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." Inadequate weight gain in adolescents can be due to lack of essential nutrients like calcium and protein for growth and development. Calcium is crucial for bone health, while protein is essential for muscle development. Both are important for overall growth.
Choices A and D focus on carbohydrates and calories, which are important but not the primary nutrients needed for weight gain in this scenario.
Choice B suggests high intake of saturated and unsaturated fats, which can be detrimental to overall health if consumed in excess.
Therefore, identifying food preferences high in calcium and protein is the most appropriate choice to address inadequate weight gain in the adolescent.
Question 2 of 5
Which of the following approaches is the most accurate way to measure the heart rate of a 10-month-old infant?
Correct Answer: A
Rationale: The correct answer is A: "Apical." This method involves placing the stethoscope over the apex of the heart to directly listen to the heart sounds. In infants, especially 10-month-olds, the apical pulse is more accurate as it allows for a direct assessment of the heart rate without interference from other factors like peripheral pulses. The apical pulse is easier to locate in infants due to their smaller chest size and thinner chest walls.
Choices B, C, and D (Radial, Ulna, and Brachial) are incorrect for measuring heart rate in infants as they involve peripheral pulse sites which may not provide an accurate representation of the heart rate due to various factors like weak pulses or difficulty in palpating them accurately in infants.
Question 3 of 5
A nurse is caring for a 4-year-old child diagnosed with leukemia who is admitted with myelosuppression.
Correct Answer: D
Rationale: The correct answer is D: "Inspect the skin daily for lesions." This is important because myelosuppression can lead to decreased platelets, increasing the risk of skin lesions and bleeding. Monitoring the skin daily can help detect any lesions early and prevent complications.
A: Providing a high-carbohydrate diet is not directly related to managing myelosuppression.
B: Monitoring rectal temperature is important but not directly related to skin lesion detection.
C: Using lemon or glycerin swabs for oral care is important for mucositis, not skin lesions.
Question 4 of 5
The parents of a 4-year-old child state that they had an infant die 2 months ago during childbirth.
Correct Answer: D
Rationale: The correct answer is D because it reflects a common behavior in children who have experienced a loss - feeling guilty or blaming themselves for the death. This is known as magical thinking, where children associate their thoughts or actions with causing events.
Choice A may indicate a desire for connection but doesn't directly address the child's internal struggle with guilt.
Choice B shows curiosity but doesn't address the emotional impact on the child.
Choice C highlights concerning behaviors but doesn't capture the underlying psychological issue of guilt. Overall, D is the best choice as it directly addresses the child's emotional response to the loss.
Question 5 of 5
A nurse is preparing a room for the admission of a client with sickle cell anemia who is in vasoocclusive crisis. Which type of equipment should the nurse place in the client's room?
Correct Answer: D
Rationale: The correct answer is D: Blood transfusion equipment. In a vasoocclusive crisis, the client with sickle cell anemia may require blood transfusions to improve oxygen delivery to tissues. Having blood transfusion equipment readily available in the client's room ensures prompt initiation of treatment. Wheelchair (
A) and comfort items like extra blankets and pillows (
C) are important but not essential during a vasoocclusive crisis. A radio and reading materials (
B) are not directly related to the client's immediate medical needs.