ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease). Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Schedule an ultrasound examination. Parvovirus B19 can cause complications during pregnancy, such as fetal anemia. An ultrasound can help monitor the fetus's growth, development, and possible signs of anemia. Administering antiviral medication (
A) is not typically recommended for parvovirus B19. Administering Haemophilus influenza type b vaccine (
C) is unrelated to the situation. Scheduling an indirect Coombs’ test (
D) is used to detect antibodies that could cause hemolytic disease in the newborn, which is not directly related to parvovirus B19 in the prenatal client.
Question 2 of 5
A nurse in the clinic instructs a primigravida about the danger signs of pregnancy. The client demonstrates understanding of the instructions, stating she will notify the physician if which sign occurs?
Correct Answer: D
Rationale: The correct answer is D: Abdominal pain. Abdominal pain can indicate a serious issue like ectopic pregnancy, preterm labor, or placental abruption. White vaginal discharge (
A) is typically not a danger sign. Dull backache (
B) is common in pregnancy but not usually concerning. Frequent, urgent urination (
C) is common due to hormonal changes. Other choices are not relevant. In summary, abdominal pain is the most concerning danger sign as it can indicate severe complications, while the other symptoms are more commonly seen in pregnancy and are not necessarily alarming.
Question 3 of 5
A nurse is checking children at an orthopedic outpatient setting. Which of the following should the nurse expect to see as manifestations of scoliosis?
Correct Answer: B
Rationale: The correct answer is B: Uneven shoulder heights and poorly fitting slacks. In scoliosis, the spine curves sideways, leading to uneven shoulder heights as one shoulder may appear higher than the other. Additionally, the curvature can cause clothes to fit unevenly, such as poorly fitting slacks. This is due to the asymmetry of the spine alignment. The other choices are incorrect because:
A) Pain and exaggerated lumbar curvature are more indicative of other conditions like lordosis or kyphosis.
C) Tenderness and swelling of the spine are not typical symptoms of scoliosis.
D) Limited range of motion of the back and a limp are not primary manifestations of scoliosis.
Question 4 of 5
A nurse is assessing a client who has gestational diabetes and is experiencing hyperglycemia. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Reports increased urinary output. Hyperglycemia in gestational diabetes leads to increased blood sugar levels, which causes the kidneys to filter and excrete excess glucose through urine, resulting in increased urinary output. This is known as osmotic diuresis. Increased thirst is also common due to dehydration from increased urination.
B: Diaphoresis is not a typical finding in hyperglycemia in gestational diabetes.
C: Blurred vision is more commonly associated with severe hyperglycemia or long-standing diabetes, not specifically gestational diabetes.
D: Shallow respirations are not directly related to hyperglycemia in gestational diabetes.
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.