ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A nurse is reinforcing home care instructions with the parents of a 5-year-old child who has acute bronchitis. In order to prevent the transmission of the virus, which of the following should the nurse include in the instructions?
Correct Answer: B
Rationale: The correct answer is B: Teach the child to wash his hands after coughing secretions into a tissue. This is because handwashing is one of the most effective ways to prevent the transmission of viruses, including acute bronchitis. By washing hands after coughing into a tissue, the child can reduce the spread of germs to others.
Choice A is incorrect because isolating the child in a bedroom may not be practical or necessary for preventing transmission.
Choice C is incorrect as there is no evidence to support that serving food on disposable dishes with plastic utensils prevents transmission of the virus.
Choice D is incorrect as wearing a mask whenever leaving the bedroom may not be necessary if proper hand hygiene is practiced.
Question 2 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 3 of 5
A nurse is caring for a child who has hemophilia. The nurse should expect abnormal results in which of the following diagnostic tests?
Correct Answer: D
Rationale: The correct answer is D: Partial thromboplastin time (PTT). In hemophilia, there is a deficiency in specific clotting factors, leading to prolonged PTT due to impaired intrinsic pathway function. A: Fibrinogen level is normal in hemophilia as it is not affected by clotting factor deficiencies. B: Hemoglobin level is unrelated to hemophilia and reflects oxygen-carrying capacity of blood. C: Prothrombin time (PT) evaluates the extrinsic pathway, which is typically normal in hemophilia.
Therefore, the abnormal result is in PTT, making it the correct choice.
Question 4 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 5 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.