RN ATI COMPREHENSIVE EXT EXAM VERSION 1,2,3 & 4 QUESTIONS AND
100% CORRECT ANSWERS WITH RATIONALE
QUESION :
A patient who is 32 weeks gestation is experiencing dark red vaginal bleeding and the nurse
determines the FHR to be 100 bpm and her abdomen is rigid and board like. What action should the
nurse take first?
A. Administer O2 per face mask
B. Abdominal manipulation
C. vaginal manipulation
D. Abdominal exam - Correct Answer-A.
The nurse should immediately notify the healthcare provider and no abdominal or vaginal
manipulation or exams should be done. Administer O2 per face mask and monitor for bleeding at IV
sites and gums due to the increased risk of DIC
QUESION :
A nurse must use knowledge base to differentiate between abruptio placentae from plaventa previa.
What assessments should be done in case of a patient suspected of abruptio placentae or placenta
previa.
A. abdominal or vaginal manipulation
B. Leopold's maneuvers
C. internal monitoring
D. Monitor for bleeding at IV sites and gums due to increased risk of DIC - Correct Answer-D.
Patients with abruptio placentae or placventa previa should have No abdominal or vaginal
manipulation. No Leopold's maneuvers. No vaginal exams. No rectal exams, enemas, or
suppositories. No internal monitoring
QUESION :
1|Page
,A patient suspected of abruptio placentae or placenta previa should be monitorized for bleeding at
IV sites and gums due to increased risk of DIC. What isn't DIC related to?
A. cervical carcinoma
B. fetal demise
C. infection/sepsis
D. pregnancy-induced hypertension - Correct Answer-A.
DIC is related to fetal demise, infection/sepis, pregnancy-induced hypertension ( Preeclampsia) and
abruptio placentae. Cervical carcinoma is related to podophyllin
QUESION :
If a child is on oral iron medication, the family should be taught by the nurse how it should be
administered. Out of the following options, what oral iron administration advise is inappropriate?
A. Oral iron should be given on empty stomach
B. Oral iron should be given with citrus juices
C. Oral iron shoule be given with dairy products
D. A dropper or straw should be used to avoid discoloring teeth - Correct Answer-C.
Iron can be fatal in severe overdose and as a result, it should be kept away from children. Also, do
not give with dairy products.
QUESION :
In autosomal recessive disease, both parents must be hererozygous, or carriers of the recessive trait,
for the disease to be expressed in their offspring. If both parents are heterozygous, what is the
chance the baby to have the disease as well?
A. 1:2
B. 1:3
C. 1:4
D. 1:1 - Correct Answer-C.
2|Page
,With each pregnancy, there is a 1:4 chance of the infant having the disease.
QUESION :
When it comes to X-linked recessive linked recessive trait, the trait is carried on the x chromosome,
therefore, usually affects male offspring. What is the chance for a pregnant woman carrier her
offspring to get the disease?
A. Male child: 75% of having the disease
B. Female child: 50% of having the disease
C. Male child: 50% of having the disease
D. Female child: 25% of having disease - Correct Answer-C.
With each pregnancy of a woman who is a carrier there is a 25% chance of having a child with
hemophilia. If the child is male, he has a 50% chance of having hemophilia. If the child is female, she
has a 50% chance of being a carrier.
QUESION :
Supplemental iron is not givento clients with sickle cell anemia because the anemia is not caused by
iron deficiency. What aspect is very important in treatment of sickle cell disease because it promotes
hemodilution and circulation of red cells through the blood vessels?
A. HgbAS
B. HGBS
C. Hydration
D. Hydrotherapy - Correct Answer-C.
Hydration is very important in treatment of sickle cell disease because it promotes hemodilution and
curculation of red cells through blood vessels
QUESION :
3|Page
, An infant with hypothyroidism is often described as a "good, quite baby" by the parents. What early
disease detection is essential in preventing mental retardation in infants?
A. Hyperthyroidism
B. Phenylketonuria
C. Diabetes Mellitus
D. Ketoacidosis - Correct Answer-B.
Early detection of hypothyroidism and phenylketonuria is essential in preventing mental retardation
in infants. Knowledge of normal groth and development is important, sin a lack of attaintment can
be used to detect the existence of these metabolic/endocrine disorders and attainment can be used
for evaluating the treatments effecct
QUESION :
Diabetis mellitus (DM) in children was typically diagnosed as insulin dependent diabetes until
recently. What diabetes type has been discovered to occur more often in Native Americans, African
Americans, and Hispanic children and adolescents?
A. Type 1
B. Type 2
C. Type 3
D. Type 4 - Correct Answer-B.
DM in children was typicall diagnosed as insulin dependent until recently. A marked increase in Type
2 DM has occurred recently in the US.
QUESION :
There has been an increase in the number of children diagnosed with Type 2 diabetes with the
increasing rate of obesity in children thought to be a contributing factor. What other factors are
thought to be contributing in the increase of Type 2 cases?
A. Hypotension
4|Page
100% CORRECT ANSWERS WITH RATIONALE
QUESION :
A patient who is 32 weeks gestation is experiencing dark red vaginal bleeding and the nurse
determines the FHR to be 100 bpm and her abdomen is rigid and board like. What action should the
nurse take first?
A. Administer O2 per face mask
B. Abdominal manipulation
C. vaginal manipulation
D. Abdominal exam - Correct Answer-A.
The nurse should immediately notify the healthcare provider and no abdominal or vaginal
manipulation or exams should be done. Administer O2 per face mask and monitor for bleeding at IV
sites and gums due to the increased risk of DIC
QUESION :
A nurse must use knowledge base to differentiate between abruptio placentae from plaventa previa.
What assessments should be done in case of a patient suspected of abruptio placentae or placenta
previa.
A. abdominal or vaginal manipulation
B. Leopold's maneuvers
C. internal monitoring
D. Monitor for bleeding at IV sites and gums due to increased risk of DIC - Correct Answer-D.
Patients with abruptio placentae or placventa previa should have No abdominal or vaginal
manipulation. No Leopold's maneuvers. No vaginal exams. No rectal exams, enemas, or
suppositories. No internal monitoring
QUESION :
1|Page
,A patient suspected of abruptio placentae or placenta previa should be monitorized for bleeding at
IV sites and gums due to increased risk of DIC. What isn't DIC related to?
A. cervical carcinoma
B. fetal demise
C. infection/sepsis
D. pregnancy-induced hypertension - Correct Answer-A.
DIC is related to fetal demise, infection/sepis, pregnancy-induced hypertension ( Preeclampsia) and
abruptio placentae. Cervical carcinoma is related to podophyllin
QUESION :
If a child is on oral iron medication, the family should be taught by the nurse how it should be
administered. Out of the following options, what oral iron administration advise is inappropriate?
A. Oral iron should be given on empty stomach
B. Oral iron should be given with citrus juices
C. Oral iron shoule be given with dairy products
D. A dropper or straw should be used to avoid discoloring teeth - Correct Answer-C.
Iron can be fatal in severe overdose and as a result, it should be kept away from children. Also, do
not give with dairy products.
QUESION :
In autosomal recessive disease, both parents must be hererozygous, or carriers of the recessive trait,
for the disease to be expressed in their offspring. If both parents are heterozygous, what is the
chance the baby to have the disease as well?
A. 1:2
B. 1:3
C. 1:4
D. 1:1 - Correct Answer-C.
2|Page
,With each pregnancy, there is a 1:4 chance of the infant having the disease.
QUESION :
When it comes to X-linked recessive linked recessive trait, the trait is carried on the x chromosome,
therefore, usually affects male offspring. What is the chance for a pregnant woman carrier her
offspring to get the disease?
A. Male child: 75% of having the disease
B. Female child: 50% of having the disease
C. Male child: 50% of having the disease
D. Female child: 25% of having disease - Correct Answer-C.
With each pregnancy of a woman who is a carrier there is a 25% chance of having a child with
hemophilia. If the child is male, he has a 50% chance of having hemophilia. If the child is female, she
has a 50% chance of being a carrier.
QUESION :
Supplemental iron is not givento clients with sickle cell anemia because the anemia is not caused by
iron deficiency. What aspect is very important in treatment of sickle cell disease because it promotes
hemodilution and circulation of red cells through the blood vessels?
A. HgbAS
B. HGBS
C. Hydration
D. Hydrotherapy - Correct Answer-C.
Hydration is very important in treatment of sickle cell disease because it promotes hemodilution and
curculation of red cells through blood vessels
QUESION :
3|Page
, An infant with hypothyroidism is often described as a "good, quite baby" by the parents. What early
disease detection is essential in preventing mental retardation in infants?
A. Hyperthyroidism
B. Phenylketonuria
C. Diabetes Mellitus
D. Ketoacidosis - Correct Answer-B.
Early detection of hypothyroidism and phenylketonuria is essential in preventing mental retardation
in infants. Knowledge of normal groth and development is important, sin a lack of attaintment can
be used to detect the existence of these metabolic/endocrine disorders and attainment can be used
for evaluating the treatments effecct
QUESION :
Diabetis mellitus (DM) in children was typically diagnosed as insulin dependent diabetes until
recently. What diabetes type has been discovered to occur more often in Native Americans, African
Americans, and Hispanic children and adolescents?
A. Type 1
B. Type 2
C. Type 3
D. Type 4 - Correct Answer-B.
DM in children was typicall diagnosed as insulin dependent until recently. A marked increase in Type
2 DM has occurred recently in the US.
QUESION :
There has been an increase in the number of children diagnosed with Type 2 diabetes with the
increasing rate of obesity in children thought to be a contributing factor. What other factors are
thought to be contributing in the increase of Type 2 cases?
A. Hypotension
4|Page
