ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A nurse is caring for a child with Wilms' tumor. The parents ask why the sign 'Do not palpate the abdomen' has to be placed on their child's bed. Which of the following is the correct response by the nurse?
Correct Answer: C
Rationale: The correct response is C: Palpation of the abdomen could result in some of the tumor cells breaking loose, causing it to spread. Palpating the abdomen in a child with Wilms' tumor can potentially lead to the dissemination of tumor cells into surrounding tissues and blood vessels, increasing the risk of metastasis. This precaution is crucial to prevent the spread of cancer cells and to contain the tumor within the kidney.
Choices A, B, and D are incorrect as they do not address the specific risk associated with manipulating the abdomen in a child with Wilms' tumor. Option A focuses solely on pain, which is not the primary concern in this case. Option B is inaccurate as palpation does not cause tumor growth. Option D is irrelevant to the potential consequences of abdominal manipulation in this context.
Question 2 of 5
A nurse is caring for a child with muscular dystrophy. Which of the following priority actions should the nurse include in the care of this child?
Correct Answer: D
Rationale: The correct answer is D: Have the child use an incentive spirometer and perform breathing exercises routinely. This is the priority action because children with muscular dystrophy are at risk for respiratory complications due to weakened respiratory muscles. Using an incentive spirometer and performing breathing exercises help maintain lung function and prevent respiratory infections.
A: Limiting physical activity and planning rest periods is important, but respiratory care takes precedence in muscular dystrophy.
B: Genetic counseling is important for family planning but does not directly impact the child's care.
C: Advising against vaccines can increase the risk of infections in a child with compromised respiratory function.
E, F, G: No information provided.
Question 3 of 5
A nurse is caring for a child with acute glomerulonephritis. The child has edema, hypertension, and gross hematuria. Which of the following is the most appropriate nursing intervention?
Correct Answer: C
Rationale: The correct answer is C: Weigh the child daily and record intake and output. This intervention is crucial in monitoring fluid balance and kidney function in a child with acute glomerulonephritis. Daily weights help assess for fluid retention, while intake and output measurements help evaluate kidney function. Edema, hypertension, and gross hematuria are key symptoms of this condition, indicating the need for close monitoring.
Choice A is incorrect because monitoring oxygen saturation is not directly related to the management of acute glomerulonephritis.
Choice B is also incorrect as dietary restrictions regarding protein are not the priority in this situation.
Choice D is incorrect as counseling about follow-up is important but not the most immediate intervention needed.
Question 4 of 5
A nurse is performing a routine physical examination on an adolescent client who asks, 'Why do I have to use a condom if my girlfriend is on the pill?' Which of the following is the most appropriate response by the nurse?
Correct Answer: D
Rationale: The correct answer is D. The nurse should explain that while oral contraceptives are highly effective in preventing pregnancy, they do not protect against sexually transmitted diseases (STDs). This is important because even if the girlfriend is on the pill, using a condom is necessary to prevent STD transmission. Adolescents are at higher risk for STDs, so it is crucial to emphasize the importance of dual protection.
Choice A is incorrect as it does not specifically address the risk of STD transmission.
Choice B is incorrect because it focuses on shared responsibility rather than the health implications of using a condom.
Choice C is incorrect as it emphasizes the effectiveness of oral contraceptives rather than the need for STD protection.
Question 5 of 5
A nurse is preparing to admit a 15-year-old client with HIV/AIDS. Based on the client's diagnosis, which of the following nursing actions is appropriate?
Correct Answer: A
Rationale:
Correct
Answer: A
Rationale:
1. Client education on standard precautions is crucial to prevent the spread of infections.
2. The nurse should tailor the education in an age-appropriate manner to ensure understanding.
3. Contributing to planning education empowers the client to take an active role in their health.
4. This action promotes client safety and reduces the risk of transmission to others.
Summary:
B: Contacting the dietary department for disposable dishes is not directly related to HIV/AIDS education or infection control.
C: Preparing a negative pressure room is not necessary for standard precautions and may not be feasible in all settings.
D: Instructing visitors to wear gowns and masks is excessive for standard precautions and may cause distress to the client.