RN ATI Proctored Exam Package
A nurse is caring for a client who is in labor and is receiving an infusion of oxytocin. The nurse
should monitor the client for which of the following potential adverse effects?
a) diarrhea
b) thromboembolism
c) fetal asphyxia
d) oliguria - ANSWER-c) fetal asphyxia
A nurse is providing education to a client who is 4 weeks postpartum and is breastfeeding. The
client asks about expected weight loss. Which of the following responses should the nurse make?
a) "Losing 2.2 pounds each month would be acceptable"
b) "Losing 4.4 pounds each month would be acceptable"
c) "Losing 5.5 pounds each month would be acceptable"
d) "Losing 6.6 pounds each month would be acceptable" - ANSWER-a) "Losing 2.2 pounds each
month would be acceptable"
A nurse is talking with a client at 20 weeks of gestation who is scheduled for a sonogram. The
client states, "I am here to have my regular prenatal checkup, but I do not want any pictures
taken of my baby." Which of the following responses should the nurse make?
a) "Do not worry. We can do the sonogram without showing you the sex of the baby"
b) "I would like to hear more about why you do not want the sonogram, including any cultural
reasons"
c) "I think you should reconsider because the sonogram is an important part of the baby's
checkup"
,d) "You have the right to tell the doctor that you do not want the sonogram" - ANSWER-b) "I
would like to hear more about why you do not want the sonogram, including any cultural
reasons"
A nurse is assessing a pregnant client who is at 38 weeks gestation. The client reports that her
breathing has become easier but notes an increased frequency of urination. The nurse should
document this occurrence as which of the following?
a) effacement
b) dilation
c) lightening
d) quickening - ANSWER-c) lightening
A nurse is providing teaching about weight gain during pregnancy for a client who is
primigravida of normal pre-pregnancy weight. Which of the following statements should the
nurse include?
a) "You should plan to gain 25 to 35 pounds during your pregnancy"
b) "You should plan to gain 11 to 20 pounds during your pregnancy"
c) "Because you started pregnancy at a normal BMI and weight, your weight gain is not limited
as long as you follow a healthy, balanced diet"
d) "Because you are of normal weight prior to pregnancy, you are encouraged to gain 28 to 40
pounds during pregnancy" - ANSWER-a) "You should plan to gain 25 to 35 pounds during your
pregnancy"
A nurse is teaching a client who is postpartum about keeping the newborn safe. Which of the
following statements should the nurse identify as an indication that the client understands the
instructions?
a) "I will put bumper pads in the crib"
b) "I will warm my baby's formula in the microwave on a low setting"
c) "I will place my baby on his stomach to sleep"
d) "I will purchase a firm mattress for the crib" - ANSWER-d) "I will purchase a firm mattress for
,the crib"
A nurse is caring for a newborn. The nurse should obtain informed consent before taking which
of the following actions?
a) administering erythromycin ophthalmic ointment
b) conducting a newborn hearing screening
c) giving the hepatitis B vaccine
d) screening for critical congenital heart disease - ANSWER-c) giving the hepatitis B vaccine
A nurse is caring for an adolescent who is in the second trimester of pregnancy. The client states,
"I've gotten used to the idea of this pregnancy. It will be fun to have a little baby around the
house." Which of the following is the appropriate response by the nurse.
a) "Babies are not fun. They're a lot of work"
b) "I'm so glad to see you're happy about the baby"
c) "How are your parents reacting to the pregnancy?"
d) "Tell me how you think your life will be after the baby is born" - ANSWER-d) "Tell me how you
think your life will be after the baby is born"
A postpartum nurse is caring for a client who is 4 hours postpartum and has a painful third-
degree perineal laceration. Which of the following interventions should the nurse take?
a) prepare to initiate a warm water sitz bath for the client's perineum
b) encourage the client to sit on a soft pillow
c) apply cold ice packs to the client's perineum
d) administer an acetaminophen suppository rectally - ANSWER-c) apply cold ice packs to the
client's perineum
A nurse is assessing a pregnant client at 26 weeks of gestation who reports an episode of
dizziness after lying on her back on the couch. Which of the following actions should the nurse
take?
a) request a prescription for preeclampsia laboratory studies
, b) advise the client to lie on her side
c) request an ultrasound to evaluate fetal wellbeing
d) advise the client to add a calcium supplement to her diet - ANSWER-b) advise the client to lie
on her side
A nurse is caring for a client who reports intestinal gas pain following a cesarean section. Which
of the following actions should the nurse take?
a) assist the client to ambulate in the hallway
b) instruct the client to splint the incision with a pillow
c) have the client drink fluids through a straw
d) encourage the client to drink carbonated beverages - ANSWER-a) assist the client to
ambulate in the hallway
A nurse is assessing a client who is in the fourth stage of labor. Which of the following findings
should the nurse expect?
a) breast engorgement
b) hypothermia
c) urinary retention
d) rupture of membranes - ANSWER-c) urinary retention
A nurse is teaching a client who is at 30 weeks gestation about warning signs of complications
that she should report to her provider. Which of the following findings should the nurse include
in the teaching?
a) mild constipation
b) nasal congestion
c) vaginal bleeding
d) 10 fetal movements per hour - ANSWER-c) vaginal bleeding
The guardian of a 3-day-old female newborn tells the nurse that he noticed a small amount of