ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with the parents of an infant diagnosed with recurrent otitis media. Which of the following is appropriate teaching to include?
Correct Answer: B
Rationale: The correct answer is B: Hold the child in an upright position while feeding. This is important because feeding the infant in an upright position can help prevent reflux of milk into the Eustachian tube, reducing the risk of otitis media. This position helps to promote proper drainage and ventilation of the middle ear, decreasing the likelihood of infection.
Incorrect answers:
A: Giving the child an over-the-counter antihistamine is not appropriate for otitis media, as it is typically caused by bacterial infection, not allergies.
C:
Tonsillectomy is not a first-line treatment for otitis media. It is usually considered if the child has recurrent tonsillitis, not otitis media.
D: Applying a warm compress over the affected ear may provide comfort but does not address the underlying cause or prevention of otitis media.
Question 2 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 3 of 5
If a pregnant client diagnosed with gestational diabetes cannot maintain control of her blood sugar by diet alone, which medication will she receive?
Correct Answer: C
Rationale: The correct answer is C: Insulin. In gestational diabetes, insulin is the preferred medication as it does not cross the placenta and is safe for both the mother and the fetus. Insulin helps regulate blood sugar levels effectively and can be adjusted based on the client's needs during pregnancy. Metformin (choice
A) may not be recommended during pregnancy due to potential risks. Glucagon (choice
B) is not typically used for managing gestational diabetes. Glyburide (choice
D) may cross the placenta and pose risks to the fetus. It is essential to prioritize the safety and well-being of both the mother and the unborn child when selecting medications for gestational diabetes.
Question 4 of 5
A new mother receives instructions about care of her newborn son's circumcision. Which statement made by the mother indicates that further teaching is needed?
Correct Answer: B
Rationale: The correct answer is B. Washing off yellowish mucous on the baby's penis is not necessary as it is a normal part of the healing process after circumcision. The presence of yellowish mucous indicates healing, and washing it off may disrupt the healing process.
Therefore, further teaching is needed to clarify this.
Choice A is correct as bleeding is a concern and should prompt a call to the doctor.
Choice C is incorrect as applying vaseline can help protect the circumcision site.
Choice D is correct as a sponge bath is recommended to keep the area clean.
Question 5 of 5
A nurse is talking to the parents of a 3-year-old child about water safety precautions. Which of the following statements made by the parents indicates a need for clarification?
Correct Answer: D
Rationale: The correct answer is D because enrolling a 3-year-old child in swimming lessons does not necessarily prevent drowning incidents. It is crucial for parents to understand that even with swimming lessons, active supervision around water is essential to prevent accidents. Keeping the toilet seat down (
A), avoiding distractions during bath time (
B), and emptying buckets filled with water (
C) are all important water safety precautions to prevent drowning incidents. Swimming lessons are beneficial, but they should not replace vigilant supervision.