ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A nurse is caring for a 4-year-old child diagnosed with leukemia who is admitted with myelosuppression.
Correct Answer: D
Rationale: The correct answer is D: "Inspect the skin daily for lesions." This is important because myelosuppression can lead to decreased platelets, increasing the risk of skin lesions and bruising. By inspecting the skin daily, the nurse can promptly identify any lesions or signs of bleeding, allowing for timely intervention to prevent complications.
A: "Provide a diet high in carbohydrates" - This choice is incorrect as it is not directly related to managing myelosuppression or skin lesions in this case.
B: "Monitor rectal temperature every 4 hr" - While monitoring temperature is important, it is not specifically related to managing skin lesions caused by myelosuppression.
C: "Use lemon or glycerin swabs for oral care" - Oral care is important for overall health but does not directly address the risk of skin lesions associated with myelosuppression.
Question 2 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 3 of 5
A 15-year-old client visits the clinic to get medical clearance to play a sport.
Correct Answer: D
Rationale: The correct answer is D: "I should wear well-ventilated shoes." This is important because well-ventilated shoes help prevent fungal infections like athlete's foot by keeping the feet dry and reducing moisture buildup.
Choice A is incorrect as avoiding showering at the gym does not address the root cause of the issue.
Choice B is incorrect as applying antifungal cream daily is a reactive measure rather than a preventive one.
Choice C is incorrect as the color of socks does not impact fungal infections.
Question 4 of 5
Two hours after delivery the nurse assesses the client and documents that the fundus is soft, boggy, above the level of the umbilicus, and displaced to the right side. The nurse encourages the client to void. Which is the rationale for this nursing action?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale:
1. After delivery, the uterus should be firm and midline to facilitate uterine contractions and prevent excessive bleeding.
2. A soft, boggy uterus may indicate uterine atony, which can lead to postpartum hemorrhage.
3. A full bladder can impede uterine contractions by displacing the uterus and preventing it from contracting effectively.
4. By encouraging the client to void, the nurse helps ensure that the bladder is not obstructing the uterus, promoting proper uterine involution and preventing complications.
Summary of Incorrect
Choices:
B: Overdistended bladder pressing on episiotomy may cause dehiscence, but this is not the primary concern in this scenario.
C: Bladder distention causing urinary stasis and infection is a potential complication, but it is not directly related to uterine contractions.
D: Massaging the fundus can be helpful but addressing the full bladder is a priority
Question 5 of 5
A nurse is caring for a client who is in active labor and has had no cervical change in the last 4 hr. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: The correct answer is D. The nurse should inform the client that the provider will insert an intrauterine pressure catheter to monitor the strength of contractions. This is important because lack of cervical change in active labor could indicate ineffective contractions, which can lead to prolonged labor or fetal distress. Monitoring the strength of contractions with an intrauterine pressure catheter will help the healthcare team assess the effectiveness of contractions and make informed decisions on the next steps of labor management.
Other choices are incorrect:
A: Pushing without effective contractions can lead to exhaustion and fetal distress.
B: Medication to ripen the cervix is not indicated in this situation.
C: IV pain medicine does not address the issue of ineffective contractions.
E, F, G: No additional information provided.