ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A nurse is caring for a 4-year-old client with full-thickness burns. Which of the following nursing actions are essential for the care of this child? (Select all that apply.)
Correct Answer: A,B,C
Rationale: Level of consciousness, IV fluids, vital signs, and urinary output are critical in burn management; a high-protein, high-calorie diet is recommended instead of a low-calorie diet.
Question 2 of 5
A nurse is assessing a client who has gestational diabetes and is experiencing hyperglycemia. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Reports increased urinary output. Hyperglycemia in gestational diabetes leads to increased blood sugar levels, which causes the kidneys to filter and excrete excess glucose through urine, resulting in increased urinary output. This is known as osmotic diuresis. Increased thirst is also common due to dehydration from increased urination.
B: Diaphoresis is not a typical finding in hyperglycemia in gestational diabetes.
C: Blurred vision is more commonly associated with severe hyperglycemia or long-standing diabetes, not specifically gestational diabetes.
D: Shallow respirations are not directly related to hyperglycemia in gestational diabetes.
Question 3 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 4 of 5
A breastfeeding mother complains of cramping. Which is the main cause of the client's afterpains?
Correct Answer: C
Rationale: The correct answer is C: Contractions of the uterus. After giving birth, the uterus contracts to return to its pre-pregnancy size. Breastfeeding releases oxytocin, which stimulates these contractions, causing cramping or afterpains. Infection of the suture line (
A) and trauma during delivery (
D) are not typically associated with cramping. Constipation and bloating (
B) may cause discomfort but are not the main cause of afterpains in a breastfeeding mother.
Question 5 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.