ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching to a group of parents about preventing accidental poisoning in preschoolers.
Correct Answer: C
Rationale: The correct answer is C: "Keep labels on containers of toxic substances and never remove them." This is correct because clear labeling helps prevent accidental poisoning as parents can easily identify hazardous substances and take necessary precautions. Removing labels can lead to confusion and potential misuse.
Choice A is incorrect as syrup of ipecac is no longer recommended for use in poisoning cases.
Choice B is incorrect as teaching children that plants can be eaten only after they are cooked is not a practical preventive measure.
Choice D is incorrect as placing medications above the sink does not guarantee safety and can still be accessible to preschoolers.
Question 2 of 5
A client is in the latent stage of labor. Which nursing intervention is most appropriate?
Correct Answer: A
Rationale: The correct answer is A: Encourage the client to walk in the hall until membranes rupture. In the latent stage of labor, it is essential to promote physical activity to help facilitate the progression of labor. Walking can help gravity assist in the descent of the fetus. It also helps in the dilation and effacement of the cervix. Additionally, walking can help distract the client from the discomfort of contractions. Encouraging walking until the membranes rupture can help maintain the client's energy levels and promote a more efficient labor process.
Choice B is incorrect as it describes the Valsalva maneuver, which is not appropriate during labor.
Choice C refers to a breathing technique that is not specifically indicated for the latent stage of labor.
Choice D is not recommended as eating a light meal during labor may lead to nausea or vomiting.
Question 3 of 5
A nurse monitors fetal well-being by means of an external monitor. At the peak of the contractions, the fetal heart rate has repeatedly dropped 30 beats/min below the baseline. Late decelerations are suspected and the nurse notifies the physician. Which is the rationale for this action?
Correct Answer: D
Rationale: The correct answer is D: Late decelerations are associated with uteroplacental insufficiency and are a sign of fetal hypoxia. Repeated late decelerations indicate fetal distress. Late decelerations occur after the peak of the contraction, indicating that the fetus is not receiving enough oxygen. This is a serious concern as it can lead to fetal distress and potential harm to the baby. The nurse's action in notifying the physician is crucial to address the uteroplacental insufficiency and prevent further complications.
A: Nuchal cord is associated with variable decelerations, not late decelerations.
B: Variable decelerations are linked to cord compression, not late decelerations.
C: Late decelerations are indeed a result of hypoxia and are not related to the strength of maternal contractions, but the critical issue here is the underlying cause of hypoxia, which is uteroplacental insufficiency.
Question 4 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 5 of 5
An assistive personnel (AP) is caring for a child diagnosed with leukemia and undergoing chemotherapy.
Correct Answer: D
Rationale: The correct answer is D because taking a rectal temperature is a crucial nursing intervention for a child undergoing chemotherapy. Chemotherapy can compromise the immune system, making the child susceptible to infections. Monitoring the child's temperature is essential to detect early signs of infection.
Choice A is incorrect as a soft toothbrush may be recommended, but it is not the priority in this situation.
Choice B is irrelevant to the child's immediate care needs.
Choice C is incorrect because while infection control is important, maintaining a restriction of all visitors and health personnel is extreme and may hinder psychosocial well-being.