ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for a 4-month-old infant with thrush (candidiasis) who is breastfed.
Correct Answer: A
Rationale:
Correct Answer: A
Rationale:
1. Nystatin is an antifungal medication effective against thrush.
2. Administered for 2-3 days post-lesion disappearance ensures complete eradication.
3. Continuing breastfeeding is crucial for bonding and providing nutrition.
4. Stopping nystatin prematurely may result in incomplete treatment and recurrence.
Summary:
B: Switching to soy formula is unnecessary and disrupts breastfeeding.
C: Discontinuing breastfeeding is not recommended as breast milk is beneficial.
D: Scraping thrush can cause bleeding, discomfort, and worsen the condition.
Question 3 of 5
A child diagnosed with asthma begins corticosteroid treatments. The nurse explains to the parents that the purpose of corticosteroid treatment is to produce which therapeutic effect?
Correct Answer: D
Rationale: Corticosteroid usage is common for decreasing inflammation of the bronchial airways. While dilation of bronchial airways and decrease in bronchospasms are effects of other medications like albuterol and beta-2 agonists, corticosteroids specifically target inflammation, which is a key component in managing chronic asthma.
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 nurse provided discharge teaching to new parents on how to care for their newborn following circumcision. Which of the following statements by the parents indicates the need for further clarification?
Correct Answer: D
Rationale:
Correct Answer: D - "I can give him a tub bath in two days."
Rationale:
1. The correct answer is D because newborns who have undergone circumcision should avoid tub baths until the circumcision is fully healed to prevent infection.
2. A: Leaving the yellow exudate is correct as it is a normal part of the healing process.
3. B: Cleaning the penis with each diaper change is important to prevent infection.
4. C: Circumcision typically heals within a couple of weeks, so this statement is accurate.
5.
Choice D is incorrect because it suggests giving a tub bath too soon, which could lead to complications.