ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A nurse is caring for a 14-year-old child with appendicitis who has a pain rating of 8 on a scale of 1 to 10.
Correct Answer: C
Rationale: The correct answer is C: "Notify the primary care provider." In this scenario, the child's pain rating of 8 indicates severe pain, which could be a sign of complications in appendicitis. Notifying the primary care provider is crucial for immediate evaluation and intervention. Continuing with pain assessment (
A) can delay necessary treatment. Taking vital signs (
B) is important but addressing the severe pain takes precedence. Auscultating bowel sounds (
D) may provide additional information but is not as urgent as notifying the primary care provider.
Question 2 of 5
Two days after delivery, a postpartum client prepares for discharge. What should the nurse teach her about lochia flow?
Correct Answer: D
Rationale: The correct answer is D because it accurately describes the progression of lochia flow after delivery. Lochia starts as bright red (lochia rubra) on days 1-3, transitions to pinkish brown (lochia serosa) on days 4-9, and finally becomes creamy white (lochia alba) from days 10-21. This information is crucial for the postpartum client to understand what is normal regarding lochia color and duration.
Choice A is incorrect as it does not provide the correct timeline of color changes.
Choices B and C are incorrect because they focus on abnormal findings rather than the normal progression of lochia.
Question 3 of 5
A nurse in a prenatal clinic who reports that her menstrual period is 2 wks late. The client appears anxious and asks the nurse if she is pregnant. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer is A because it acknowledges the client's anxiety while providing education and encouraging discussion about other possible reasons for a late period. This response shows empathy and supports the client in exploring potential causes without jumping to conclusions. It empowers the client to understand their body better and seek additional information.
Option B is incorrect as it assumes pregnancy without exploring other possibilities, which can increase the client's anxiety. Option C is not ideal as it focuses solely on physical symptoms, potentially overlooking emotional aspects. Option D is premature as it suggests taking a pregnancy test before discussing other factors, which may not address the client's concerns effectively.
Question 4 of 5
A client in preterm labor is admitted to the hospital. Which classification of drugs should the nurse anticipate administering?
Correct Answer: A
Rationale: The correct answer is A:
Tocolytics.
Tocolytics are drugs that inhibit uterine contractions and are commonly used to delay preterm labor. They help prevent premature birth by giving time for other interventions to take place. Anticonvulsants (
B) are used to control seizures and are not indicated for preterm labor. Glucocorticoids (
C) are used to accelerate fetal lung maturation, not to delay labor. Anti-infective drugs (
D) are used to treat infections, not to stop preterm labor. In this scenario, tocolytics are the most appropriate choice to address the client's situation.
Question 5 of 5
A nurse is caring for a child who has hemophilia. The nurse should expect abnormal results in which of the following diagnostic tests?
Correct Answer: D
Rationale: The correct answer is D: Partial thromboplastin time (PTT). In hemophilia, there is a deficiency in specific clotting factors, leading to prolonged PTT due to impaired intrinsic pathway function. A: Fibrinogen level is normal in hemophilia as it is not affected by clotting factor deficiencies. B: Hemoglobin level is unrelated to hemophilia and reflects oxygen-carrying capacity of blood. C: Prothrombin time (PT) evaluates the extrinsic pathway, which is typically normal in hemophilia.
Therefore, the abnormal result is in PTT, making it the correct choice.