ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 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 2 of 5
A nurse is assessing the newborn of a client who took a selective serotonin reuptake inhibitor (SSRI) during pregnancy. Which of the following manifestations should the nurse identify as an indication of withdrawal from an SSRI?
Correct Answer: D
Rationale: The correct answer is D: Vomiting. Withdrawal from SSRI in newborns can manifest as symptoms such as irritability, tremors, feeding difficulties, and gastrointestinal disturbances like vomiting. This occurs due to the sudden cessation of the medication that the baby was exposed to in utero. Large for gestational age (
A) is not a typical manifestation of SSRI withdrawal. Hyperglycemia (
B) is not commonly associated with SSRI withdrawal in newborns. Bradypnea (
C) refers to abnormally slow breathing rate and is not a usual withdrawal symptom of SSRIs in newborns.
Therefore, vomiting (
D) is the most appropriate choice in this scenario.
Question 3 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.
Question 4 of 5
A nurse is caring for a child with muscular dystrophy. Which of the following priority actions should the nurse include in the care of this child?
Correct Answer: D
Rationale: The correct answer is D: Have the child use an incentive spirometer and perform breathing exercises routinely. This is the priority action because children with muscular dystrophy are at risk for respiratory complications due to weakened respiratory muscles. Using an incentive spirometer and performing breathing exercises help maintain lung function and prevent respiratory infections.
A: Limiting physical activity and planning rest periods is important, but respiratory care takes precedence in muscular dystrophy.
B: Genetic counseling is important for family planning but does not directly impact the child's care.
C: Advising against vaccines can increase the risk of infections in a child with compromised respiratory function.
E, F, G: No information provided.
Question 5 of 5
A nurse is initiating a plan of care for a toddler who is hospitalized. Which of the following instructions is important to communicate to the nursing assistant?
Correct Answer: B
Rationale: The correct answer is B: Offer the toddler finger foods for snacks. This instruction is important to communicate to the nursing assistant because toddlers are at risk for choking on certain foods due to their developing chewing and swallowing abilities. Finger foods are safer for toddlers to eat as they are easier to manage and reduce the risk of choking.
Other choices are incorrect because:
A: Having the toddler dress himself may not be appropriate as toddlers may need assistance and supervision due to their limited motor skills.
C: Providing opportunities to share toys with others is important for social development but is not as critical as ensuring the toddler's safety during meal times.
D: Asking the child simple yes or no questions is a good communication strategy but not as essential for the toddler's safety during snack times.