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 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 2 of 5
In which position should the nurse place the laboring client in order to increase the intensity of the contractions and improve oxygenation to the fetus?
Correct Answer: C
Rationale: The correct answer is C: Left side-lying position. Placing the laboring client in this position helps to increase the intensity of contractions by enhancing blood flow to the uterus and placenta. This position also improves oxygenation to the fetus by reducing pressure on the vena cava, allowing for better circulation. The other options are incorrect because: A: Supine with legs elevated can decrease blood flow to the placenta. B: Squatting may not be practical or comfortable for the client during labor. D: High Fowler's position can compress major blood vessels, affecting circulation. It is important to prioritize positions that support optimal blood flow and oxygenation for both the client and the fetus during labor.
Question 3 of 5
A nurse is providing teaching for a client who has a new prescription for combined oral contraceptives. Which of the following findings should the nurse include as an adverse effect of this medication?
Correct Answer: A
Rationale: The correct answer is A: Depression. Combined oral contraceptives can lead to mood changes, including depression, as a potential adverse effect due to hormonal changes. This is important for the nurse to include in teaching to monitor for mental health changes. Polyuria (
B), hypotension (
C), and urticaria (
D) are not typically associated with combined oral contraceptives. Polyuria is excessive urination, hypotension is low blood pressure, and urticaria is a skin rash, which are not commonly linked to this medication.
Question 4 of 5
A 1-year-old receives routine health maintenance care at the pediatric clinic. The child receives an MMR immunization. The mother asks the nurse, 'When will my child get the next dose of MMR vaccine?' Which is the correct response by the nurse?
Correct Answer: D
Rationale: A second MMR, often called a booster, will be needed when the child enters middle school at age eleven or twelve years of age. This ensures full immunity from the diseases covered by the MMR vaccine.
Question 5 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.