ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A nurse is discussing the use of condoms with a female client. Which of the following statements by client represents a need for further teaching?
Correct Answer: B
Rationale: The correct answer is B. Removing the condom 30 minutes after intercourse is incorrect as condoms should be removed immediately after ejaculation to prevent leakage of semen. This can increase the risk of pregnancy and STIs.
Choice A is correct as condoms should be put on when the penis is erect to prevent slippage.
Choice C is also correct as leaving a space at the tip is necessary for semen collection.
Choice D is incorrect as spermicidal gels can cause irritation and do not significantly increase effectiveness.
Question 2 of 5
A nurse in the antepartum clinic is assessing a client's adaptation to pregnancy. The client states that she is, ''happy one min and crying the next.'' The nurse should interpret the client's statement as an indication of which of the following?
Correct Answer: A
Rationale: The correct answer is A: Emotional lability. Emotional lability refers to rapid and unpredictable changes in emotions, such as going from happy to crying quickly. This is a common experience during pregnancy due to hormonal fluctuations. Focusing phase (
B) refers to a stage of problem-solving, not emotional state. Cognitive restructuring (
C) involves changing negative thought patterns. Couvade syndrome (
D) is when a partner experiences pregnancy-like symptoms.
Choices E, F, and G are not relevant to the client's statement.
Question 3 of 5
A nurse is providing care for a 2-day-old neonate with a cleft lip and palate. The nurse evaluates the parents' understanding of correct feeding methods. Which of the following observations indicates a need for further teaching?
Correct Answer: B
Rationale: Positioning the nipple toward the front makes sucking more difficult for infants with cleft palate.
Question 4 of 5
The dosage of a pediatric medication is 120mg/kg/day to be given t.i.d. The patient weighs 12 pounds. What is the correct dose for the nurse to administer?
Correct Answer: C
Rationale: The patient weighs twelve pounds, which converts to kilograms by dividing 12 by 2.2 (1 kg = 2.2 lb.). In this example, the child's weight converts to 5.4 kg. The daily dose of 120 mg is given t.i.d: each individual dose is 40 mg/kg.
Then multiply the weight in kilograms by the individual dose (40mg). The individual dose is 218 mg.
Question 5 of 5
A woman in active labor is admitted to the labor and delivery unit, accompanied by her partner. As labor progresses, the nurse notes he is not interacting with the woman and sits in the corner, looking out the window. How may the nurse understand the man's actions?
Correct Answer: B
Rationale: The correct answer is B: His actions reflect personality or cultural differences, which do not necessarily indicate a lack of concern. This choice acknowledges that individuals may react differently based on their personality traits or cultural upbringing. It's important for the nurse to consider that the man's behavior may be influenced by factors beyond his level of concern for the woman. This option promotes cultural competence and understanding diverse perspectives.
Incorrect choices:
A: Assumes his concern compromises his coping ability without evidence.
C: Assumes embarrassment and discomfort as the primary reasons, neglecting other possibilities.
D: Assumes religious beliefs solely dictate his actions, oversimplifying the situation.