ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 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 2 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 3 of 5
A nurse is preparing to administer an intramuscular (IM) injection to a 2-month-old infant. Which of the following is the preferred injection site?
Correct Answer: A
Rationale: The correct answer is A: "Vastus lateralis." For infants, the vastus lateralis muscle is the preferred site for IM injections due to its larger muscle mass and reduced risk of hitting nerves or blood vessels. This site also allows for better absorption of the medication. The deltoid muscle is not recommended for infants as it is usually used for adults. The ventrogluteal site is more commonly used for older children and adults. Option D - "NA" is not a valid answer.
Question 4 of 5
An assistive personnel (AP) is caring for a child diagnosed with leukemia and undergoing chemotherapy.
Correct Answer: D
Rationale: The correct answer is D because taking a rectal temperature is a crucial nursing intervention for a child undergoing chemotherapy. Chemotherapy can compromise the immune system, making the child susceptible to infections. Monitoring the child's temperature is essential to detect early signs of infection.
Choice A is incorrect as a soft toothbrush may be recommended, but it is not the priority in this situation.
Choice B is irrelevant to the child's immediate care needs.
Choice C is incorrect because while infection control is important, maintaining a restriction of all visitors and health personnel is extreme and may hinder psychosocial well-being.
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. During a vasoocclusive crisis in sickle cell anemia, there is a blockage in blood vessels leading to severe pain and tissue damage. Blood transfusions may be necessary to improve oxygen delivery to tissues and alleviate symptoms. Having blood transfusion equipment readily available in the client's room allows for prompt intervention if needed.
A: Wheelchair with adjustable leg rests - Not directly related to managing vasoocclusive crisis.
B: A radio and age-appropriate reading materials - Entertainment items, not essential for crisis management.
C: Extra blankets and pillows - Provide comfort but do not address the underlying cause of the crisis.
In summary, the focus during a vasoocclusive crisis in sickle cell anemia should be on interventions that directly address the physiological needs of the client, such as blood transfusion equipment.