ATI proctored exam… questions and answers

ATI proctored exam… A nurse is using Nagele’s rule to calculate the expected delivery date of a client who reports that the first day of her last menstrual cycle was July 28th. Which of the following dates should the nurse document as the client’s expected delivery date? A. May 5th B. May 21th C. April 4th D. April 21st A. May 5th A nurse is caring for a client who is in active labor and has gonorrhea. For which of the following potential complications of gonorrhea should the nurse monitor? a. Vaginal laceration during birth. b. Chorioamnionitis. c. Excessive bleeding after birth. d. Oligohydramnios. B. Chorioamnionitis. A nurse is providing teaching to a postpartum client who has a prescription for a rubella immunization. Which of the following client statements indicates an understanding of the teaching? A. “I will report joint pain that develops after the immunization to my provider immediately.” B.“I should avoid breastfeeding for 2 weeks following the immunization.” C.“I will receive a series of three immunizations and each one will be a month apart.” D. “ I should avoid becoming pregnant for at least 1 month following immunization.” D. “ I should avoid becoming pregnant for at least 1 month following immunization.” A nurse is providing prenatal teaching to a client who practices a vegan diet and is trying to increase intake of vitamin B12. Which of the following foods should the nurse recommend? A. Raw Carrots. B. Fresh Citrus Fruits. C. Brown Rice. D. Fortified soy milk. D. Fortified soy milk. 5. A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord. Which of the following clinical findings should the nurse expect? A. Telanglectic nevi B. Erythema toxicum. C. Facial petechiae. D. Periauricular papillomas. C. Facial petechiae. A nurse is caring for a newborn who is 6hr old and has a bedside glucometer reading of 65 mg/dl. The newborn’s mother has type 2 diabetes mellitus. Which of the following actions should the nurse take? A.Feed the newborn immediately. B.Obtain a blood sample for a serum glucose level. C.Administer 50 ml of dextrose solution IV. D.Reassess the blood glucose level prior to the next feeding. A. Feed the newborn immediately. A nurse in a prenatal clinic is reviewing the laboratory results for a client who is at 12 weeks of gestation. Which of the following actions should the nurse take? (click on the “Exhibit” button for additional information about the client. There are three tabs that contain separate categories of data.) A. Obtain a maternal serum alphafetoprotein specimen. B. Administer ceftriaxone IM. C. Obtain a blood culture. D. Administer rubella vaccine. B. Administer ceftriaxone IM. A client who is at 16 weeks of gestation asks a nurse how to prepare her toddler to have a younger sibling. Which of the following statements should the nurse make? A. “You should place your toddler in time out if she exhibits regressive behavior after the baby is born.” B. “You should give your toddler a gift from the baby when she visits you in the facility.” C. “You should move your toddler out of her crib 2 weeks prior to your due date.” D. “You should hold your newborn in your arms when you introduce him to your toddler.” B. “You should give your toddler a gift from the baby when she visits you in the facility.” A nurse is planning care for a newborn who is scheduled to start phototherapy using a lamp. Which of the following actions should the nurse include in the plan? A. Dress the newborn in a thin layer of clothing during therapy. B.Apply a thin layer of lotion to the newborn’s skin every 8hr. C.Give the newborn 1 oz of glucose water every 4hr. D. Ensure the newborn’s eyes are closed beneath the shield. D. Ensure the newborn’s eyes are closed beneath the shield. A nurse is assessing a client during her first prenatal visit. The client reports March 20 as her last menstrual period. Use Nagele’s rule to calculate the estimated date of delivery. (Use the MMDD format with four numerals and no space or punctuation.) : December 2711. A nurse is caring for a client who has a placenta previa. Which of the following findings should the nurse expect? a. Persistent Headache. b. Painless, Vaginal bleeding. c. Uterine hypertonicity d. Firm, rigid abdomen b. Painless, Vaginal bleeding. A nurse manager in the labor and delivery unit is teaching a group of newly licensed nurses about maternal cytomegalovirus. Which of the following information should the nurse manager include in the teaching? a. “Lesions are visible on the mother’s genitalia