Questions 49

ATI RN

ATI RN Test Bank

ATI Nursing Care of Children Maternal Newborn Assessment Questions

Extract:

A client who is in the third trimester and reports difficulty sleeping


Question 1 of 5

A nurse is contributing to the plan of care for a client who is in the third trimester and reports difficulty sleeping. Which of the following statements should the nurse include?

Correct Answer: B

Rationale: Relaxation exercises promote sleep safely, unlike tea (caffeine risk), right-side sleeping (left preferred), or hot tubs (overheating risk).

Extract:

An adolescent who states an intention to self-harm


Question 2 of 5

A nurse is caring for an adolescent who states an intention to self-harm. Which of the following actions should the nurse take first?

Correct Answer: A

Rationale: Continuous observation ensures immediate safety, prioritizing self-harm prevention over restraints, data collection, or consent (less urgent).

Extract:

A 6-month-old infant during a well-child visit


Question 3 of 5

A nurse is collecting data from a 6-month-old infant during a well-child visit. Which of the following findings should the nurse expect? (Select all that apply.)

Correct Answer: B,C,E

Rationale: Birth weight doubles, posterior fontanel closes, and rolling back to front are typical at 6 months, unlike Moro reflex (fades) or sitting unsupported (later).

Extract:

An adolescent who has a terminal illness


Question 4 of 5

A nurse is reinforcing teaching about perception of death with the guardians of an adolescent who has a terminal illness. Which of the following statements should the nurse make?

Correct Answer: A

Rationale: Adolescents often focus on appearance due to identity concerns, unlike monster imagery, self-blame, or misunderstanding death's permanence.

Extract:

A client who is postpartum and is taking docusate sodium to prevent constipation


Question 5 of 5

A nurse is reinforcing teaching with a client who is postpartum and is taking docusate sodium to prevent constipation. Which of the following instructions should the nurse include?

Correct Answer: D

Rationale: Taking docusate sodium with a full glass of water aids stool softening, enhancing its effectiveness, unlike daily use (risks dependence), mineral oil (adverse effects), or reduced fiber (counterproductive).

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