ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A nurse is reviewing discharge instructions with the parent of an infant who has acute laryngotracheobronchitis (croup).
Correct Answer: C
Rationale:
Correct Answer: C - "I will place a dehumidifier in my child's room."
Rationale:
1. Croup is a viral infection that affects the upper airway, causing swelling and narrowing of the air passages.
2. Increasing humidity can help relieve symptoms by reducing airway inflammation and making breathing easier.
3. The use of a dehumidifier can help maintain optimal humidity levels in the child's room, making it easier for the child to breathe.
4. This intervention can provide comfort and support the child's recovery process.
Summary:
A: Corticosteroids are prescribed by the doctor to reduce airway inflammation in croup. This is a valid treatment, but not the focus of the given question.
B: Clearing nasal passages with a bulb syringe may help with congestion but is not the most effective intervention for croup.
D: Encouraging fluids is important to prevent dehydration but is not directly related to managing croup symptoms.
E, F,
Question 2 of 5
A client reports awaking from sleep by contractions that are occurring every five minutes and lasting 30-40 seconds. Which of the following questions should the nurse ask to assess for true labor versus false labor?
Correct Answer: B
Rationale: The correct answer is B: "Have you noticed any bloody show or fluid coming from your vagina?" This question is important to assess for true labor because bloody show or fluid leakage can indicate ruptured membranes, which is a sign of true labor. This information helps differentiate between true labor and false labor. The other options are not directly related to distinguishing between true and false labor. Option A focuses on the timing of contractions, which is important but not specific to differentiating true from false labor. Option C inquires about the effect of movement on contractions, which is relevant but not as indicative as the presence of bloody show or fluid. Option D is about fetal movement, which is important for monitoring fetal well-being but does not help differentiate true labor from false labor.
Question 3 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 4 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 5 of 5
A nurse on a pediatric unit is assigned to care for a child with Reye syndrome. Which of the following is the most serious clinical manifestation for which the nurse should monitor?
Correct Answer: B
Rationale: The correct answer is B: Cerebral edema. In Reye syndrome, cerebral edema is the most serious manifestation due to increased intracranial pressure, potentially leading to brain damage or death. Anaphylaxis (
A) is not typically associated with Reye syndrome. Impaired coagulation (
C) can occur but is not as immediately life-threatening as cerebral edema. Hypervolemia (
D) is a possible complication but not as critical as cerebral edema in Reye syndrome.