ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with the parent of a child with a urinary tract infection.
Correct Answer: A
Rationale:
Correct
Answer: A. "I will bring my child to the bathroom before we leave for extended trips."
Rationale: Bringing the child to the bathroom before extended trips helps prevent urinary stasis and decreases the risk of urinary tract infections by promoting regular voiding. This practice ensures that the bladder is emptied regularly, reducing the chances of bacterial growth. It is important to encourage frequent urination to flush out bacteria and prevent infection.
Summary of other choices:
B: Switching from cotton to nylon underwear can increase moisture retention and promote bacterial growth, leading to an increased risk of urinary tract infections.
C: Teaching a child to wipe from back to front can introduce bacteria from the anal area to the urethra, increasing the risk of urinary tract infections.
D: Soaking in a bubble bath can irritate the urethra and disrupt the natural balance of bacteria in the genital area, potentially leading to urinary tract infections.
Question 2 of 5
A nurse is reviewing discharge instructions with the parent of an infant who has acute laryngotracheobronchitis (croup).
Correct Answer: C
Rationale: The correct answer is C: "I will place a dehumidifier in my child's room."
Rationale:
1. Acute laryngotracheobronchitis (croup) is a condition that causes swelling in the upper airway, leading to breathing difficulties.
2. Placing a dehumidifier in the child's room can help maintain optimal humidity levels, which can soothe the inflamed airways and ease breathing.
3. Moist air from the dehumidifier can help reduce coughing and throat irritation, providing comfort to the child.
4. This intervention is specific to managing the symptoms of croup and can support the child's recovery.
Summary:
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Choice A: Corticosteroids are prescribed by the doctor for croup, but it is not the parent's responsibility to administer them.
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Choice B: Clearing nasal passages with a bulb syringe is not directly related to managing croup symptoms.
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Choice D: Encouraging fluids
Question 3 of 5
A 15-year-old client visits the clinic to get medical clearance to play a sport.
Correct Answer: D
Rationale: The correct answer is D: "I should wear well-ventilated shoes." This is because well-ventilated shoes help prevent fungal infections by keeping the feet dry and reducing moisture buildup, which is crucial for active individuals like athletes.
Choice A is incorrect as avoiding showering at the gym is not a practical solution for preventing fungal infections.
Choice B, applying antifungal cream daily, is reactive rather than preventive.
Choice C, wearing dark-colored socks, does not directly address the issue of moisture and ventilation.
Question 4 of 5
A nurse is collecting data on a 3-year-old child with eczema in an outpatient center.
Correct Answer: C
Rationale: The correct answer is C, "Place a humidifier in the child's room." This is because eczema can worsen with dry skin, and a humidifier can help maintain moisture in the air, preventing skin dryness.
Choice A is incorrect as a plastic cover can trap heat and sweat, exacerbating eczema.
Choice B is incorrect as bubble baths can irritate sensitive skin.
Choice D is incorrect as wool clothing can be abrasive and trigger eczema flare-ups.
Question 5 of 5
A nurse is caring for a 7-year-old child who is admitted with an asthma exacerbation.
Correct Answer: B
Rationale: The correct answer is B because identifying and avoiding triggers helps prevent asthma exacerbations. This proactive approach addresses the root cause of the issue, promoting long-term management. Monitoring oxygen saturation, respiratory rate, and peak flow are important but reactive measures, not addressing the underlying triggers. Positioning upright aids breathing but does not prevent exacerbations.