ATI RN
ATI Nursing Care of Children Maternal Newborn Assessment Questions
Extract:
A client 48 hr following cesarean birth
Question 1 of 5
A nurse is contributing to the plan of care for a client 48 hr following cesarean birth. Which of the following nonpharmacologic interventions should the nurse include to reduce pain from intestinal gas?
Correct Answer: C
Rationale: Ambulation promotes gas movement, reducing pain, unlike carbonated beverages (may worsen gas), right-side lying (less effective), or straws (unrelated).
Extract:
An adolescent who has a terminal illness
Question 2 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 3-year-old child
Question 3 of 5
A nurse is planning to collect data on the pain level of a 3-year-old child. Which of the following pain rating scales should the nurse plan to use?
Correct Answer: B
Rationale: The FACES scale suits 3-year-olds, using facial expressions, unlike visual analog, word-graphic, or numeric scales (require advanced cognition).
Extract:
A client who is pregnant regarding a 1-hr glucose tolerance test (GTT)
Question 4 of 5
A nurse is reinforcing teaching to a client who is pregnant regarding a 1-hr glucose tolerance test (GTT). Which of the following statements by the client indicates an understanding of the test?
Correct Answer: D
Rationale: High results prompt further testing for gestational diabetes, unlike baby diabetes check, lifelong insulin, or fasting errors (reschedule possible).
Extract:
A client who had recently given birth and is presenting to the emergency department with acute opioid toxicity
Question 5 of 5
A nurse is assisting in the admission of a client who had recently given birth and is presenting to the emergency department with acute opioid toxicity. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Diaphoresis is common in opioid toxicity due to sympathetic activation, unlike hypothermia (less typical), hypertension (hypotension more likely), or mydriasis (miosis typical).