ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is 36 weeks of gestation and has a prescription for an amniocentesis. For which of the following reasons should the nurse prepare the client for an ultrasound?
Correct Answer: B
Rationale: The correct answer is B:
To locate a pocket of fluid. Before performing an amniocentesis procedure, the nurse needs to ensure there is an adequate pocket of amniotic fluid to safely collect the sample. An ultrasound is necessary to visualize and locate this pocket of fluid to avoid injuring the fetus. Estimating fetal weight (
Choice
A) is not necessary for an amniocentesis. Determining multiparity (
Choice
C) is unrelated to the procedure. Pre-screening for fetal anomalies (
Choice
D) is not the primary purpose of the ultrasound in this context.
Question 2 of 5
Which preoperative nursing interventions should be included for a client who is scheduled to have an emergency cesarean birth?
Correct Answer: B
Rationale: The correct answer is B. Assessing vital signs every 15 minutes is crucial in an emergency cesarean birth to monitor the client's condition and detect any signs of distress promptly. Instructing the client about postoperative care ensures they are well-prepared for what to expect after the surgery. Alleviating anxiety is important to promote a sense of calm and reduce stress, which can positively impact the client's recovery. Inserting an indwelling catheter is not recommended as it may increase the risk of infection and discomfort, and it is not a routine preoperative intervention for a cesarean birth. Monitoring oxygen saturation and administering pain medication are important interventions but are not the priority in this emergency situation. Performing a sterile vaginal examination and assessing breath sounds are not relevant preoperative nursing interventions for a cesarean birth.
Question 3 of 5
A nurse is reinforcing teaching to a group of parents about preventing accidental poisoning in preschoolers.
Correct Answer: C
Rationale: The correct answer is C: "Keep labels on containers of toxic substances and never remove them." This is correct because clear labeling helps prevent accidental poisoning as parents can easily identify hazardous substances and take necessary precautions. Removing labels can lead to confusion and potential misuse.
Choice A is incorrect as syrup of ipecac is no longer recommended for use in poisoning cases.
Choice B is incorrect as teaching children that plants can be eaten only after they are cooked is not a practical preventive measure.
Choice D is incorrect as placing medications above the sink does not guarantee safety and can still be accessible to preschoolers.
Question 4 of 5
A client, gravida 1, para 0, in active labor, is becoming increasingly anxious. Which statement by the nurse will block therapeutic communication with the client?
Correct Answer: C
Rationale: The correct answer is C: "Everything is going just fine." This statement blocks therapeutic communication by invalidating the client's feelings of anxiety. It dismisses the client's emotions and fails to address their concerns.
Choice A and B encourage the client to express their feelings and concerns, promoting open communication.
Choice D acknowledges the client's emotions and opens the door for further discussion. Overall, C is incorrect as it shuts down the client's expression of anxiety.
Question 5 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.