ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
An assistive personnel (AP) is caring for a child diagnosed with leukemia and undergoing chemotherapy.
Correct Answer: D
Rationale: The correct answer is D because taking a rectal temperature is a crucial nursing intervention for a child undergoing chemotherapy. Chemotherapy can compromise the immune system, making the child susceptible to infections. Monitoring the child's temperature is essential to detect early signs of infection.
Choice A is incorrect as a soft toothbrush may be recommended, but it is not the priority in this situation.
Choice B is irrelevant to the child's immediate care needs.
Choice C is incorrect because while infection control is important, maintaining a restriction of all visitors and health personnel is extreme and may hinder psychosocial well-being.
Question 2 of 5
A nurse is caring for a 4-year-old child who is prescribed an intravenous medication preoperatively. Which of the following therapeutic play techniques is most appropriate when reinforcing the teaching for this procedure?
Correct Answer: D
Rationale: The correct answer is D because explaining the basic procedure and providing the child with IV supplies to play with (minus the needle) allows the child to familiarize themselves with the equipment in a non-threatening manner. This technique helps reduce anxiety and fear associated with the procedure. Role-playing may not be suitable for all children as it can be too abstract for a 4-year-old. Reading a story may not provide the hands-on experience needed to understand the procedure. Watching a movie may not be interactive enough for the child to actively engage in the learning process. Providing IV supplies for play is the most appropriate therapeutic play technique for a 4-year-old to prepare them for the IV placement procedure.
Question 3 of 5
A client comes to the clinic to confirm that she is pregnant. Her last menstrual period was January 31st. According to Naegele's rule, when should the client expect to deliver?
Correct Answer: C
Rationale: The correct answer is C: November 7. Naegele's rule estimates the due date by adding 7 days to the first day of the last menstrual period (January 31), then subtracting 3 months, and adding 1 year. So, January 31 + 7 days = February 7. Subtracting 3 months gives November 7, and adding 1 year maintains the same year.
Therefore, the client should expect to deliver around November 7.
Choices A, B, and D are incorrect because they do not follow the correct calculation based on Naegele's rule. November only has 30 days, so November 31 in choice A is not a valid date. December 7 in choice B is also incorrect as it does not align with the correct calculation. December 24 in choice D is too far into December based on the calculation.
Question 4 of 5
A labor and delivery nurse suspects that a client is in the transition stage of labor. Which information supports this conclusion? The client is:
Correct Answer: B
Rationale: The correct answer is B: irritable and needs frequent repetition of directions. This behavior is indicative of the transition stage of labor, which is the most intense phase characterized by strong contractions and nearing full dilation. The client's irritability and need for repeated directions suggest she is experiencing intense pain and discomfort, typical of this stage.
Incorrect choices:
A: Walking around and talking may occur in early labor but not indicative of transition.
C: Expelling feces and fetal head crowning indicate the pushing stage, not transition.
D: Reading a magazine and talking on the phone are unlikely behaviors during transition due to the intensity of contractions.
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.