ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
The parents of a 4-year-old child state that they had an infant die 2 months ago during childbirth.
Correct Answer: D
Rationale: The correct answer is D because it reflects a common behavior in children who have experienced a loss - feeling guilty or blaming themselves for the death. This is known as magical thinking, where children associate their thoughts or actions with causing events.
Choice A may indicate a desire for connection but doesn't directly address the child's internal struggle with guilt.
Choice B shows curiosity but doesn't address the emotional impact on the child.
Choice C highlights concerning behaviors but doesn't capture the underlying psychological issue of guilt. Overall, D is the best choice as it directly addresses the child's emotional response to the loss.
Question 2 of 5
A nurse is preparing a room for the admission of a client with sickle cell anemia who is in vasoocclusive crisis. Which type of equipment should the nurse place in the client's room?
Correct Answer: D
Rationale: The correct answer is D: Blood transfusion equipment. In a vasoocclusive crisis, the client with sickle cell anemia may require blood transfusions to improve oxygen delivery to tissues. Having blood transfusion equipment readily available in the client's room ensures prompt initiation of treatment. Wheelchair (
A) and comfort items like extra blankets and pillows (
C) are important but not essential during a vasoocclusive crisis. A radio and reading materials (
B) are not directly related to the client's immediate medical needs.
Question 3 of 5
An 8-year-old child is admitted to a pediatric unit with a fractured femur and is placed in skeletal traction. Which of the following nursing interventions is the most appropriate?
Correct Answer: C
Rationale: The correct answer is C: Compare pulses on affected site to contralateral side. This is the most appropriate nursing intervention because it assesses for any circulatory compromise due to the skeletal traction. Checking pulses helps monitor perfusion distal to the fracture site and ensures early detection of any complications like compartment syndrome. Positioning the weights against the foot of the bed (
A) is incorrect as it can cause uneven traction. Providing high-fat meals (
B) and diversional activities (
D) are irrelevant to the immediate care of the child's fracture.
Question 4 of 5
A nurse on a pediatric unit is assigned to care for a child with Reye syndrome. Which of the following is the most serious clinical manifestation for which the nurse should monitor?
Correct Answer: B
Rationale: The correct answer is B: Cerebral edema. In Reye syndrome, cerebral edema is the most serious manifestation due to increased intracranial pressure, potentially leading to brain damage or death. Anaphylaxis (
A) is not typically associated with Reye syndrome. Impaired coagulation (
C) can occur but is not as immediately life-threatening as cerebral edema. Hypervolemia (
D) is a possible complication but not as critical as cerebral edema in Reye syndrome.
Question 5 of 5
A nurse is preparing to take a rectal temperature on a 7-month-old infant. Which of the following should the nurse keep in mind when preparing to take the temperature?
Correct Answer: B
Rationale:
Correct
Answer: B
Rationale: The correct answer is B because rectal temperatures are typically 1.5-2°F higher than oral temperatures due to the body's core temperature being higher internally. This conversion is essential in accurately interpreting the infant's rectal temperature.
Summary of other choices:
A: Incorrect. The maximum insertion depth for a rectal thermometer in infants is 1 inch, not 2.5 inches.
C: Incorrect. Rectal temperatures are not the only accurate method for infants; axillary or temporal artery thermometers are also reliable.
D: Incorrect. Mercury thermometers are no longer recommended due to the risk of mercury exposure, and the time required to obtain a rectal temperature is typically shorter.