ATI RN ADULT MEDICAL SURGICAL PROCTORED
EXAM 2023 WITH NGN A+ VERIFIED QUESTIONS
AND ANSWERS
1.A nurse is caring for a client who is in first stage of labor. The nurse
observes the umbilical cord protruding from the vagina. Which of the
following actions should the nurse perform first?
A- Cover the cord with a sterile. moist dressing.
B- Prepare the client for an immediate birth.
C- Place the client in the knee-chest position.
D- Insert a gloved hand into the vagina to relieve pressure on the cord.
: D
2.A nurse is caring for a client who is 36 weeks of gestation and who
has a suspected placenta previa. Which of the following findings support
this diagnosis.
A- Painless red vaginal bleeding
B- Increasing abdominal pain with a nonrelaxed uterus
C- Abdominal pain with scant red vaginal bleeding
D- Intermittent abdominal pain following passage of bloody mucus : A
3.A nurse is caring for a client who is 1 hr postpartum and observes a large amount of lochia rubra and several small clots on the perineal pad. The fundus is midline and firm at the umbilicus. Which of the following actions should the nurse take?
: Document the findings and continue to monitor the client.
4.A nurse is caring for a newborn immediately after birth. After assuring a patent airway, what is the priority nursing action?
: Dry the skin
5.A nurse is caring for a client who just delivered a newborn. Following the delivery, which nursing action should be done first to care for the newborn?-
: Clear the respiratory tract
6.A nurse in labor and delivery is caring for a client. Following the delivery of the placenta, the nurse examines the umbilical cord. Which of the following vessels should the nurse expect to observe in the umbilical cord?
: Two arter ies, one vein
EXAM 2023 WITH NGN A+ VERIFIED QUESTIONS
AND ANSWERS
1.A nurse is caring for a client who is in first stage of labor. The nurse
observes the umbilical cord protruding from the vagina. Which of the
following actions should the nurse perform first?
A- Cover the cord with a sterile. moist dressing.
B- Prepare the client for an immediate birth.
C- Place the client in the knee-chest position.
D- Insert a gloved hand into the vagina to relieve pressure on the cord.
: D
2.A nurse is caring for a client who is 36 weeks of gestation and who
has a suspected placenta previa. Which of the following findings support
this diagnosis.
A- Painless red vaginal bleeding
B- Increasing abdominal pain with a nonrelaxed uterus
C- Abdominal pain with scant red vaginal bleeding
D- Intermittent abdominal pain following passage of bloody mucus : A
3.A nurse is caring for a client who is 1 hr postpartum and observes a large amount of lochia rubra and several small clots on the perineal pad. The fundus is midline and firm at the umbilicus. Which of the following actions should the nurse take?
: Document the findings and continue to monitor the client.
4.A nurse is caring for a newborn immediately after birth. After assuring a patent airway, what is the priority nursing action?
: Dry the skin
5.A nurse is caring for a client who just delivered a newborn. Following the delivery, which nursing action should be done first to care for the newborn?-
: Clear the respiratory tract
6.A nurse in labor and delivery is caring for a client. Following the delivery of the placenta, the nurse examines the umbilical cord. Which of the following vessels should the nurse expect to observe in the umbilical cord?
: Two arter ies, one vein
