ATI Prep: Comprehensive Guide to Preterm Labor,
Preeclampsia, and Gestational Diabetes
LATEST UPDATED VERSION OF QUESTIONS
2024/2025
Guaranteed A+ success
Scenario
Nurse Darla is interviewing Ms. Goodwin about her report of a burning sensation when voiding.
Question 1
,Nurse Darla is interviewing Ms. Goodwin about her report of a burning sensation when voiding. Which
of the following clinical findings should Darla anticipate? (Select all that apply.)
Fever Dysuria Urinary frequency
Rationale
Dysuria is a discomfort or difficulty with urination and is a clinical finding associated with a urinary tract
infection. Vaginal discharge is a clinical finding associated with sexually transmitted infections. Urinary
frequency is a common clinical finding associated with urinary tract infections. Epigastric pain is a clinical
finding associated with clients who are experiencing HELLP syndrome. Fever is a common clinical finding
associated with urinary tract infections.
Scenario
Nurse Darla is evaluating Ms. Goodwin for uterine contractions.
Question 2
Nurse Darla assists Ms. Goodwin to bed. Which of the following is an appropriate action for Darla to
take?
Apply a fetal monitor and tocotransducer.
Rationale
The nurse should use a tocotransducer to transabdominally evaluate the presence and frequency of
uterine contractions.
Scenario
Nurse Darla confirms uterine contractions are occurring on the fetal monitor.
Question 3
Nurse Darla confirms uterine contractions are occurring on the fetal monitor. Which of the following is
the priority nursing intervention?
,Check for effacement and cervical dilation
Rationale
The greatest risk to the client and her fetus is preterm labor. Assessing for effacement and cervical
dilation will indicate if labor has begun. This is the priority nursing intervention at this time.
Scenario
Nurse Darla completed a vaginal examination on Ms. Goodwin.
Question 4
Nurse Darla completed a vaginal examination on Ms. Goodwin and notified the provider of her findings.
Which of the following actions is the highest priority?
Administer nifedipine (Procardia).
Rationale
Nifedipine relaxes smooth muscles, decreasing uterine contractions. Because the greatest risk to the
client and her fetus is preterm labor, this is the priority action at this time.
Scenario
Nurse Darla is preparing to administer betamethasone (Celestone) to Ms. Goodwin.
Question 5
Nurse Darla is preparing to administer betamethasone (Celestone) to Ms. Goodwin. Which of the
following is an appropriate action for Darla to take?
Administer the medication into the ventrogluteal muscle.
Rationale
, The nurse should administer betamethasone deep IM. Because the dose will involve injecting 2 mL of
medication, the nurse should use a large muscle.
Scenario
Nurse Darla is preparing to obtain a urine specimen from the urinary catheter.
Question 6
Nurse Darla is preparing to obtain a urine specimen from the urinary catheter after the catheter was
clamped 3 inches below the collection port. Identify the sequence of steps Darla should take when
preforming this procedure. (Reorder the steps by dragging them into the desired sequence.)
1.Don gloves.
2.Disinfect the port.
3.Access the port.
4.Unclamp the drainage tube. 5.Withdraw the specimen.
Rationale
When obtaining a specimen from a urinary closed system, the nurse should don gloves, disinfect the
port, access the port, unclamp the tubing, and withdraw the specimen.
Scenario
Nurse Darla is preparing to administer ampicillin (Ampicin) to Ms. Goodwin.
Question 7
Nurse Darla is preparing to administer ampicillin (Ampicin) to Ms. Goodwin. Which of the following is an
appropriate action for Darla to take?
Assess Ms. Goodwin for sensitivity to cephalosporin.
Rationale
Preeclampsia, and Gestational Diabetes
LATEST UPDATED VERSION OF QUESTIONS
2024/2025
Guaranteed A+ success
Scenario
Nurse Darla is interviewing Ms. Goodwin about her report of a burning sensation when voiding.
Question 1
,Nurse Darla is interviewing Ms. Goodwin about her report of a burning sensation when voiding. Which
of the following clinical findings should Darla anticipate? (Select all that apply.)
Fever Dysuria Urinary frequency
Rationale
Dysuria is a discomfort or difficulty with urination and is a clinical finding associated with a urinary tract
infection. Vaginal discharge is a clinical finding associated with sexually transmitted infections. Urinary
frequency is a common clinical finding associated with urinary tract infections. Epigastric pain is a clinical
finding associated with clients who are experiencing HELLP syndrome. Fever is a common clinical finding
associated with urinary tract infections.
Scenario
Nurse Darla is evaluating Ms. Goodwin for uterine contractions.
Question 2
Nurse Darla assists Ms. Goodwin to bed. Which of the following is an appropriate action for Darla to
take?
Apply a fetal monitor and tocotransducer.
Rationale
The nurse should use a tocotransducer to transabdominally evaluate the presence and frequency of
uterine contractions.
Scenario
Nurse Darla confirms uterine contractions are occurring on the fetal monitor.
Question 3
Nurse Darla confirms uterine contractions are occurring on the fetal monitor. Which of the following is
the priority nursing intervention?
,Check for effacement and cervical dilation
Rationale
The greatest risk to the client and her fetus is preterm labor. Assessing for effacement and cervical
dilation will indicate if labor has begun. This is the priority nursing intervention at this time.
Scenario
Nurse Darla completed a vaginal examination on Ms. Goodwin.
Question 4
Nurse Darla completed a vaginal examination on Ms. Goodwin and notified the provider of her findings.
Which of the following actions is the highest priority?
Administer nifedipine (Procardia).
Rationale
Nifedipine relaxes smooth muscles, decreasing uterine contractions. Because the greatest risk to the
client and her fetus is preterm labor, this is the priority action at this time.
Scenario
Nurse Darla is preparing to administer betamethasone (Celestone) to Ms. Goodwin.
Question 5
Nurse Darla is preparing to administer betamethasone (Celestone) to Ms. Goodwin. Which of the
following is an appropriate action for Darla to take?
Administer the medication into the ventrogluteal muscle.
Rationale
, The nurse should administer betamethasone deep IM. Because the dose will involve injecting 2 mL of
medication, the nurse should use a large muscle.
Scenario
Nurse Darla is preparing to obtain a urine specimen from the urinary catheter.
Question 6
Nurse Darla is preparing to obtain a urine specimen from the urinary catheter after the catheter was
clamped 3 inches below the collection port. Identify the sequence of steps Darla should take when
preforming this procedure. (Reorder the steps by dragging them into the desired sequence.)
1.Don gloves.
2.Disinfect the port.
3.Access the port.
4.Unclamp the drainage tube. 5.Withdraw the specimen.
Rationale
When obtaining a specimen from a urinary closed system, the nurse should don gloves, disinfect the
port, access the port, unclamp the tubing, and withdraw the specimen.
Scenario
Nurse Darla is preparing to administer ampicillin (Ampicin) to Ms. Goodwin.
Question 7
Nurse Darla is preparing to administer ampicillin (Ampicin) to Ms. Goodwin. Which of the following is an
appropriate action for Darla to take?
Assess Ms. Goodwin for sensitivity to cephalosporin.
Rationale
