ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse is caring for a 3-year-old child who is diagnosed with a urinary tract infection (UTI). The parent is concerned about recognizing the signs and symptoms of future UTIs. Which of the following statements made by the parent indicates a correct understanding of the manifestations of a UTI?
Correct Answer: A
Rationale: Frequent urination and strong-smelling urine are classic signs of a UTI.
Question 3 of 5
A nurse is discussing nutrition with an adolescent who is pregnant.
Correct Answer: A
Rationale: Rationale for Correct Answer A:
This answer is correct because it emphasizes the importance of calories for energy and nutrition during pregnancy. Adequate calorie intake is crucial for the health of both the mother and the developing baby. By stating that any calories ingested are a source of energy and nutrition, the nurse is promoting a balanced approach to nutrition during pregnancy.
Summary of Incorrect
Choices:
B: While it is important to provide foods rich in calcium, protein, and iron during pregnancy, this choice does not address the overall importance of calories for energy and nutrition.
C: Encouraging between-meal snacks that are complex carbohydrates and fruits is beneficial, but it does not highlight the significance of overall calorie intake.
D: Planning meals and snacks for additional calories in the second and third trimester is important, but this choice does not emphasize the fundamental role of calories in nutrition during pregnancy.
Question 4 of 5
An 8-year-old child is admitted to a pediatric unit with a fractured femur and is placed in skeletal traction. Which of the following nursing interventions is the most appropriate?
Correct Answer: C
Rationale: The correct answer is C: Compare pulses on affected site to contralateral side. This is the most appropriate nursing intervention because it helps in assessing the circulation and perfusion to the affected limb. By comparing pulses on the affected side to the contralateral side, the nurse can detect any potential circulation issues or complications related to the traction. Positioning the weights securely is important but not as critical as monitoring pulses. Providing high-fat meals and diversional activities are not directly related to the immediate care of a fractured femur in traction.
Question 5 of 5
In a child diagnosed with Tetralogy of Fallot, which of the following is a compensatory mechanism to decrease venous return to the heart?
Correct Answer: A
Rationale: Squatting is a compensatory mechanism that decreases venous return (deoxygenated blood) to the heart. This clinical sign is commonly seen in young children with Tetralogy of Fallot, a type of cyanotic heart disease. Squatting helps reduce the workload on the heart by decreasing the amount of deoxygenated blood returning to it.