ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A nurse is caring for a 7-month-old infant with acute bronchiolitis. The infant has a persistent, dry, hacking cough that worsens at night, tachypnea, and weakness. Which of the following actions should the nurse implement?
Correct Answer: D
Rationale: IV fluids ensure hydration and dilute secretions, which is crucial in bronchiolitis.
Question 2 of 5
The nursery nurse delays the first bottle feeding of a newborn. Which is the most common reason for the nurse's actions? The infant has:
Correct Answer: B
Rationale: The correct answer is B: a respiratory rate above 60. A newborn with a respiratory rate above 60 may indicate respiratory distress, necessitating immediate evaluation before feeding to prevent aspiration. Delaying feeding allows for assessment and intervention if needed. Blood glucose level of 45 gm/dL (
A) is low but not typically a reason to delay feeding in a newborn. Blue hands and feet (
C) may suggest poor circulation but do not directly impact feeding. A heart murmur (
D) may require monitoring but is not a common reason to delay the first feeding.
Question 3 of 5
During an outpatient clinic visit, a 13-year-old client is diagnosed with infectious mononucleosis. The nurse should expect which of the following to be included in the client's plan of care?
Correct Answer: B
Rationale: The correct answer is B: Encourage gargling with warm water to alleviate pain. Gargling with warm water can help soothe a sore throat, a common symptom of infectious mononucleosis. Acetaminophen with codeine (
A) is not typically recommended for mononucleosis pain management in children due to the risk of respiratory depression. Starting a short course of ampicillin (
C) is contraindicated in mononucleosis as it can cause a rash. Encouraging social activity (
D) may not be appropriate as the client may need rest to recover.
Question 4 of 5
A nurse is caring for a child with Wilms' tumor. The parents ask why the sign 'Do not palpate the abdomen' has to be placed on their child's bed. Which of the following is the correct response by the nurse?
Correct Answer: C
Rationale: The correct response is C: Palpation of the abdomen could result in some of the tumor cells breaking loose, causing it to spread. Palpating the abdomen in a child with Wilms' tumor can potentially lead to the dissemination of tumor cells into surrounding tissues and blood vessels, increasing the risk of metastasis. This precaution is crucial to prevent the spread of cancer cells and to contain the tumor within the kidney.
Choices A, B, and D are incorrect as they do not address the specific risk associated with manipulating the abdomen in a child with Wilms' tumor. Option A focuses solely on pain, which is not the primary concern in this case. Option B is inaccurate as palpation does not cause tumor growth. Option D is irrelevant to the potential consequences of abdominal manipulation in this context.
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: C
Rationale: The correct answer is C because in an emergency cesarean birth, time is of the essence, and it is crucial to prioritize interventions that ensure the safety and well-being of the client. Inserting an indwelling catheter helps to prevent bladder injury during the surgery by keeping the bladder empty. This is essential to avoid complications during the procedure. Monitoring O2 saturations, administering pain medications, taking vital signs, and instructing on breathing exercises are not immediate preoperative interventions needed in an emergency situation. These interventions can be addressed postoperatively when the client is stabilized.
Therefore, choice C is the most appropriate and necessary intervention for a client scheduled for an emergency cesarean birth.