ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
An 8-year-old child is admitted to a pediatric unit with a fractured femur and is placed in skeletal traction. Which of the following nursing interventions is the most appropriate?
Correct Answer: C
Rationale: The correct answer is C: Compare pulses on affected site to contralateral side. This is the most appropriate nursing intervention because it helps in assessing the circulation and perfusion to the affected limb. By comparing pulses on the affected side to the contralateral side, the nurse can detect any potential circulation issues or complications related to the traction. Positioning the weights securely is important but not as critical as monitoring pulses. Providing high-fat meals and diversional activities are not directly related to the immediate care of a fractured femur in traction.
Question 2 of 5
A nurse provided discharge teaching to new parents on how to care for their newborn following circumcision. Which of the following statements by the parents indicates the need for further clarification?
Correct Answer: D
Rationale: The correct answer is D: "I can give him a tub bath in two days." This statement indicates a need for further clarification because it is not recommended to give a newborn a tub bath until the circumcision is fully healed, which typically takes around 1-2 weeks. Giving a tub bath too soon can increase the risk of infection and delay the healing process.
A: Correct - Yellow exudate is a normal part of the healing process.
B: Correct - Regular cleaning is important to prevent infection.
C: Correct - Circumcision typically heals in a couple of weeks.
Summary: Option D is incorrect as it poses a risk to the newborn's healing process, while the other options demonstrate understanding of proper care post-circumcision.
Question 3 of 5
A nurse is caring for a 3-year-old child with strabismus. Which of the following actions should the nurse advise the parents to implement to help prevent amblyopia?
Correct Answer: C
Rationale: The correct answer is C: Patch the strong eye. Patching the strong eye helps improve vision in the weaker eye, which is essential in preventing amblyopia. By covering the strong eye, the brain is forced to rely on the weaker eye, strengthening its visual acuity. Wearing corrective biconcave lenses may help with refractive errors but does not directly address amblyopia prevention. Preventing trauma to the eyes is important for overall eye health but does not specifically target amblyopia prevention. Instilling artificial tears is used for dry eye syndrome and does not play a role in preventing amblyopia.
Question 4 of 5
A nurse is providing teaching to a client who is at 40 weeks of gestation and has a new prescription for misoprostol. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Remain in a side-lying position for 15 minutes after the medication is inserted. This instruction is important because misoprostol can cause uterine contractions, and remaining in a side-lying position can help prevent potential complications such as uterine hyperstimulation.
Choice A is incorrect because oxytocin should not be administered after misoprostol due to the risk of uterine hyperstimulation.
Choice B is incorrect as a full bladder is not necessary for the insertion of misoprostol.
Choice D is incorrect as antacids are not typically given prior to misoprostol administration.
Question 5 of 5
A nurse is reinforcing teaching about accidental poisoning to a parent during a routine well-child visit.
Correct Answer: C
Rationale: The correct answer is C: "I will call the Poison Control Center." This is the correct response because calling the Poison Control Center is the recommended action in case of accidental poisoning. The Poison Control Center has trained professionals who can provide immediate and specific guidance on the appropriate steps to take based on the type of poisoning and the individual's age and weight. This ensures the most appropriate and timely care for the child.
Choice A is incorrect because giving ipecac is no longer recommended as it can lead to complications.
Choice B is incorrect as placing the child on her back may not be relevant to treating poisoning.
Choice D is incorrect as giving a full glass of water may not be appropriate depending on the type of poisoning.