ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 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.
Question 2 of 5
A client who is 37 weeks gestation comes to the office for a routine visit. This is the client's first baby and she asks the nurse how she will know when labor begins. Which signs indicate that true labor has begun?
Correct Answer: D
Rationale: The correct answer is D. Expulsion of pink-tinged mucous and contractions that start in the lower back are signs of true labor. Pink-tinged mucous, also known as bloody show, indicates cervical changes. Contractions starting in the lower back and radiating to the abdomen are characteristic of true labor. A: Contractions that are irregular and decrease in intensity when walking are signs of false labor. B: Abdominal pain starting at the fundus and progressing to the lower back is not a specific sign of true labor. C: Increased pressure on the bladder and urinary frequency are common in late pregnancy but not specific to true labor.
Question 3 of 5
Which of the following physical manifestations of a client with anorexia nervosa best indicates compliance with the treatment plan of care?
Correct Answer: A
Rationale: The correct answer is A: "A weekly weight gain of 1 kg (2.2 lb)". In anorexia nervosa, weight restoration is a crucial goal. A weekly weight gain of 1 kg indicates compliance with the treatment plan as it shows the client is consuming an adequate amount of calories and nutrients. This is essential for reversing the physical effects of malnutrition.
Choices B, C, and D are incorrect because soft bowel movements, return of regular menstrual periods, and improvement of oral mucosa, while important indicators of health, do not directly reflect compliance with the treatment plan in anorexia nervosa. Weight gain is a key marker of nutritional rehabilitation and recovery in individuals with anorexia nervosa.
Question 4 of 5
A woman in the transition stage of labor is using paced breathing to relieve pain. She complains of blurred vision, numbness, and tingling of her hands and mouth. Which condition is indicated by these signs and symptoms?
Correct Answer: B
Rationale: The correct answer is B: Hyperventilation. The woman's symptoms of blurred vision, numbness, and tingling in her hands and mouth are indicative of respiratory alkalosis, which occurs due to excessive ventilation. During paced breathing, she may be breathing too rapidly and shallowly, leading to a decrease in carbon dioxide levels in the blood, causing the symptoms mentioned. Anoxia (
A) refers to lack of oxygen, which would present with different symptoms. Anxiety (
C) may cause similar symptoms but would not explain the respiratory alkalosis. Hypertension (
D) is high blood pressure and does not align with the symptoms described.
Question 5 of 5
A nurse is preparing to take a rectal temperature on a 7-month-old infant. Which of the following should the nurse keep in mind when preparing to take the temperature?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale: The correct answer is B because rectal temperatures are typically 1.5-2°F higher than oral temperatures due to the body's core temperature being higher internally. This conversion is essential in accurately interpreting the infant's rectal temperature.
Summary of other choices:
A: Incorrect. The maximum insertion depth for a rectal thermometer in infants is 1 inch, not 2.5 inches.
C: Incorrect. Rectal temperatures are not the only accurate method for infants; axillary or temporal artery thermometers are also reliable.
D: Incorrect. Mercury thermometers are no longer recommended due to the risk of mercury exposure, and the time required to obtain a rectal temperature is typically shorter.