ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A nurse is providing teaching for a client who has a new prescription for combined oral contraceptives. Which of the following findings should the nurse include as an adverse effect of this medication?
Correct Answer: A
Rationale: The correct answer is A: Depression. Combined oral contraceptives can lead to mood changes, including depression, as a potential adverse effect due to hormonal changes. This is important for the nurse to include in teaching to monitor for mental health changes. Polyuria (
B), hypotension (
C), and urticaria (
D) are not typically associated with combined oral contraceptives. Polyuria is excessive urination, hypotension is low blood pressure, and urticaria is a skin rash, which are not commonly linked to this medication.
Question 2 of 5
A nurse is reinforcing teaching about accidental poisoning to a parent during a routine well-child visit.
Correct Answer: C
Rationale: The correct answer is C: "I will call the Poison Control Center." This is the correct response because calling the Poison Control Center is the recommended action in case of accidental poisoning. The Poison Control Center has trained professionals who can provide immediate and specific guidance on the appropriate steps to take based on the type of poisoning and the individual's age and weight. This ensures the most appropriate and timely care for the child.
Choice A is incorrect because giving ipecac is no longer recommended as it can lead to complications.
Choice B is incorrect as placing the child on her back may not be relevant to treating poisoning.
Choice D is incorrect as giving a full glass of water may not be appropriate depending on the type of poisoning.
Question 3 of 5
For a client in the second trimester of pregnancy, which assessment data support a diagnosis of pregnancy-induced hypertension (PIH)?
Correct Answer: C
Rationale: The correct answer is C: Blood pressure 168/110 and 3+ proteinuria. In pregnancy-induced hypertension (PIH), elevated blood pressure (hypertension) and proteinuria are key diagnostic criteria. A blood pressure reading of 168/110 is significantly elevated and indicates hypertension. Proteinuria, indicated by 3+ protein in the urine, is a common sign of PIH due to impaired kidney function. Hemoglobin level, uterine tenderness, polyuria, weight loss, hematuria, and blood glucose levels are not specific to PIH. Hemoglobin level and weight loss may indicate anemia or inadequate weight gain in pregnancy. Polyuria could be due to hormonal changes. Hematuria may suggest urinary tract infection or kidney stones. High blood glucose levels may indicate gestational diabetes.
Question 4 of 5
A nurse smells an odor identified as marijuana coming from a room. Which of the following client findings would confirm inhalation of the substance?
Correct Answer: A
Rationale: The correct answer is A: Poor coordination, red eyes, and euphoria. These findings are consistent with marijuana inhalation due to specific effects of tetrahydrocannabinol (TH
C) on the body. Poor coordination is a common effect of marijuana as it affects motor skills. Red eyes occur due to vasodilation caused by THC. Euphoria is a common psychological effect of marijuana due to its impact on neurotransmitters. Slurred speech, confusion, combativeness are more indicative of alcohol intoxication. Loss of consciousness, respiratory depression, coma are more severe symptoms seen in opioid overdose. Hypertension, tachycardia, hyperflexia are not typical findings with marijuana use.
Question 5 of 5
A 15-year-old client visits the clinic to get medical clearance to play a sport.
Correct Answer: D
Rationale: The correct answer is D: "I should wear well-ventilated shoes." This is important because well-ventilated shoes help prevent fungal infections like athlete's foot by keeping the feet dry and reducing moisture buildup.
Choice A is incorrect as avoiding showering at the gym does not address the root cause of the issue.
Choice B is incorrect as applying antifungal cream daily is a reactive measure rather than a preventive one.
Choice C is incorrect as the color of socks does not impact fungal infections.