ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A nurse is caring for a child with acute glomerulonephritis. The child has edema, hypertension, and gross hematuria. Which of the following is the most appropriate nursing intervention?
Correct Answer: C
Rationale: The correct answer is C: Weigh the child daily and record intake and output. This intervention is crucial in monitoring fluid balance and kidney function in a child with acute glomerulonephritis. Daily weights help assess for fluid retention, while intake and output measurements help evaluate kidney function. Edema, hypertension, and gross hematuria are key symptoms of this condition, indicating the need for close monitoring.
Choice A is incorrect because monitoring oxygen saturation is not directly related to the management of acute glomerulonephritis.
Choice B is also incorrect as dietary restrictions regarding protein are not the priority in this situation.
Choice D is incorrect as counseling about follow-up is important but not the most immediate intervention needed.
Question 2 of 5
A nurse is preparing to collect a blood specimen from a newborn via a heel stick. Which of the following techniques should the nurse use to help minimize the pain of the procedure for the newborn?
Correct Answer: D
Rationale: The correct answer is D: Place the newborn skin to skin on the mother’s chest. This technique, known as kangaroo care, has been shown to reduce pain responses in newborns by promoting comfort and security through skin-to-skin contact with the mother. This closeness releases oxytocin, a hormone that helps reduce pain perception. Additionally, the mother's warmth and heartbeat can provide a soothing environment for the newborn during the procedure. Applying a cool pack (
A) may cause vasoconstriction and increase the pain sensation. Requesting an IM analgesic (
B) is not recommended for routine heel sticks in newborns due to potential side effects. Using a manual lancet blade (
C) may not be as effective in reducing pain as skin-to-skin contact.
Question 3 of 5
A nurse is initiating a plan of care for a toddler who is hospitalized. Which of the following instructions is important to communicate to the nursing assistant?
Correct Answer: B
Rationale: The correct answer is B: Offer the toddler finger foods for snacks. This instruction is important to communicate to the nursing assistant because toddlers are at risk for choking on certain foods due to their developing chewing and swallowing abilities. Finger foods are safer for toddlers to eat as they are easier to manage and reduce the risk of choking.
Other choices are incorrect because:
A: Having the toddler dress himself may not be appropriate as toddlers may need assistance and supervision due to their limited motor skills.
C: Providing opportunities to share toys with others is important for social development but is not as critical as ensuring the toddler's safety during meal times.
D: Asking the child simple yes or no questions is a good communication strategy but not as essential for the toddler's safety during snack times.
Question 4 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.
Question 5 of 5
The nurse conducting a physical assessment notes that a 1-day-old newborn with dark skin has a bluish-gray discoloration over the lower back, the buttocks, and the scrotum. How should this assessment finding be documented?
Correct Answer: B
Rationale: The correct answer is B: Mongolian spots. This is because Mongolian spots are common in newborns with dark skin and appear as bluish-gray discolorations over the lower back, buttocks, and sometimes the scrotum. They are benign and typically fade over time.
Choice A, extensive bruising, would present as red or purple discoloration from trauma, not bluish-gray.
Choice C, nevus flammeus, is a birthmark that appears as a pink or red patch, not bluish-gray.
Choice D, acrocyanosis, is a condition where the extremities have a bluish discoloration due to poor circulation, not localized to the lower back and buttocks.