ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with the parent of a child with a urinary tract infection.
Correct Answer: A
Rationale:
Correct Answer: A
Rationale:
1. Bringing the child to the bathroom before extended trips helps prevent urinary stasis, reducing the risk of urinary tract infection.
2. Emptying the bladder frequently helps flush out bacteria and prevents their growth.
3. This practice promotes good bladder habits and hygiene for the child.
Summary of Incorrect
Choices:
- B: Switching to nylon underwear can increase moisture retention, creating a favorable environment for bacterial growth.
- C: Wiping from back to front can introduce bacteria from the anal area to the urethra, increasing infection risk.
- D: Bubble baths can irritate the urethra and genital area, potentially worsening the infection or causing irritation.
Question 2 of 5
Which is a major difference in the clinical manifestation of adolescents with anorexia nervosa compared to bulimia?
Correct Answer: C
Rationale: The major difference between adolescents with anorexia nervosa and those with bulimia is body image distortion. Clients with anorexia see themselves as being overweight no matter how underweight they become. Clients with bulimia see their weight realistically but have psychological problems that manifest in an eating disorder. Both disorders may involve binge eating and purging, but body image perception is a distinguishing factor.
Question 3 of 5
A nurse is holding an infant during a lumbar puncture for a suspicion of meningitis. The infant is in a sitting position with the buttocks at the edge of the table and the neck flexed, and the nurse is immobilizing the infant's arms and legs. Which assessment takes priority during the procedure?
Correct Answer: C
Rationale: Chest expansion is critical due to the infant's position, which may limit breathing.
Question 4 of 5
A nurse is caring for a 7-year-old child who is admitted with an asthma exacerbation.
Correct Answer: B
Rationale:
Correct Answer: B - "Identification and avoidance of factors that trigger symptoms."
Rationale:
1. Asthma exacerbations are often triggered by environmental factors.
2. Identifying triggers helps prevent future exacerbations.
3. Avoiding triggers reduces the likelihood of asthma symptoms.
4. Monitoring oxygen saturation, peak flow, and positioning are important, but identifying triggers is crucial for long-term management.
Summary:
- Option A: Monitoring oxygen saturation and respiratory rate is important but does not address preventive measures.
- Option C: Monitoring peak flow is useful for assessing lung function but does not address trigger identification.
- Option D: Positioning the client upright is helpful during exacerbations but does not prevent future episodes.
Question 5 of 5
Which procedure should be avoided for the client known to have a placenta previa?
Correct Answer: C
Rationale: The correct answer is C: A sterile vaginal exam. This procedure should be avoided for a client known to have placenta previa because it can cause bleeding and potentially lead to a life-threatening situation due to the risk of disrupting the placenta placement. A non-stress test (
A) and an abdominal ultrasound (
D) can be safely performed without causing harm to the client. Urinary catheterization (
B) may be necessary for monitoring but does not pose a direct risk to the placenta. In summary, avoiding a sterile vaginal exam is crucial to prevent complications associated with placenta previa.