ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A nurse in the clinic instructs a primigravida about the danger signs of pregnancy. The client demonstrates understanding of the instructions, stating she will notify the physician if which sign occurs?
Correct Answer: D
Rationale: The correct answer is D: Abdominal pain. Abdominal pain can indicate a serious issue like ectopic pregnancy, preterm labor, or placental abruption. White vaginal discharge (
A) is typically not a danger sign. Dull backache (
B) is common in pregnancy but not usually concerning. Frequent, urgent urination (
C) is common due to hormonal changes. Other choices are not relevant. In summary, abdominal pain is the most concerning danger sign as it can indicate severe complications, while the other symptoms are more commonly seen in pregnancy and are not necessarily alarming.
Question 2 of 5
If a pregnant client diagnosed with gestational diabetes cannot maintain control of her blood sugar by diet alone, which medication will she receive?
Correct Answer: C
Rationale: The correct answer is C: Insulin. In gestational diabetes, insulin is the preferred medication as it does not cross the placenta and is safe for both the mother and the fetus. Insulin helps regulate blood sugar levels effectively and can be adjusted based on the client's needs during pregnancy. Metformin (choice
A) may not be recommended during pregnancy due to potential risks. Glucagon (choice
B) is not typically used for managing gestational diabetes. Glyburide (choice
D) may cross the placenta and pose risks to the fetus. It is essential to prioritize the safety and well-being of both the mother and the unborn child when selecting medications for gestational diabetes.
Question 3 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: "Keep labels on containers of toxic substances and never remove them." This is correct because clear labeling helps prevent accidental poisoning as parents can easily identify hazardous substances and take necessary precautions. Removing labels can lead to confusion and potential misuse.
Choice A is incorrect as syrup of ipecac is no longer recommended for use in poisoning cases.
Choice B is incorrect as teaching children that plants can be eaten only after they are cooked is not a practical preventive measure.
Choice D is incorrect as placing medications above the sink does not guarantee safety and can still be accessible to preschoolers.
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 approach involves listening to the heart rate using a stethoscope placed over the apex of the heart. This method is most accurate for infants as it directly measures the heart's contractions. Radial (
B), ulna (
C), and brachial (
D) methods primarily measure peripheral pulses and may not accurately reflect the infant's heart rate due to potential delays in the transmission of the pulse from the heart to the peripheral arteries.
Therefore, apical auscultation is the preferred method for accurate heart rate measurement in infants.
Question 5 of 5
When planning for the care of an infant experiencing neonatal abstinence syndrome, which nursing assessment is most important?
Correct Answer: A
Rationale: The correct answer is A: The mother's ability to provide a safe environment. This is crucial because infants with neonatal abstinence syndrome require a stable and safe environment for their care. Assessing the mother's ability to create such an environment helps ensure the infant's safety and well-being. B is incorrect because the extent of the mother's addiction, while important, does not directly impact the immediate care of the infant. C is incorrect as the mother's ability to obtain treatment is secondary to the immediate need for a safe environment for the infant. D is incorrect as the severity of the infant's withdrawal, while important, does not address the preventive aspect of ensuring a safe environment.