ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A nurse is preparing to admit a 15-year-old client with HIV/AIDS. Based on the client's diagnosis, which of the following nursing actions is appropriate?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale:
1. Client education on standard precautions is crucial to prevent the spread of infections.
2. The nurse should tailor the education in an age-appropriate manner to ensure understanding.
3. Contributing to planning education empowers the client to take an active role in their health.
4. This action promotes client safety and reduces the risk of transmission to others.
Summary:
B: Contacting the dietary department for disposable dishes is not directly related to HIV/AIDS education or infection control.
C: Preparing a negative pressure room is not necessary for standard precautions and may not be feasible in all settings.
D: Instructing visitors to wear gowns and masks is excessive for standard precautions and may cause distress to the client.
Question 2 of 5
A nurse is assessing a client who is at 30 wks gestation during a routine prenatal visit. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Swelling of the face. This finding could indicate preeclampsia, a serious pregnancy complication characterized by high blood pressure and protein in the urine. Preeclampsia can lead to severe complications for both the mother and the baby if left untreated. Swelling of the face is a significant symptom that should be reported promptly to the provider for further evaluation and management.
Choices B, C, and D are common and expected findings in pregnancy, such as varicose veins, ankle edema, and hyperpigmentation, respectively. They are usually not of immediate concern unless they are severe or associated with other concerning symptoms.
Question 3 of 5
A nurse is performing a physical assessment of a newborn. Which of the following clinical findings should the nurse expect? (Select all that apply).
Correct Answer: A,B,C,D
Rationale: The correct answer includes options A, B, C, and D. A newborn's normal heart rate ranges from 120 to 160 beats per minute, so a heart rate of 154/min (option
A) is within the expected range. A normal axillary temperature for a newborn is 97.7-99.5 F, so a temperature of 96.8 F (option
B) is slightly lower but still within the normal range. A newborn's normal respiratory rate is 30-60 breaths per minute, so a rate of 58/min (option
C) falls within the expected range. The average length of a full-term newborn is around 50 cm, so a length of 43 cm (option
D) is within the typical range for a newborn. Options E, F, and G are incorrect as they are not within the expected clinical findings for a newborn.
Question 4 of 5
A woman in the first trimester comes to the clinic with vaginal bleeding. The physician determines that the fetus has died and that the placenta, fetus, and tissues still remain in the uterus. How should the findings be documented?
Correct Answer: C
Rationale: The correct answer is C: Missed abortion. In a missed abortion, the fetus has died but the products of conception are retained in the uterus. This scenario matches the description given in the question where the physician finds the fetus has died but the tissues remain. A missed abortion typically presents with vaginal bleeding and the absence of fetal heart tones. Other choices are incorrect because: A: Complete abortion would indicate that all products of conception have been expelled. B: Stillborn abortion is not a recognized medical term. D: Incomplete abortion would involve partial expulsion of products of conception.
Question 5 of 5
A nurse is caring for an infant with hypospadias. Which of the following is an expected finding?
Correct Answer: B
Rationale: Hypospadias involves the urethral opening being located on the underside of the penis.