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 who is prescribed an intravenous medication preoperatively. Which of the following therapeutic play techniques is most appropriate when reinforcing the teaching for this procedure?
Correct Answer: D
Rationale: The correct answer is D because explaining the basic procedure and providing the child with IV supplies to play with (minus the needle) allows the child to familiarize themselves with the equipment in a non-threatening manner. This technique helps reduce anxiety and fear associated with the procedure. Role-playing may not be suitable for all children as it can be too abstract for a 4-year-old. Reading a story may not provide the hands-on experience needed to understand the procedure. Watching a movie may not be interactive enough for the child to actively engage in the learning process. Providing IV supplies for play is the most appropriate therapeutic play technique for a 4-year-old to prepare them for the IV placement procedure.
Question 2 of 5
A nurse is reinforcing home care instructions with the parents of a 5-year-old child who has acute bronchitis. In order to prevent the transmission of the virus, which of the following should the nurse include in the instructions?
Correct Answer: B
Rationale: The correct answer is B: Teach the child to wash his hands after coughing secretions into a tissue. This is because handwashing is one of the most effective ways to prevent the transmission of viruses, including acute bronchitis. By washing hands after coughing into a tissue, the child can reduce the spread of germs to others.
Choice A is incorrect because isolating the child in a bedroom may not be practical or necessary for preventing transmission.
Choice C is incorrect as there is no evidence to support that serving food on disposable dishes with plastic utensils prevents transmission of the virus.
Choice D is incorrect as wearing a mask whenever leaving the bedroom may not be necessary if proper hand hygiene is practiced.
Question 3 of 5
A nurse is caring for a child with muscular dystrophy. Which of the following priority actions should the nurse include in the care of this child?
Correct Answer: D
Rationale: The correct answer is D: Have the child use an incentive spirometer and perform breathing exercises routinely. This is the priority action because children with muscular dystrophy are at risk for respiratory complications due to weakened respiratory muscles. Using an incentive spirometer and performing breathing exercises help maintain lung function and prevent respiratory infections.
A: Limiting physical activity and planning rest periods is important, but respiratory care takes precedence in muscular dystrophy.
B: Genetic counseling is important for family planning but does not directly impact the child's care.
C: Advising against vaccines can increase the risk of infections in a child with compromised respiratory function.
E, F, G: No information provided.
Question 4 of 5
A woman in the transition stage of labor is using paced breathing to relieve pain. She complains of blurred vision, numbness, and tingling of her hands and mouth. Which condition is indicated by these signs and symptoms?
Correct Answer: B
Rationale: The correct answer is B: Hyperventilation. The woman's symptoms of blurred vision, numbness, and tingling in her hands and mouth are indicative of respiratory alkalosis, which occurs due to excessive ventilation. During paced breathing, she may be breathing too rapidly and shallowly, leading to a decrease in carbon dioxide levels in the blood, causing the symptoms mentioned. Anoxia (
A) refers to lack of oxygen, which would present with different symptoms. Anxiety (
C) may cause similar symptoms but would not explain the respiratory alkalosis. Hypertension (
D) is high blood pressure and does not align with the symptoms described.
Question 5 of 5
Which preoperative nursing interventions should be included for a client who is scheduled to have an emergency cesarean birth?
Correct Answer: B
Rationale: The correct answer is B. Assessing vital signs every 15 minutes is crucial in an emergency cesarean birth to monitor the client's condition and detect any signs of distress promptly. Instructing the client about postoperative care ensures they are well-prepared for what to expect after the surgery. Alleviating anxiety is important to promote a sense of calm and reduce stress, which can positively impact the client's recovery. Inserting an indwelling catheter is not recommended as it may increase the risk of infection and discomfort, and it is not a routine preoperative intervention for a cesarean birth. Monitoring oxygen saturation and administering pain medication are important interventions but are not the priority in this emergency situation. Performing a sterile vaginal examination and assessing breath sounds are not relevant preoperative nursing interventions for a cesarean birth.