ATI PN 112 Final Exam 12/25
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Free ATI PN 112 Final Exam 12/25 Questions
A nurse is reinforcing teaching about immunizations with a woman in her first trimester of pregnancy whose diagnostic testing indicates she does not have immunity to rubella. The nurse should recommend that the client receive a measles, mumps, rubella (MMR) vaccine at which of the following times?
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When she does not desire future pregnancies
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Prior to discharge from the hospital after giving birth
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Prior to giving birth
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Two weeks before attempting pregnancy again
Explanation
Explanation
The MMR vaccine is a live attenuated vaccine and is contraindicated during pregnancy due to the risk of fetal harm. For clients who are nonimmune to rubella during pregnancy, the vaccine should be administered postpartum, ideally before discharge from the hospital, to ensure immunity before future pregnancies. This timing protects future pregnancies from congenital rubella syndrome while avoiding exposure during the current pregnancy.Correct Answer Is:
B. Prior to discharge from the hospital after giving birthA nurse is reinforcing teaching with a client who is pregnant and has a prescription for Rho(D) immune globulin. Which of the following information should the nurse include?
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This medication prevents the formation of Rh antibodies by a woman who is Rh-negative.
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This medication prevents the formation of Rh antibodies in a newborn who is Rh-positive.
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This medication destroys Rh antibodies in a newborn who is Rh-positive.
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This medication destroys Rh antibodies in a woman who is Rh-negative.
Explanation
Explanation
Rho(D) immune globulin is administered to Rh-negative women to prevent sensitization to Rh-positive fetal red blood cells. The medication works by preventing the mother’s immune system from forming Rh antibodies that could attack Rh-positive red blood cells in a current or future pregnancy. It does not destroy existing antibodies and does not act on the newborn; its protective effect is directed at the maternal immune response.Correct Answer Is:
A. This medication prevents the formation of Rh antibodies by a woman who is Rh-negative.A nurse is caring for a client who is postoperative immediately following a tonsillectomy. Which of the following snacks should the nurse offer the client?
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Ice cream
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Hot tea
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Orange ice pop
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Cranberry juice
Explanation
Explanation
Following a tonsillectomy, the priority is to reduce pain, swelling, and the risk of bleeding. Cold, soft, non-acidic foods such as ice cream are appropriate because they help soothe the throat, promote vasoconstriction to reduce bleeding, and are easy to swallow. Hot liquids can increase bleeding, acidic foods irritate the surgical site, and red or dark-colored liquids can mask signs of postoperative hemorrhage.Correct Answer Is:
A. Ice creamA nurse is caring for an adolescent following the application of a plaster cast for a fractured right tibia. Which of the following actions should the nurse take?
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Discourage the client from ambulating.
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Keep the client's leg in a dependent position.
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Use a hair dryer on a hot setting to dry the cast.
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Perform a neurovascular check of the lower extremities.
Explanation
Explanation
After cast application, the priority nursing action is to monitor for neurovascular compromise, which can occur due to swelling and pressure within the cast. Neurovascular checks include assessing circulation, sensation, movement, color, temperature, capillary refill, pulses, and pain. Early detection of impaired perfusion or nerve compression helps prevent serious complications such as compartment syndrome or permanent tissue damage.Correct Answer Is:
D. Perform a neurovascular check of the lower extremities.A nurse is collecting data for a middle-aged client who has pyelonephritis. Which of the following findings should the nurse expect?
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Weight gain
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Flank pain
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Confusion
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Hypotension
Explanation
Explanation
Pyelonephritis is a bacterial infection of the kidneys that commonly causes inflammation of the renal pelvis and surrounding tissues. A hallmark manifestation is flank pain, often accompanied by costovertebral angle tenderness, fever, chills, and dysuria. Weight gain is not expected, confusion is more common in older adults with severe infection or sepsis, and hypotension occurs only in advanced or septic cases.Correct Answer Is:
B. Flank painWhile admitting a client for a cardiac catheterization, the nurse asks the client about allergies. Which of the following client food allergies should the nurse report to the provider prior to the procedure?
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Eggs
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Shellfish
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Gelatin
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Yeast
Explanation
Explanation
Cardiac catheterization commonly involves the use of iodinated contrast dye. Clients with a shellfish allergy may also have sensitivity to iodine, which increases the risk for an allergic reaction to contrast media. Reporting this allergy allows the provider to take precautions, such as prescribing premedication or using an alternative contrast agent, to reduce the risk of a hypersensitivity reaction.Correct Answer Is:
B. ShellfishA nurse is caring for a client who has influenza. Which of the following personal protective equipment (PPE) should the nurse instruct the client to wear?
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Gloves
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Goggles
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Mask
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Gown
Explanation
Explanation
Influenza is transmitted primarily through respiratory droplets expelled when an infected person coughs, sneezes, or talks. In droplet precautions, the client should wear a surgical mask when being transported or when others are in close contact to reduce the spread of infectious droplets. Gloves, gowns, and goggles are worn by healthcare personnel as indicated, but the key PPE for the client is a mask to contain respiratory secretions.Correct Answer Is:
C. MaskA nurse is receiving report about assigned clients at the start of his shift. Which of the following clients should the nurse plan to attend to first?
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A client who experienced a vaginal birth 24 hr ago and reports no bleeding
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A client who has preeclampsia and a BP of 138/90 mm Hg
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A client who is scheduled for discharge in 2 hr following a laparoscopic tubal ligation
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A client who experienced a cesarean birth 4 hr ago and reports pain
Explanation
Explanation
The client who is 4 hours postoperative following a cesarean birth requires priority attention because early postoperative pain can indicate inadequate pain control or potential complications such as hemorrhage or infection. Prompt assessment and intervention are necessary to promote comfort, support recovery, and identify complications early. The other clients are stable, have non-urgent findings, or can safely be addressed after the immediate postoperative client.Correct Answer Is:
D. A client who experienced a cesarean birth 4 hr ago and reports painA nurse is reinforcing teaching with a client about dietary choices for celiac disease. Which of the following menu choices selected by the client indicates an understanding of the teaching?
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Bacon, lettuce, and tomato sandwich on rye toast
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Hamburger on a wheat bun
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Beef and barley soup with rice crackers
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Baked chicken and potato chips
Explanation
Explanation
Celiac disease requires strict avoidance of gluten, which is found in wheat, rye, and barley. Baked chicken and potato chips are naturally gluten-free when prepared without breading or gluten-containing additives. The other options contain gluten sources such as rye bread, wheat buns, or barley, all of which would trigger an immune response and intestinal damage in a client with celiac disease.Correct Answer Is:
D. Baked chicken and potato chipsA nurse is reinforcing teaching with a client who has HIV and is being discharged to home. Which of the following instructions should the nurse include in the teaching?
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Wash the armpits and genitals with a gentle cleanser daily.
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Take temperature once a day.
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Wash dishes in warm water.
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Change the litter boxes while wearing gloves.
Explanation
Explanation
Clients with HIV are at increased risk for infection due to immunosuppression. Taking the temperature daily allows for early detection of fever, which may be the first sign of infection. Prompt recognition and reporting of fever enables timely medical evaluation and treatment, reducing the risk of serious complications. Monitoring temperature is a key self-care measure for maintaining health after discharge.Correct Answer Is:
B. Take temperature once a day.How to Order
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