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A.T.I Proctored Exam: Maternal Newborn 2025 – Ultimate Study Guide with 100% Correct Ans, Exams of Nursing

Emory University Nursing

A.T.I Proctored Exam: Maternal Newborn 2025 – Ultimate Study Guide with 100% Accurate Questions, Expert Answers, and Exam Preparation Strategies

Typology: Exams

2024/2025

Available from 07/16/2025

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ATI Proctored Exam: Maternal Newborn 2025 –

Ultimate Study Guide with 100% Accurate

Questions, Expert Answers, and Exam

Preparation Strategies

Here are the multi-choice questions with rationales and indicated correct answers for

the provided list.

1. A nurse is documenting a client's medical record. Which of the following entries

should the nurse record?

a. Oral temperature slightly elevated at 0800.

b. Administered pain medication.

c. Incision without redness or drainage.

d. Drank adequate amounts of fluid with meals.

Correct Answer: c. Incision without redness or drainage.

Rationale:

• c. Incision without redness or drainage: This is the most appropriate entry.

Nursing documentation should be objective, specific, and measurable. "Without

redness or drainage" is a clear, descriptive observation of the incision's status.

• a. Oral temperature slightly elevated at 0800: "Slightly elevated" is subjective

and not measurable. Good documentation would state the actual temperature

reading (e.g., "Oral temperature 37.8°C at 0800").

• b. Administered pain medication: This is a partial entry. Good documentation

for medication administration includes the medication name, dose, route, time,

and the client's response to the medication (e.g., "Morphine 2mg IV administered

for pain at 0900. Client reports pain decreased from 8/10 to 3/10 at 0930.").

• d. Drank adequate amounts of fluid with meals: "Adequate amounts" is

subjective and not measurable. It should be quantified, such as "Drank 240 mL

of fluid with breakfast, 300 mL with lunch, and 200 mL with dinner."

Partial preview of the text

Download A.T.I Proctored Exam: Maternal Newborn 2025 – Ultimate Study Guide with 100% Correct Ans and more Exams Nursing in PDF only on Docsity!

ATI Proctored Exam: Maternal Newborn 202 5 –

Ultimate Study Guide with 100% Accurate

Questions, Expert Answers, and Exam

Preparation Strategies

Here are the multi-choice questions with rationales and indicated correct answers for the provided list.

A nurse is documenting a client's medical record. Which of the following entries should the nurse record? a. Oral temperature slightly elevated at 0800. b. Administered pain medication. c. Incision without redness or drainage. d. Drank adequate amounts of fluid with meals. Correct Answer: c. Incision without redness or drainage. Rationale:
- c. Incision without redness or drainage: This is the most appropriate entry. Nursing documentation should be objective, specific, and measurable. "Without redness or drainage" is a clear, descriptive observation of the incision's status.
- a. Oral temperature slightly elevated at 0800: "Slightly elevated" is subjective and not measurable. Good documentation would state the actual temperature reading (e.g., "Oral temperature 37.8°C at 0800").
- b. Administered pain medication: This is a partial entry. Good documentation for medication administration includes the medication name, dose, route, time, and the client's response to the medication (e.g., "Morphine 2mg IV administered for pain at 0900. Client reports pain decreased from 8/10 to 3/10 at 0930.").
- d. Drank adequate amounts of fluid with meals: "Adequate amounts" is subjective and not measurable. It should be quantified, such as "Drank 240 mL of fluid with breakfast, 300 mL with lunch, and 200 mL with dinner."

A nurse is providing oral care for a client who is unconscious. Which of the following actions should the nurse take? a. Place the client in a side-lying position. b. Brush the client's teeth daily. c. Apply mineral oil to the client's lips. d. Rinse the client's mouth with an alcohol-based mouthwash. Correct Answer: a. Place the client in a side-lying position. Rationale:
- a. Place the client in a side-lying position: This is the most important action to prevent aspiration during oral care for an unconscious client. Positioning the client on their side allows fluids to drain out of the mouth by gravity, rather than accumulating in the pharynx and potentially entering the airway.
- b. Brush the client's teeth daily: While oral care should be performed regularly, "daily" might not be frequent enough for an unconscious client who is at higher risk for oral complications. Oral care should be performed more frequently (e.g., every 2-4 hours).
- c. Apply mineral oil to the client's lips: Mineral oil should be avoided as it can be aspirated and lead to lipoid pneumonia. Water-soluble lubricants are preferred for lip care.
- d. Rinse the client's mouth with an alcohol-based mouthwash: Alcohol- based mouthwashes should be avoided as they can dry and irritate the oral mucosa, especially in a client who might have compromised oral integrity. Non- alcoholic, gentle rinses are preferred.
A nurse is collaborating with a risk management team about potential legal issues involving client care. The nurse should identify which of the following situations is an example of negligence? a. A nurse administers a medication without first identifying the client. b. An assistive personnel discusses client care in the facility cafeteria with visitors present. c. A nurse begins a blood transfusion without obtaining consent. d. An assistive personnel prevents a client from leaving the facility. Correct Answer: c. A nurse begins a blood transfusion without obtaining consent.

c. Collect the specimen in the evening. d. Collect 1 mL of sputum. Correct Answer: b. Offer the client oral hygiene after the collection. Rationale:

b. Offer the client oral hygiene after the collection: This is appropriate client care. After expectorating sputum, the client's mouth will likely have an unpleasant taste and odor from the secretions. Offering oral hygiene helps promote comfort and cleanliness.
a. Wear sterile gloves when collecting the specimen: This is incorrect. Clean gloves are sufficient for collecting sputum specimens, as the specimen itself is not sterile (it comes from the respiratory tract). Sterile gloves are typically used for sterile procedures like sterile dressing changes or insertion of sterile catheters.
c. Collect the specimen in the evening: This is incorrect. Sputum specimens for culture are best collected in the morning upon waking, before eating or drinking, as respiratory secretions accumulate overnight, increasing the likelihood of obtaining a representative sample.
d. Collect 1 mL of sputum: This is likely an insufficient amount. A typical sputum specimen requires 5-10 mL of sputum to ensure enough material for accurate culture and sensitivity testing.

A nurse is assessing an older client. Which of the following findings should the nurse expect? a. Decreased sense of balance b. Increased nighttime sleeping c. Heightened sense of pain d. Nighttime urinary incontinence Correct Answer: a. Decreased sense of balance Rationale:

a. Decreased sense of balance: This is an expected age-related change in older adults. Ageing can lead to changes in the vestibular system, vision, proprioception, and muscle strength, all of which contribute to a decreased sense of balance and an increased risk of falls.

b. Increased nighttime sleeping: This is incorrect. Older adults often experience decreased nighttime sleeping and more fragmented sleep patterns, leading to increased daytime napping.
c. Heightened sense of pain: This is incorrect. Older adults often experience a decreased or blunted perception of pain due to changes in nerve conduction and sensory receptors, which can lead to delayed recognition of serious conditions.
d. Nighttime urinary incontinence: While urinary incontinence can be common in older adults, it is not a normal or expected part of aging. It is a treatable condition and should be investigated, as it can be caused by various factors, including weakened pelvic floor muscles, prostate enlargement, or neurological conditions.

A nurse is completing discharge teaching about ostomy care with a client who has a new stoma. Which of the following instructions should the nurse include in the teaching? (Select all that apply) a. "Cut the opening of the pouch 1/8 of an inch larger than the stoma." b. "Place a piece of gauze over the stoma while changing the pouch." c. "Use povidone-iodine to clean around the stoma." d. "Empty the ostomy pouch when it becomes one-third full of contents." e. "Expect the stoma to turn a purple-blue color as it heals." Correct Answers: a, b, d Rationale:

a. "Cut the opening of the pouch 1/8 of an inch larger than the stoma.": This is correct. The opening of the ostomy appliance should be cut to fit snugly around the stoma, leaving only a small (1/8 inch or 0.3 cm) margin. This prevents irritation and skin breakdown from effluent while allowing space for minor swelling.
b. "Place a piece of gauze over the stoma while changing the pouch.": This is correct. Placing a piece of gauze (or a tissue/paper towel) over the stoma during pouch changes can absorb any leakage of stool or urine, which can occur unpredictably and prevent it from contaminating the skin or clothing.
c. "Use povidone-iodine to clean around the stoma.": This is incorrect. Povidone-iodine and other harsh antiseptics should not be used to clean the

d. "Avoid using gestures when speaking to the client.": This is incorrect. While cultural differences in gestures exist, appropriate and culturally sensitive gestures can sometimes aid communication and convey empathy, especially when there's a language barrier, though they should be used cautiously. The primary tool is a professional interpreter.

A nurse is teaching a client about home care equipment. Which of the following information should the nurse include in the teaching? (Select all that apply) a. "Avoid using wool blankets when receiving oxygen." b. "Check the O2 delivery rate at least once a day." c. "Align the middle of the ball in the flow meter with the line of the prescribed flow rate." d. "Keep the oxygen delivery system 0.6 m (2 feet) from any heat source." e. "Lay the oxygen tank flat when storing." Correct Answers: a, b, c Rationale:

a. "Avoid using wool blankets when receiving oxygen.": This is correct. Wool (and synthetic fabrics like nylon) can generate static electricity, which poses a fire risk in the presence of oxygen, a highly flammable gas. Cotton is a safer alternative.
b. "Check the O2 delivery rate at least once a day.": This is correct. The client or caregiver should regularly check the oxygen flow rate on the flow meter to ensure it is set to the prescribed rate and functioning correctly. More frequent checks might be needed if the client's condition changes.
c. "Align the middle of the ball in the flow meter with the line of the prescribed flow rate.": This is correct. When reading a ball-type flow meter, the correct reading is taken at the center of the ball, not the top or bottom, to ensure the accurate prescribed oxygen flow rate is delivered.
d. "Keep the oxygen delivery system 0.6 m (2 feet) from any heat source.": This is incorrect. Oxygen tanks and delivery systems should be kept a minimum of 3 meters (10 feet) away from any heat sources, open flames, or electrical devices that could spark, due to the extreme fire risk.
e. "Lay the oxygen tank flat when storing.": This is incorrect. Oxygen tanks should always be stored in an upright position , secured in a stand or rack, to

prevent them from falling over, which could cause injury or damage the valve, potentially leading to a dangerous leak or rupture. A nurse is planning care for a client who reports insomnia. Which of the following actions should the nurse perform shortly before bedtime? a. Provide a late supper. b. Offer a wet washcloth for the client to wash her face c. Perform range-of-motion exercises d. Prepare hot cocoa or tea for the client - - correct ans- - a A nurse on a medical-surgical unit is receiving a change-of-shift report for four clients. Which of the following clients should the nurse see first? a. A client who has acute abdominal pain of 4 on a scale from 0 to 10 b. A client who has pneumonia and an oxygen saturation of 96% c. A client who has new onset of dyspnea 24hr after a total hip arthroplasty • d. A client who has a urinary tract infection and low-grade fever - - correct ans- - c A nurse is reviewing a client's intake and output and notes the following: 0.9% sodium chloride 600mL IV infusion, cefazolin 250 mg in dextrose 5% in water 100mL intermittent IV bolus, 200mL emesis, 40mL voided urine, and 20mL urine from straight catheterization. The nurse should record the client's net fluid intake as how many mL? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) DOSAGE CALCULATION - - correct ans- - 700 mL A nurse is discussing incident reports with a group of newly licensed nurses. The nurse should include that which if the following requires the completion of an incident report? a. A client's prescribed laboratory testing was not obtained b. A client withdrew consent for a procedure c. An oncoming nurse arrived to work late

A charge nurse is teaching a group of newly licensed nurses about the use of restraints. In which of the following clinical situations should the nurse apply restraints? a. If the client is pacing in the hallway b. As a part of a fall prevention program c. At the request of the client's family d. When the client poses a threat to self - - correct ans- - d To ensure client safety, a nurse manager is planning to observe a newly licensed nurse perform a straight catheterization on a client. In which of the following roles is the nurse manager functioning? a. Case manager b. Client educator c. Client care provider d. Client advocate - - correct ans- - d A charge nurse in a long-term care facility is preparing an educational program about delirium for newly hired nurses. Which of the following statements should the nurse plan to include? a. "Delirium does not affect a client's perception of her environment." b. "Delirium does not affect a client's sleep cycle." c. "Delirium has an abrupt onset." d. "Delirium has a slow progression." - - correct ans- - c A nurse is speaking with a client who has recently received a diagnosis of a chronic illness. The client states, " The doctor must be wrong. I can't be that sick". The nurse should inform the client that their reaction is an example of which of the following expected responses to grief? a. Acceptance b. Denial

c. Anger d. Depression - - correct ans- - b A Nurse on a medical-surgical unit is providing care for four clients. The nurse should identify which of the following situations as an ethical dilemma? a. A surgeon who removed the wrong kidney during a surgical procedure refuses to take responsibility for her actions b. A client who has Crohn's disease reports that his prescription drug plan will not pay for his medications. c. A client who has a new colostomy refuses to take instructions from the ostomy therapist because she "doesn't like him." d. the family of a client who has a terminal illness asks the provider not to tell the client the diagnosis - - correct ans- - d A nurse is planning care for a group of clients. Which of the following tasks should the nurse delegate to an assistive personnel? a. Changing the dressing for a client who has a stage 3 pressure injury b. Determining a client's response to a diuretic c. Comparing radial pulses for a client who is postoperative d.Providing postmortem care to a client - - correct ans- - d A nurse is conducting a health assessment for a client who takes herbal supplements. Which of the following statements by the client indicates an understanding of the use of the supplements? A. I take ginkgo biloba for a headache B. I take echinacea to control my cholesterol C. I use ginger when I get car sick D. I use garlic for my menopausal symptoms - - correct ans- - c A nurse is caring for a client who has influenza and isolation precautions in place. Which of the following actions should the nurse take to prevent the spread of infection? A. Wear a mask when working within 3 feet of the client

b. "I should make different patterns on each breast when I do my self-exam." c. "I should use the palm of my hand to apply pressure to each breast." d. "I should make circular motions with my fingertips under my arms." - - correct ans- - d A nurse is preparing to transfer a client who is partially weight bearing from the bed to the chair. Which of the following actions should the nurse take? a. Keep his knees straight when moving the client b. Position the chair next to the bed as a 90 degree angle c. Stand with his feet together when lifting the client d. Have the client bear weight on her stronger leg - - correct ans- - d A nurse is caring for a client following a laparoscopic cholecystectomy. The client has a prescription for ondansetron 4mg IV bolus every 6hr PRN for nausea and vomiting. Identify the sequence of steps the nurse should follow to administer the medication. ( Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Select the injection port of the IV tubing closest to the client.
Cleanse the injection port with an antiseptic swab.
Aspirate for blood return.
Inject the medication.
perform hand hygiene - - correct ans- - 1. perform hand hygiene

select the injection port of the IV tubing closest to the client
cleanse the injection port with an antiseptic swab
aspirate for blood return
inject the medication A nurse is teaching a client who has diabetes mellitus about mixing regular and NPH insulin. Which of the following statements but the client indicates an understanding of the teaching

a. I should wait 3 minutes after mixing the insulin to inject it b. I should draw up the NPH insulin before regular insulin c. I should inject air into the vial of regular insulin first d. I should roll the vial of NPH insulin between my hands before drawing it up - - correct ans- - d A nurse is assessing the body temperature of an adult client using a temporal artery thermometer. Which of the following actions should the nurse take? (Select all that apply) a. Slide the probe across the clients forehead b. Pull the clients pinna up & back c. Hold the client's hair aside while performing the procedure d. Document the client's temperature with "AX" next to the value e. Move the probe in a circular motion - - correct ans- - a, c A nurse is preparing to insert a peripheral IV catheter into the client's arm. Which of the following actions should the nurse take to help dilate the vein? a. Stroke the skin near the vein in an upward position b. Dangle the client's arm over the edge of the bed c. Apply a cool compress to the vein for 10 min d. Instruct the client to flex their arm with the hand open - - correct ans- - b A nurse is preparing to suction a client's tracheostomy tube. Which of the following actions should the nurse plan to take? a. Apply intermittent suction during catheter insertion b. Suction the client's airway for 20 seconds with each pass c. Hyperoxygenate the client manually for 30 to 60 seconds before suctioning d. decrease suction pressure to 150 mm Hg if the O2 sat levels drop during suctioning - - correct ans- - a

A nurse is obtaining the medication history of a client who asks about taking ginkgo biloba. The nurse should identify which of the following medications can interact adversely with this supplement? a. Warfarin b. Albuterol c. Levothyroxine d. Atorvastatin - - correct ans- - a A nurse is obtaining informed consent from a client who is scheduled for surgery. The client states, "I don't want to go through with the procedure." Which of the following actions should the nurse take? a. Discuss alternative treatments with the client b. Explain to the client the risks involved with not having the procedure c. Express approval of the client's decision to not have the procedure d. Document the client's decision in the medical record - - correct ans- - d A nurse is providing teaching to a client about reducing the adverse effects of immobility. Which of the following statements by the client indicates an understanding of the teaching? a. " I will have my partner help me change position every 4 hours" b. " I will remove my antiembolic stockings while I am in bed" c." I will hold my breath when rising from a sitting position" d." I will perform ankle and knee exercises every hour." - - correct ans- - d A nurse is caring for a client who is postoperative and has a new prescription to advance her diet to full to full liquids. Which of the following foods should the nurse offer the client as a part of a full liquid diet? a. Oatmeal b. Applesauce

c. Scrambled eggs d. Plain Yogurt - - correct ans- - d A nurse is preparing a client who has terminal cancer for discharge. Which of the following questions should the nurse ask when assessing the client's psychosocial history? a. " What medications are you currently taking?" b." Are you experiencing any Pain?" c. " Have any of your relatives been diagnosed with cancer?" d. " What Techniques do you use to cope with stress?" - - correct ans- - d A nurse is performing a skin assessment on an older adult client. Which of the following findings should the nurse expect? a. Thickened outer layer of skin b. Increased skin elasticity c. Reduced sweat production d. Increased Production of oils - - correct ans- - c A nurse is caring for a client who begins to cry after receiving a diagnosis of cancer. Which of the following responses should the nurse make? a. " I would get a second opinion if I were you." b " it might seem bad now, but things will get better." c " it must be difficult for you to receive this kind of news." d I think you would benefit from speaking with our chaplain." - - correct ans- - c A nurse is preparing to obtain a health history from a client. Which of the following actions should the nurse take? a. Use the client's first name when initially meeting the client. b. Tell the client the purpose for collecting the information.

a. " I will place the client in a Private room." b. " I will remove my gown before my gloves after providing client care." c. " I will wear an N95 respirator mask when caring for the client." d. " I will tell the client's visitors to wear a mask when they are within 3 feet of the client."

- correct ans- - a A nurse is planning care for a client who reports having a latex allergy. Which of the following interventions should the nurse include in the plan? a. Cover the blood pressure cuff with a stockinette. b. Wear powdered gloves when providing care to the client. c. Apply adhesive tape when securing an IV insertion site. d. Use plastic syringes for medication administration. - - correct ans- - a A nurse is caring for a client who is scheduled for surgery. While the nurse is witnessing the client's signature, the client states, " I trust my doctor, but I don't understand what is meant by resecting my intestines." Which of the following actions should the nurse take? a. Describe the surgery to the client. b. Notify the Provider. c. Complete an incident report d. Provide brochures about the procedure. - - correct ans- - b A nurse is documenting client care. Which of the following abbreviations should the nurse use? a. " SQ" for subcutaneous b. "SS" for sliding scale c. "BRP" for bathroom privileges d. "OJ" for orange juice - - correct ans- - c

A nurse is preparing to bathe a client who has dementia. Which of the following actions should the nurse take? a. Give detailed instructions for the client to follow. b. Complete the bath even if the client is in distress. c. Use distractions when bathing the client. d. Allow the client to select the temperature of the bath water. - - correct ans- - c A hospice nurse is caring for a client who has end stage cancer. Which of the following interventions should the nurse include to promote the client's dignity? a. Provide guided imagery exercises to the client. b. Refrain from discussing the client's prognosis c. Suggest that the client keep a journal. d. Encourage the client to share their life story. - - correct ans- - b A nurse is caring for a client who has a closed wound drainage system. Which of the following actions should the nurse take? a. Wear sterile gloves when emptying the container. b. Reset the container with the drainage port closed c. Connect the drain to high pressure suction. d. Press straight down on the container to create vacuum. - - correct ans- - d A nurse receives a telephone prescription from a provider for a client who is experiencing pain. Which of the following responses should the nurse make? a. " Will you please spell the name of that medication for me?" b. "Let me clarify that you want the medication given qid, correct?" c. " I will sign my name now and leave a space for you to sign your name." d. "Let me provide you with the client's medical record number for identification." - - correct ans- - a

A.T.I Proctored Exam: Maternal Newborn 2025 – Ultimate Study Guide with 100% Correct Ans, Exams of Nursing

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Partial preview of the text

Download A.T.I Proctored Exam: Maternal Newborn 2025 – Ultimate Study Guide with 100% Correct Ans and more Exams Nursing in PDF only on Docsity!

ATI Proctored Exam: Maternal Newborn 202 5 –

Ultimate Study Guide with 100% Accurate

Questions, Expert Answers, and Exam

Preparation Strategies