ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A nurse is caring for an infant with hypospadias. Which of the following is an expected finding?
Correct Answer: B
Rationale: Hypospadias involves the urethral opening being located on the underside of the penis.
Question 2 of 5
A 15-year-old client visits the clinic to get medical clearance to play a sport.
Correct Answer: D
Rationale: The correct answer is D: "I should wear well-ventilated shoes." This is important because well-ventilated shoes help prevent fungal infections like athlete's foot by keeping the feet dry and reducing moisture buildup.
Choice A is incorrect as avoiding showering at the gym does not address the root cause of the issue.
Choice B is incorrect as applying antifungal cream daily is a reactive measure rather than a preventive one.
Choice C is incorrect as the color of socks does not impact fungal infections.
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 bruising. By inspecting the skin daily, the nurse can promptly identify any lesions or signs of bleeding, allowing for timely intervention to prevent complications.
A: "Provide a diet high in carbohydrates" - This choice is incorrect as it is not directly related to managing myelosuppression or skin lesions in this case.
B: "Monitor rectal temperature every 4 hr" - While monitoring temperature is important, it is not specifically related to managing skin lesions caused by myelosuppression.
C: "Use lemon or glycerin swabs for oral care" - Oral care is important for overall health but does not directly address the risk of skin lesions associated with myelosuppression.
Question 4 of 5
With routine prenatal screening, a woman in the second trimester of pregnancy is confirmed to have gestational diabetes. How may the nurse explain the role of diet and insulin in the management of blood sugar during pregnancy?
Correct Answer: B
Rationale: The correct answer is B. During pregnancy, insulin helps lower elevated blood sugar levels to meet the increased metabolic needs of the baby. Gestational diabetes occurs due to the body's inability to produce enough insulin to manage the increased blood sugar levels during pregnancy. By taking insulin, the mother can ensure that her blood sugar levels are controlled, reducing the risk of complications for both her and the baby. Oral hypoglycemics (choice
A) are not recommended during pregnancy due to potential risks to the baby.
Choice C is incorrect because gestational diabetes typically resolves after pregnancy. Eating three large meals (choice
D) can lead to fluctuations in blood sugar levels, which is not ideal for managing gestational diabetes.
Question 5 of 5
A nurse is reinforcing home care instructions with the parents of a 5-year-old child who has acute bronchitis. In order to prevent the transmission of the virus, which of the following should the nurse include in the instructions?
Correct Answer: B
Rationale: The correct answer is B: Teach the child to wash his hands after coughing secretions into a tissue. This is because handwashing is one of the most effective ways to prevent the transmission of viruses, including acute bronchitis. By washing hands after coughing into a tissue, the child can reduce the spread of germs to others.
Choice A is incorrect because isolating the child in a bedroom may not be practical or necessary for preventing transmission.
Choice C is incorrect as there is no evidence to support that serving food on disposable dishes with plastic utensils prevents transmission of the virus.
Choice D is incorrect as wearing a mask whenever leaving the bedroom may not be necessary if proper hand hygiene is practiced.