ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching to a group of parents about preventing accidental poisoning in preschoolers.
Correct Answer: C
Rationale: The correct answer is C. Keeping labels on containers of toxic substances is crucial as it provides important information about the contents and hazards. Removing labels can lead to confusion and accidental ingestion. Syrup of ipecac (choice
A) is no longer recommended for poisoning treatment. Teaching children to eat cooked plants (choice
B) does not address the issue of accidental poisoning. Placing medications above the sink (choice
D) may still be accessible to preschoolers.
Question 2 of 5
A nurse is caring for a 4-month-old infant with thrush (candidiasis) who is breastfed.
Correct Answer: A
Rationale:
Correct
Answer: A
Rationale: Nystatin is an antifungal medication commonly used to treat thrush in infants. It is safe for infants and effective against Candida. The treatment should be continued for 2 to 3 days after the lesions disappear to ensure complete eradication of the infection. Discontinuing the medication prematurely can lead to a recurrence of thrush.
Summary of other choices:
B: Switching to a soy-based formula is unnecessary and does not address the thrush infection directly.
C: Discontinuing breastfeeding is not necessary and can disrupt the infant's feeding routine.
D: Scraping off the white patches can cause trauma to the oral mucosa and should be avoided.
Question 3 of 5
A nurse is caring for an adolescent with inadequate weight gain.
Correct Answer: C
Rationale: The correct answer is C: "Identify food preferences high in calcium and protein." Inadequate weight gain in adolescents can be due to lack of essential nutrients like calcium and protein for growth and development. Calcium is crucial for bone health, while protein is essential for muscle development. Both are important for overall growth.
Choices A and D focus on carbohydrates and calories, which are important but not the primary nutrients needed for weight gain in this scenario.
Choice B suggests high intake of saturated and unsaturated fats, which can be detrimental to overall health if consumed in excess.
Therefore, identifying food preferences high in calcium and protein is the most appropriate choice to address inadequate weight gain in the adolescent.
Question 4 of 5
Which of the following approaches is the most accurate way to measure the heart rate of a 10-month-old infant?
Correct Answer: A
Rationale: The correct answer is A: "Apical." This method involves placing the stethoscope over the apex of the heart to directly listen to the heart sounds. In infants, especially 10-month-olds, the apical pulse is more accurate as it allows for a direct assessment of the heart rate without interference from other factors like peripheral pulses. The apical pulse is easier to locate in infants due to their smaller chest size and thinner chest walls.
Choices B, C, and D (Radial, Ulna, and Brachial) are incorrect for measuring heart rate in infants as they involve peripheral pulse sites which may not provide an accurate representation of the heart rate due to various factors like weak pulses or difficulty in palpating them accurately in infants.
Question 5 of 5
A nurse is caring for a 4-year-old child diagnosed with leukemia who is admitted with myelosuppression.
Correct Answer: D
Rationale: The correct answer is D: "Inspect the skin daily for lesions." This is important because myelosuppression can lead to decreased platelets, increasing the risk of skin lesions and bleeding. Monitoring the skin daily can help detect any lesions early and prevent complications.
A: Providing a high-carbohydrate diet is not directly related to managing myelosuppression.
B: Monitoring rectal temperature is important but not directly related to skin lesion detection.
C: Using lemon or glycerin swabs for oral care is important for mucositis, not skin lesions.