ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Report the client’s condition to the local health department. This is important to ensure proper monitoring, contact tracing, and support for the client and public health. Administering penicillin G (choice
A) is not indicated for HIV positive individuals. Instructing the client to schedule an annual pelvic exam (choice
B) is not a priority in this situation. Starting medication for HIV after delivery (choice
C) may delay necessary treatment for the client.
Therefore, reporting the client's condition to the local health department is the most appropriate action to ensure comprehensive care and public health measures.
Question 2 of 5
A nurse is reinforcing teaching with the parent of a child with a urinary tract infection.
Correct Answer: A
Rationale:
Correct Answer: A
Rationale:
1. Bringing the child to the bathroom before extended trips helps prevent urinary stasis, reducing the risk of urinary tract infection.
2. Emptying the bladder frequently helps flush out bacteria and prevents their growth.
3. This practice promotes good bladder habits and hygiene for the child.
Summary of Incorrect
Choices:
- B: Switching to nylon underwear can increase moisture retention, creating a favorable environment for bacterial growth.
- C: Wiping from back to front can introduce bacteria from the anal area to the urethra, increasing infection risk.
- D: Bubble baths can irritate the urethra and genital area, potentially worsening the infection or causing irritation.
Question 3 of 5
In a child diagnosed with Tetralogy of Fallot, which of the following is a compensatory mechanism to decrease venous return to the heart?
Correct Answer: A
Rationale: Squatting is a compensatory mechanism that decreases venous return (deoxygenated blood) to the heart. This clinical sign is commonly seen in young children with Tetralogy of Fallot, a type of cyanotic heart disease. Squatting helps reduce the workload on the heart by decreasing the amount of deoxygenated blood returning to it.
Question 4 of 5
Which information is most important for the nurse to gather when a client is admitted to the unit in labor?
Correct Answer: B
Rationale: The correct answer is B: Medical problems or complications. This information is crucial for assessing potential risks during labor and ensuring appropriate care. Knowing the client's medical history helps the nurse anticipate and address any complications that may arise. Other choices like A, C, and D are important but not as critical as medical problems or complications. The support person's name (
A) is important for emotional support, fluid preferences (
C) can be addressed later, and weight gain during pregnancy (
D) is relevant but does not impact immediate care during labor.
Question 5 of 5
A woman in active labor receives a narcotic analgesic for pain control. If the narcotic is given a half an hour before delivery, which effect will the medication have on the infant?
Correct Answer: B
Rationale: The correct answer is B: It will cause the infant's respiratory rate to decrease. Narcotic analgesics can cross the placenta and affect the infant. These medications can cause respiratory depression in the newborn due to their central nervous system depressant effects. This effect is more pronounced when the narcotic is given close to delivery as the infant may still have the drug in its system after birth. Options A and C are incorrect as narcotics do not directly affect blood sugar or heart rate in infants. Option D is incorrect as narcotics typically cause sedation rather than hyperactivity.