of a process audit?
A. Measuring the number of falls on a unit
B. Reviewing whether nurses perform hand hygiene according to policy
C. Evaluating patient satisfaction scores
D. Assessing the availability of equipment on the unit
CORRECT ANSWER: B. Reviewing whether nurses perform hand
hygiene according to policy
Rationale: Process audits review how care is provided and assume a
relationship exists between nurses' actions and patient outcomes.
Question 10: A nurse is preparing to administer blood to a client. Which
action is the priority before initiating the transfusion?
, A. Premedicate the client with acetaminophen
B. Verify the blood product with a second nurse
C. Obtain the client's consent for the transfusion
D. Document the client's baseline vital signs
CORRECT ANSWER: B. Verify the blood product with a second nurse
Rationale: Verification of the blood product with a second nurse is a critical
safety step to prevent hemolytic transfusion reactions.
Question 11: When planning delegation of tasks to assistive personnel
(AP), a nurse considers the five rights of delegation. Which of the
following should the nurse consider when using one of the five rights of
delegation?
A. The AP's ability to prioritize
B. The AP has the knowledge and skill to perform the task
C. The AP's rapport with clients
D. The AP's ability to complete the task without assistance
CORRECT ANSWER: B. The AP has the knowledge and skill to perform
the task
Rationale: The right person is one of the five rights of delegation. The nurse
should seek information from the AP about their individual skill level before
delegating the task.
Question 12: A nurse is instructing an assistive personnel (AP) about
care for a client with a Do-Not-Resuscitate (DNR) order. Which
statement by the AP indicates understanding?
A. "If I cannot detect the client's pulse, I will have another AP verify it."
B. "If the client does not have a pulse, I will call for the rapid response team
immediately."
C. "I will initiate CPR until the nurse arrives if I cannot detect the client's
pulse."
D. "I will call the nurse to come to the room if I cannot detect the client's
pulse."
CORRECT ANSWER: D. "I will call the nurse to come to the room if I
cannot detect the client's pulse."
