ATI RN
RN ATI Maternal Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
A nurse is assessing a full-term newborn upon admission to the nursery. Which of the following clinical findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Single palmar creases. This finding may indicate Down Syndrome. Reporting it is crucial for further evaluation and appropriate care. Single palmar creases are a physical characteristic associated with Down Syndrome, making it essential to inform the provider for thorough assessment and potential early intervention. The other choices are not indicative of immediate concern for a full-term newborn. Down Syndrome (
B) may be associated with single palmar creases, but it is not the clinical finding that should be reported. Rust-stained urine (
C), transient circumoral cyanosis (
D), and subconjunctival hemorrhage (E) are common and usually benign in newborns, requiring monitoring but not immediate reporting.
Question 2 of 5
A nurse is caring for a client who reports spontaneous rupture of membranes. The nurse observes fetal bradycardia on the FHR tracing and notices that the umbilical cord is protruding. After calling for assistance and notifying the provider, which of the following actions should the nurse take next?
Correct Answer: B
Rationale: The correct answer is B: Cover the umbilical cord with a sterile saline-saturated towel. This action is crucial to prevent compression of the cord, which could lead to fetal compromise. By covering the cord, the nurse can protect it from further exposure and minimize the risk of decreased blood flow to the fetus. Performing a vaginal examination (choice
A) could worsen the situation by causing further cord compression. Administering oxygen (choice
C) and initiating IV fluids (choice
D) are important interventions but not the priority in this emergency situation. The focus should be on protecting the umbilical cord until immediate interventions can be performed by the healthcare team.
Question 3 of 5
A nurse is caring for a client who is at 36 weeks of gestation and has methicillin-resistant Staphylococcus aureus. Which of the following types of isolation precautions should the nurse initiate?
Correct Answer: B
Rationale: The correct answer is B: Contact precautions. Methicillin-resistant Staphylococcus aureus (MRS
A) is primarily spread through direct contact with infected individuals or contaminated surfaces.
Therefore, the nurse should initiate contact precautions to prevent the spread of the infection. This includes wearing gloves and gowns when providing care, ensuring proper hand hygiene, and using dedicated equipment for the client. Droplet precautions (choice
A) are used for diseases transmitted through respiratory droplets, like influenza. Protective environment (choice
C) is used for clients with compromised immune systems. Airborne precautions (choice
D) are for diseases transmitted through airborne particles, such as tuberculosis.
Extract:
A nurse is caring for a client who is at 33 weeks of gestation.
Diagnostic Results:
• Proteinuria 3+, straw-colored urine
• Platelet count 150,000/mm3 (150,000 to 400,000/mm3)
• BUN 18 mg/dL (10 to 20 mg/dL)
Question 4 of 5
The nurse is assessing the client 24 hr later. How should the nurse interpret the findings?
| Findings 24 hr later | Sign of potential worsening condition | Sign of potential improvement | Unrelated to diagnosis |
|---|---|---|---|
| Hematuria | |||
| Proteinuria 2+ | |||
| Leukorrhea | |||
| Positive clonus | |||
| BUN 40 mg/dL | |||
| Platelet count 110,000/mm3 |
Correct Answer:
Rationale:
Correct Answer:
Rationale:
- Hematuria and Proteinuria 2+ are signs of potential worsening conditions that should be checked.
- Leukorrhea is unrelated to the diagnosis and can be disregarded.
- Positive clonus and the lab values BUN 40 mg/dL, Platelet count 110,000/mm3 are not mentioned in the table, so they should not be selected.
Extract:
Question 5 of 5
A nurse is teaching about car seat safety to the parents of a newborn who was delivered at 38 weeks of gestation. Which of the following statements by a parent indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "The car seat should be positioned in the car at a 45-degree angle." This statement indicates an understanding of car seat safety for newborns delivered at 38 weeks of gestation. Placing the car seat at a 45-degree angle helps prevent the newborn's head from falling forward, ensuring proper airway and breathing. This position mimics the natural sleeping position of a newborn and reduces the risk of oxygen desaturation.
Choice A is incorrect because using a sleep sack can interfere with the proper harness fit in the car seat, compromising the baby's safety.
Choice B is incorrect as a car seat challenge test is typically done for preterm infants, not those born at 38 weeks of gestation.
Choice D is incorrect because the recommendation is to keep infants in a rear-facing position until at least 2 years of age, not 1 year.