2023-2024 ATI RN Proctored Exam with Answers (404 Solved Questions)

Name: 2023-2024 ATI RN Proctored Exam with Answers (404 Solved Questions)
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ATI Maternal Newborn Proctored EXAM
2023/2024 300 QUESTIONS AND
ANSWERS
A nurse is providing care to a client who is in labor. A fetal heart tracing shows
early decelerations. Which of the following actions should the nurse take? -
CORRECT ANSWER Continue to monitor the fetal heart tracing.
A nurse is assessing a client who is 14 hours postpartum and has a third-degree
her new laceration. The clients temperature is 37.8°C (100°F), and her fundus is
firm and slightly deviated to the right. The client reports a gush of blood when she
ambulate's and no bowel movement since delivery. Which of the following actions
should the nurse take? - CORRECT ANSWER Assist the client to empty her
bladders
A nurse on the antepartum unit is caring for a client who is at 28 weeks gestation
and reports dizziness when lying on her back. Into which of the following positions
should the nurse assess the client? - CORRECT ANSWER Lateral
A nurse is providing teaching for a client at seven weeks of gestation who is
experiencing nausea and vomiting. Which of the following client statements
indicates to the nurse and understanding of the teaching? - CORRECT ANSWER I
should have a small snack before bedtime
A nurse is assessing a client who is at 36 weeks of gestation which of the following
manifestations should the nurse recognize as a potential prenatal complication
and report to the provider? - CORRECT ANSWER Double vision

A nurse is assessing a client who is at 34 weeks gestation and has a cardiac
disorder the nurse should notify the provider about which of the following
assessment findings? - CORRECT ANSWER The client reports a frequent cough
A nurse is caring for a client who is in labor the client speaks a different language
than the nurse and he's been missing. Which of the following actions should the
nurse take while waiting for an interpreter? - CORRECT ANSWER Change the
clients position
A nurse is providing teaching for a client who is pregnant and has type one
diabetes mellitus. Which of the following statements should the nurse include in
the teaching? - CORRECT ANSWER You should expect to decrease your insulin
dosage immediately after you deliver your baby
A nurse is caring for a client in labor and observes a pattern of early decelerations
on the fetal monitor. Which of the following actions should the nurse take? -
CORRECT ANSWER Document the findings and continue to monitor
A nurse is preparing to administer naloxone to a newborn. Which of the following
conditions can require administration of this medication? - CORRECT ANSWER IV
narcotics administered to the mother during labor
A nurse is caring for a client labor who has an epidural for pain relief. Which of the
following is a complication of the epidural block? - CORRECT ANSWER
Hypotension

A nurse at a prenatal clinic is teaching a client how to perform a kick count. Which
of the following statements should the nurse include in the teaching? - CORRECT
ANSWER Before bedtime is a good time to start counting the kicks
A nurse is teaching a group of clients who are pregnant about vitamin K for
newborns. Vitamin K helps prevent which of the following conditions in a
newborn? - CORRECT ANSWER Intracranial hemorrhage
A nurse is caring for a newborn who has neonatal abstinence syndrome which of
the following Clinical findings should the nurse expect? - CORRECT ANSWER
Exaggerated reflexes
A nurse is creating a plan of care for a client who is in the active stage of labor and
expresses a desire to use nonpharmacological methods of pain relief. Which of the
following intervention should the nurse include? - CORRECT ANSWER Assist the
client into a warm shower
A nurse is providing teaching to a client who has come to the family planning clinic
requesting an intrauterine device IUD. Which of the following pieces of
information should the nurse provide to the client? - CORRECT ANSWER Your risk
for ectopic pregnancy increases with an IUD
A nurse is teaching a client who is pregnant and has pre-gestational diabetes
about dietary changes. Which of the following statements should the nurse
include in the teaching? - CORRECT ANSWER Carbohydrates should make up 55%
of your diet
A provider does a client at 12 weeks gestation who practices Hinduism that she
needs more protein in her diet and suggest eating more meat after the provider
leaves the examination room the client tells the nurse that eating animal products

will cause her to miscarry. Which of the following responses should the nurse
make? - CORRECT ANSWER Let's discuss other foods that are also high in protein
that you can substitute for meat
A nurse is caring for a client who is in labor. A vaginal examination reveals the
following findings: 2 cm, 50%, +1, right occiput anterior (ROA). Based on this
information, which of the following fetal position should the nurse document in
the medical record? - CORRECT ANSWER Vertex
A nurse is teaching a client about squatting exercises during pregnancy. Which of
the following statements should the nurse include? - CORRECT ANSWER These
exercises should be done for 15 minutes each day to strengthen the peroneal
muscles
A nurse is providing care to a client who is 12 hours postpartum and is receiving
oxytocin IV. The client asked the nurse, why is there so little bleeding? Which of
the following responses should the nurse make? - CORRECT ANSWER The
bleeding is minimal until I discontinue your IV medication
A nurse is planning care for a Client who is post partum and has cardiac disease.
For which of the following prescriptions should the nurse seek clarification? -
CORRECT ANSWER Monitor the clients weights weekly
A nurse is caring for a client who is at 35 weeks of gestation and he scheduled to
undergo an amniocentesis. Which of the following statements should the nurse
make? - CORRECT ANSWER You will feel so much discomfort during this
procedure

A nurse is caring for a client who had a vaginal delivery 24 hours ago. Which of the
following findings should the nurse report to the provider? - CORRECT ANSWER
3+ deep tendon reflexes
A nurse is providing teaching about exercise for a client who is pregnant which of
the following pieces of information should the nurse include? - CORRECT
ANSWER Vigorous exercise it should be limited and should not be performed in
hot humid weather
A nurse is caring for several clients. Which of the following clients should the
nurse identify as a candidate for oral contraceptives a - CORRECT ANSWER A
client who is breast-feeding a seven month old infant
A nurse is caring for a newborn who was born to a client with a narcotic use
disorder. Which of the following nursing actions is contraindicated in the care of
this newborn - CORRECT ANSWER Frequent simulation
A nurse is discussing epidural anesthesia with a client who is receiving oxytocin to
induce labor which of the following statements should the nurse make? -
CORRECT ANSWER An epidural given to early can prolong labor
A nurse is caring for a client who is in labor. The client questions application of an
internal fetal scalp monitor. Which of the following responses should the nurse
provide? - CORRECT ANSWER We need to observe your baby more closely
A nurse is providing teaching about newborn bath to a client who is two days
postpartum which of the following pieces of information should the nurse
include? - CORRECT ANSWER Watch the newborns face with plain warm water

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A nurse is teaching a postpartum client how to swaddle her newborn. Which of
the following assessments by the parent demonstrates an understanding of the
teaching? - CORRECT ANSWER I should stop swaddling my baby once she is able
to roll over by herself
A nurse is receiving a report for a client who is in labor and is experiencing
contractions that are four minutes apart. Which of the following patterns to the
nurse expect on the fetal monitor tracing? - CORRECT ANSWER Contractions that
last for 60 seconds each with a three minute rest between the contractions
A nurse is reviewing the laboratory for it for a client with suspected HELLP
Syndrome. Which of the following findings should the nurse report to the provider
as an indication of this Disorder? - CORRECT ANSWER Elevated liver enzymes
A nurse is caring for a client who is in labor and has received epidural analgesia.
The clients blood pressure is 88/50, and the fetal heart tracing so is late
decelerations. Which of the following actions should the nurse take? - CORRECT
ANSWER Increase the rate of the primary IV infusion
A nurse is assessing a client who is receiving morphine Via a patient controlled
analgesia pump PCA Following a cesarean birth. Which of the following findings
should the nurse report to the provider? - CORRECT ANSWER Urine output 20 mL
per hour
A nurse is planning care for a newborn who has hyperbilirubinemia And a new
prescription for photo therapy. Which of the following intervention should the
nurse include in the plan? - CORRECT ANSWER Reposition the newborn every
three hours

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A nurse is teaching the guardian of a newborn about caring for the newborns
umbilical cord. For which of the following reasons should the nurse instruct the
guardian to avoid using antibacterial agents on the cord? - CORRECT ANSWER
They can cause delayed cord separation
A nurse is caring for a client who states, I think I am pregnant, which of the
following findings should the nurse identify as a positive sign of pregnancy? -
CORRECT ANSWER Fetal heart Tones auscultated by Doppler
A nurse is assessing a postpartum client who has preeclampsia and notes A Boogie
uterus an excessive uterine bleeding. The nurse should plan to administer which
of the following medication's? - CORRECT ANSWER Oxytocin
A nurse in the clinic is caring for a client who is pregnant and reports a last
menstrual period that began on December 7. Which of the following dates would
be the clients estimated date of birth? - CORRECT ANSWER September 14
A nurse is providing teaching to a client who is planning to breast-feed her
newborn. Which of the following statements by the client indicates an
understanding of the teaching? - CORRECT ANSWER My baby may sometimes
feed every hour for several hours in a row
A nurse is providing education for a parent of a premature infant on interventions
to promote optimal development. Which of the following actions should the nurse
instruct the parent to perform? - CORRECT ANSWER Provide kangaroo care for
the infant
A nurse is caring for a client who is 24 years old and at 13 weeks of gestation. The
clients history includes a BMI of 31 prior to pregnancy, a prior post term delivery,

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and a newborn birthweight of 9 lbs. 3 oz. Which of the following laboratory values
should the nurse expect to collect? - CORRECT ANSWER HB A1c
A nurse is assessing a client who is at 12 weeks gestation and has a hydatidiform
mole. Which of the following findings should the nurse expect? - CORRECT
ANSWER Dark brown vaginal discharge
A nurse is counseling a female client who Expresses a desire to conceive in the
near future. Which of the following dietary recommendations should the nurse
make to prevent neural tube deficits? - CORRECT ANSWER Begin taking a folic
acid supplement
A nurse is developing a plan of care for a newborn who has hyperbilirubinemia
and a prescription for photo therapy. Which of the following intervention should
the nurse include in the plan? - CORRECT ANSWER Change the newborns
position every 2 to 3 hours
A nurse is assessing a newborn who was Circumcised 24 hours ago. Which of the
following findings should the nurse report to the provider? - CORRECT ANSWER
The newborn has urinated once since the circumcision
A nurse is Assisting a client who is four hours postpartum to get out of bed for the
first time. The client becomes frightened by gusher of dark red blood from her
vagina. Which of the following statements should the nurse make in the
response? - CORRECT ANSWER Blood pools in the vagina when you're lying in
bed
A nurse is providing a nutritional teaching for a pregnant client who had a pre-
pregnancy body mass index of 38. Which of the following statements by the client
demonstrates an understanding of the teaching about recommended weight gain

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during pregnancy? - CORRECT ANSWER I should plan to gain 5 to 9.1 kg during
my pregnancy
A nurse is caring for a term newborn 90 minutes after the scheduled cesarean
birth. The newborns one minute Apgar score was nine. The newborns heart rate is
120 per minute, and his respiration rate is 70 per minute. There is no indications
of retractions, grunting, or nasal flaring. Which of the following actions should the
nurse take? - CORRECT ANSWER Initiate close observation of the newborn for
indications of respiratory distress
A nurse is assessing a postpartum client and observes a steady trickle of bright red
blood from the clients vagina. The uterus is palpated as firm, midline, located 1
cm below the umbilicus. Which of the following actions should the nurse take? -
CORRECT ANSWER Notify the provider
A nurse is caring for a client at 35 weeks gestation who has severe preeclampsia.
Which of the following assessment provides the most accurate information
regarding the clients fluid and electrolyte status? - CORRECT ANSWER Daily
weight
A nurse is assessing a client at 34 weeks to station who has a mild placental
abruption. Which of the following findings should the nurse expect? - CORRECT
ANSWER Dark red vaginal bleeding
A nurse is providing teaching to a client who has one hour postpartum about
using the perineal squeeze bottle. Which of the following instruction should the
nurse include? - CORRECT ANSWER Fill the perineal bottle with warm water prior
to use

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A nurse is performing a physical assessment of a newborn. Which of the following
action should the nurse take? - CORRECT ANSWER Measure the circumference of
a newborns head with a tape measure just above the eyebrows
A nurse is providing teaching for a client about hormonal changes during
pregnancy. The nurse identifies that which of the following hormones please a key
role in preventing miscarriage? - CORRECT ANSWER Progesterone
A nurse is caring for a client who has a prescription for an election. Which of the
following is intended action of the medication in relation to the central nervous
system? - CORRECT ANSWER Block the facts of narcotics in the CNS
A nurse and a prenatal clinic is performing telephone triage for several clients.
Which is the following clients to ports Sheraton nursing identifying as an expected
Physiological adaptation to pregnancy? - CORRECT ANSWER Breast tenderness
A nurse is caring for a client in the third trimester of pregnancy who reports
difficulty sleeping. Which of the following instruction should the nurse provide? -
CORRECT ANSWER Use additional pills to support extremities and abdomen
A nurse is using Naegele's rule to determine the estimated date of birth for a
client whose first day of her last menstrual period was February 2, 2018. The
nurse should identify which of the following as a client estimated date of birth? -
CORRECT ANSWER November 9, 2018
A nurse is assisting with fetal heart monitoring during labor for a client who is at
40 weeks of gestation. The nurse should identify that which of the following
findings on the fetal monitoring tracing requires intervention? - CORRECT
ANSWER A fetal heart rate of 180 per minute for 15 minutes

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A nurse is providing postpartum discharge teaching to a client who is non-
lactating about breast discomfort and relief measures. Which of the following
pieces of information should the nurse include? - CORRECT ANSWER Place fresh
cabbage leaves on your breasts
A nurse is planning care for a client in active labor his fetus is in an occipital brow
presentation. Which of the following complications should the nurse anticipate as
a result of this video presentation? - CORRECT ANSWER Prolonged labor
A nurse is caring for a client who is an active labor and receiving in oxytocin
infusion. The nurse notes tachysystole with a category one fetal heart rate tracing.
Which of the following actions should the nurse take? - CORRECT ANSWER
Reposition the client and the side lying position and continue to monitor
A nurse is providing education for a pregnant client about symptoms that should
be reported immediately to the provider. Which of the following client responses
indicate an understanding of the teaching? - CORRECT ANSWER If I notice that
my eyes are puffy, I should call my provider
A nurse is planning care for a client in labor who is positive for HIV. Which of the
following action should the nurse take after the baby is born? - CORRECT
ANSWER Administer the hepatitis B vaccine prior to discharge
A nurse is caring for a client who is in labor. Which of the following assessment
findings should the nurse report to the provider? - CORRECT ANSWER Fetal heart
rate baseline of 90 bpm

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A nurse is preparing to administer routine medications to a newborn following
birth. Which of the following action should the nurse take? - CORRECT ANSWER
Administer vitamin K in the newborn thigh
A nurse is reviewing the medical record of a client at 39 weeks gestation who has
polyhydramnios. Which of the following findings should the nurse expect? -
CORRECT ANSWER Fetal gastrointestinal anomaly
A nurse is reviewing the providers admission Orders for a client who is at 37 weeks
so just station and is HIV positive. Which of the following orders should the nurse
clarify with the provider? - CORRECT ANSWER Fetal scalp electrode
A nurse is providing teaching about newborn care to the parents of a newborn.
Which of the following statements by the parent indicates an understanding of
the teaching? - CORRECT ANSWER I will place a hat on my babies hair prior to
going outside
A nurse is reviewing recent laboratory values during a prenatal visit for a client
who is pregnant. The nurse notes a hemoglobin level of 10 G/DL. Which of the
following actions should the nurse take - CORRECT ANSWER Request in order for
sickle cell anemia screening
A nurse is reviewing the laboratory findings for a 24 hour old newborn which of
the following findings should the nurse report to the provider? - CORRECT
ANSWER Hemoglobin 12g/dL
A nurse is caring for a client who is post partum and is having difficulty voiding.
Which of the following actions should the nurse take first? - CORRECT ANSWER
Assist the client to the bathroom

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A nurse is reviewing the laboratory findings for four clients. Which of the following
infections Should be reported to the public health department? - CORRECT
ANSWER Gonorrhea
A nurse is providing teaching to the parents of a newborn about how to care for
his circumcision at home. Which of the following instruction should the nurse
include in the teaching? - CORRECT ANSWER Encourage non-nutritive sucking for
pain relief
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? - CORRECT ANSWER Fetal asphyxia
A nurse is caring for a client who is receiving magnesium sulfate IV. Which of the
following medication to the nurse have available as an antidote for magnesium
sulfate? - CORRECT ANSWER Calcium gluconate
A nurse is discussing diaphragm use with a client. Which of the following
statements by the client indicates an understanding of the teaching? - CORRECT
ANSWER I should replace my diaphragm every two years
A nurse is assessing a client who is pregnant and reports increased nasal
stuffiness. The nurse should inform the client that which of the following
hormones is responsible for this discomfort? - CORRECT ANSWER Estrogen
A nurse is teaching a client who is in labor about the use of nitrous oxide analgesia
for pain control. Which of the following statements by the client indicates an

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understanding of the teaching? - CORRECT ANSWER I will feel the affects of the
nitrous oxide almost immediately
A nurse is assessing a newborn which of the following findings should the nurse
report to the provider? - CORRECT ANSWER Central cyanosis
A nurse is assessing a client who is at 35 weeks of gestation and has preeclampsia
without severe features which of the following findings should the nurse identify
as a priority? - CORRECT ANSWER 480 mL of urine output in 24 hours
A nurse is caring for a client in active labor who is fetus is in a persistent occiput
Posterior position. Which of the following actions should the nurse take to
promote rotation of the fetal head? - CORRECT ANSWER Instruct the client to
squat during contractions
A nurse is providing education to a client who is at 34 weeks of gestation about a
nonstress test. Which of the following pieces of information should the nurse
include? - CORRECT ANSWER You might have to drink orange juice during the test
A nurse is caring for a newborn immediately following delivery. Which of the
following actions should the nurse perform first? - CORRECT ANSWER Please the
newborn directly on the clients chest
A nurse is teaching a client about physiological changes that can Occur with
menopause. Which of the following changes to the nurse include? - CORRECT
ANSWER Stress incontinence
A nurse is caring for a client at 12 weeks gestation who has a BMI of 45. Which of
the following pieces of information should the nurse provide for the client

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regarding the recommended weight gain during her pregnancy? - CORRECT
ANSWER You should plan to gain no more than 20 pounds during your pregnancy
A nurse is caring for a client who is an active labor and he was a birth plan request
on nonpharmacological pain relief strategies. Which of the following strategies
should the nurse offer as a form of cutaneous stimulation - CORRECT ANSWER
Counter pressure
A nurse is caring for a client who is experiencing prolonged labor. Which of the
following fetal monitoring results indicates fetal compromise? - CORRECT
ANSWER Late decelerations with fetal bradicardia
A nurse is providing teaching about calcium intake to a client who is breast-
feeding. Which of the following is recommended daily calcium intake for a client
who is breast-feeding? - CORRECT ANSWER 1000 mg
A nurse is assessing a client at 27 Weeks of gestation the client has placenta previa
reports vaginal bleeding Which of the following additional manifestations should
the nurse expect? - CORRECT ANSWER The fundal height measures greater than
gestational age
A nurse is providing discharge instructions for a client who had a cesarean birth
four days ago. The clients hemoglobin level is 9.2 G/DL, and the provider has
prescribed an iron supplement. Which of the following foods should the nurse
recommend to help increase the clients iron intake - CORRECT ANSWER Citrus
fruit
A nurse is assessing a newborn. For which of the following findings should the
nurse notify the provider? - CORRECT ANSWER Mottling

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