ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A nurse is caring for a 7-year-old child who is admitted with an asthma exacerbation.
Correct Answer: B
Rationale:
Correct Answer: B - "Identification and avoidance of factors that trigger symptoms."
Rationale:
1. Asthma exacerbations are often triggered by environmental factors.
2. Identifying triggers helps prevent future exacerbations.
3. Avoiding triggers reduces the likelihood of asthma symptoms.
4. Monitoring oxygen saturation, peak flow, and positioning are important, but identifying triggers is crucial for long-term management.
Summary:
- Option A: Monitoring oxygen saturation and respiratory rate is important but does not address preventive measures.
- Option C: Monitoring peak flow is useful for assessing lung function but does not address trigger identification.
- Option D: Positioning the client upright is helpful during exacerbations but does not prevent future episodes.
Question 2 of 5
Which explanation is most appropriate when describing physiological jaundice to the parents of a newborn?
Correct Answer: B
Rationale: The correct answer is B: The baby is breaking down the extra red blood cells that were present at birth. Physiological jaundice in newborns occurs due to the breakdown of excess red blood cells, leading to an accumulation of bilirubin in the blood. This explanation is accurate as it directly relates to the underlying physiological process causing jaundice in newborns.
Choice A is incorrect as minor incompatibility of blood is not the primary cause of physiological jaundice.
Choice C is incorrect as excessive breast milk intake is not a cause of physiological jaundice.
Choice D is incorrect as hepatitis B exposure is unrelated to physiological jaundice in newborns.
Question 3 of 5
A postterm infant is delivered by cesarean section because of fetal distress and meconium-stained amniotic fluid. The nursery nurse frequently monitors the baby's respiratory rate, observing for tachypnea. Which is the reason for the nurse's actions? The infant may:
Correct Answer: B
Rationale: The correct answer is B: develop meconium aspiration pneumonia. Meconium-stained amniotic fluid can lead to meconium aspiration in the infant, which can cause respiratory distress and potentially lead to meconium aspiration pneumonia. The nurse is monitoring for tachypnea as a sign of respiratory distress, which could indicate the development of meconium aspiration pneumonia.
Choice A is incorrect because respiratory depression from medications used during delivery is not the primary concern in this scenario.
Choice C is incorrect as an elevated temperature is not directly related to meconium aspiration.
Choice D is incorrect because a pneumothorax related to delivery is not typically associated with meconium-stained amniotic fluid.
Question 4 of 5
A nurse is caring for a toddler who is in an oxygen tent. Which of the following actions should the nurse take in order to promote comfort while maintaining the child's safety?
Correct Answer: C
Rationale: The correct answer is C because changing the bedding and clothing frequently helps maintain cleanliness, comfort, and prevent skin breakdown due to moisture accumulation. This action also promotes hygiene and prevents infection. Option A is incorrect as toys with small parts are a choking hazard in an oxygen tent. Option D is incorrect as tucking the tent under the mattress may restrict airflow and increase the risk of suffocation.
Question 5 of 5
A nurse is caring for a 23-month-old child with iron-deficiency anemia.
Correct Answer: D
Rationale: Rationale for Correct Answer (
D): Giving liquid iron through a straw placed in the back of the mouth minimizes contact with teeth, reducing the risk of staining. This method also helps prevent aspiration and ensures proper administration. Summary of Incorrect
Choices: A: Cow's milk inhibits iron absorption; B: Citrus fruits aid iron absorption; C: While true, it is not the most immediate concern; E, F, G: No relevance to the scenario.