ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A nurse is caring for a child who has hemophilia. The nurse should expect abnormal results in which of the following diagnostic tests?
Correct Answer: D
Rationale: The correct answer is D: Partial thromboplastin time (PTT). In hemophilia, there is a deficiency in specific clotting factors, leading to prolonged PTT due to impaired intrinsic pathway function. A: Fibrinogen level is normal in hemophilia as it is not affected by clotting factor deficiencies. B: Hemoglobin level is unrelated to hemophilia and reflects oxygen-carrying capacity of blood. C: Prothrombin time (PT) evaluates the extrinsic pathway, which is typically normal in hemophilia.
Therefore, the abnormal result is in PTT, making it the correct choice.
Question 2 of 5
A nurse is caring for a 14-year-old child with appendicitis who has a pain rating of 8 on a scale of 1 to 10. The child has just returned to the unit after a computed tomography (CT) scan of the abdomen and tells the nurse the pain just stopped. Which of the following should the nurse do first?
Correct Answer: A
Rationale: The correct answer is A. The nurse should first address fluid balance because the child's sudden relief of pain can indicate a ruptured appendix, leading to potential fluid loss and dehydration. Monitoring fluid balance is crucial in this case to prevent complications.
Choice B is incorrect as it discusses exercise and insulin, which are not immediate priorities in this scenario.
Choice C mentions urine glucose monitoring, which is not directly related to the child's current condition.
Choice D focuses on diet modification, which is not the primary concern when the child may be experiencing a medical emergency. The priority is to assess and address the potential fluid imbalance due to the possibility of a ruptured appendix.
Question 3 of 5
A nurse is caring for an adolescent with inadequate weight gain.
Correct Answer: C
Rationale: The correct answer is C: "Identify food preferences high in calcium and protein." For an adolescent with inadequate weight gain, focusing on foods rich in calcium and protein is crucial for promoting healthy growth and development. Calcium is essential for bone health and protein is important for muscle growth. Both nutrients support overall growth and can help the adolescent reach a healthy weight.
Choices A and B do not address the specific nutritional needs of an adolescent with inadequate weight gain.
Choice D is too broad and may lead to an increase in unhealthy calorie intake without addressing the quality of nutrients needed.
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
A client reports awaking from sleep by contractions that are occurring every five minutes and lasting 30-40 seconds. Which of the following questions should the nurse ask to assess for true labor versus false labor?
Correct Answer: B
Rationale:
Correct Answer: B - Have you noticed any bloody show or fluid coming from your vagina?
Rationale: Bloody show or fluid leakage can indicate rupture of membranes, a sign of true labor. This suggests the onset of cervical changes and progression towards delivery. It distinguishes true labor from false labor, which typically does not involve such physical signs.
Summary of other choices:
A: "When did your contractions begin?" - This question may provide a timeline for contractions but does not specifically differentiate between true and false labor.
C: "What happens to your contractions when you move about?" - Contractions can vary in intensity based on movement, but this does not definitively differentiate between true and false labor.
D: "Have you felt fetal movement over the last 24 hours?" - Fetal movement is important for assessing fetal well-being but does not directly help in distinguishing true labor from false labor.