ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A nurse is caring for a 3-year-old child who is diagnosed with a urinary tract infection (UTI). The parent is concerned about recognizing the signs and symptoms of future UTIs. Which of the following statements made by the parent indicates a correct understanding of the manifestations of a UTI?
Correct Answer: A
Rationale: Frequent urination and strong-smelling urine are classic signs of a UTI.
Question 2 of 5
The nurse conducting a physical assessment notes that a 1-day-old newborn with dark skin has a bluish-gray discoloration over the lower back, the buttocks, and the scrotum. How should this assessment finding be documented?
Correct Answer: B
Rationale: The correct answer is B: Mongolian spots. This is because Mongolian spots are common in newborns with dark skin and appear as bluish-gray discolorations over the lower back, buttocks, and sometimes the scrotum. They are benign and typically fade over time.
Choice A, extensive bruising, would present as red or purple discoloration from trauma, not bluish-gray.
Choice C, nevus flammeus, is a birthmark that appears as a pink or red patch, not bluish-gray.
Choice D, acrocyanosis, is a condition where the extremities have a bluish discoloration due to poor circulation, not localized to the lower back and buttocks.
Question 3 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 correct because eczema is a skin condition that can worsen with dry air. Adding a humidifier can help keep the air moist, preventing the skin from becoming too dry and reducing eczema flare-ups.
Choice A is incorrect because plastic covers can trap heat and moisture, exacerbating eczema.
Choice B is incorrect because bubble baths can further dry out the skin due to the soap and chemicals in the bath products.
Choice D is incorrect because wool clothing can irritate the skin and worsen eczema symptoms.
Question 4 of 5
A nurse is caring for a 3-year-old child with strabismus. Which of the following actions should the nurse advise the parents to implement to help prevent amblyopia?
Correct Answer: C
Rationale: The correct answer is C: Patch the strong eye. Patching the strong eye helps improve vision in the weaker eye, which is essential in preventing amblyopia. By covering the strong eye, the brain is forced to rely on the weaker eye, strengthening its visual acuity. Wearing corrective biconcave lenses may help with refractive errors but does not directly address amblyopia prevention. Preventing trauma to the eyes is important for overall eye health but does not specifically target amblyopia prevention. Instilling artificial tears is used for dry eye syndrome and does not play a role in preventing amblyopia.
Question 5 of 5
During the postpartum period, a hospitalized client complains of discomfort related to her episiotomy. The nurse assigns the diagnosis of 'pain related to perineal sutures.' Which nursing intervention is most appropriate during the first 24 hours following an episiotomy?
Correct Answer: D
Rationale: The correct answer is D: Apply ice packs to the perineum. This intervention helps reduce swelling, inflammation, and provides pain relief by numbing the area. Ice constricts blood vessels, reducing blood flow to the area, which can minimize pain and discomfort. Ice packs should be applied for short periods, typically 20 minutes on and 20 minutes off, to prevent skin damage. This intervention is most appropriate during the first 24 hours post-episiotomy as it helps manage acute pain and promotes healing.
Other choices are incorrect:
A: Using petroleum jelly can increase the risk of infection and hinder wound healing.
B: Kegel exercises focus on pelvic floor muscle strength and do not directly address pain related to perineal sutures.
C: Sitz baths are beneficial for promoting healing but may not provide immediate pain relief like ice packs.