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: Correct answer: D. "The AP prepares to take a rectal temperature."
Rationale: Taking a rectal temperature is crucial in monitoring the child's health during chemotherapy, as it provides a more accurate reading of the body's core temperature. Chemotherapy can suppress the immune system, increasing the risk of infections, so monitoring for fever is essential. Additionally, rectal temperature is the most accurate method for infants and young children.
Option A: Offering a soft toothbrush for oral care is important, but it is not the most critical action to take in this scenario.
Option B: Applying a soft cotton cap to the child's head may provide comfort but is not as essential as monitoring the child's temperature.
Option C: Maintaining a restriction of visitors and health personnel with infections is important for infection control, but this does not directly address the immediate need of monitoring the child's temperature.
In summary, taking a rectal temperature is the most critical action to ensure early detection of fever and prompt intervention
Question 2 of 5
A nurse is preparing to administer an intramuscular (IM) injection to a 2-month-old infant. Which of the following is the preferred injection site?
Correct Answer: A
Rationale: The correct answer is A: "Vastus lateralis." For infants, the vastus lateralis muscle in the thigh is the preferred site for IM injections due to its large size, well-developed muscle mass, and minimal major blood vessels and nerves. This reduces the risk of injury and ensures proper medication absorption. The deltoid muscle (choice
B) is typically used for older children and adults, not infants. The ventrogluteal site (choice
C) is more commonly used for adults and older children as well. Not Applicable (choice
D) does not provide any relevant information.
Question 3 of 5
A nurse is reinforcing teaching with the parent of an infant who has club feet with bilateral casts.
Correct Answer: A
Rationale: The correct answer is A because checking the toes for swelling or discoloration is crucial in monitoring circulation and preventing complications like pressure sores.
Choice B is incorrect as casts are typically changed more frequently.
Choice C is incorrect as heat can cause burns.
Choice D is incorrect as giving Tylenol every 4 hours without a physician's recommendation is not advisable for pain management in infants.
Question 4 of 5
A nurse is caring for a child with measles.
Correct Answer: D
Rationale: The correct answer is D because administering vitamin A supplements is a standard treatment for measles to reduce complications and improve recovery. Vitamin A deficiency is common in children with measles, and supplementation can help boost the immune system and reduce the severity of the illness. Providing diversional activities (choice
A) may be suitable but does not directly address the medical needs of the child. Maintaining isolation (choice
B) is important but typically lasts until 4 days after rash onset, not just 48 hours after rash resolution. Keeping the child warm (choice
C) is a general comfort measure and may not directly impact measles treatment.
Question 5 of 5
A nurse is caring for a 14-year-old child with appendicitis who has a pain rating of 8 on a scale of 1 to 10. The child has just returned to the unit after a computed tomography (CT) scan of the abdomen and tells the nurse the pain just stopped. Which of the following should the nurse do first?
Correct Answer: A
Rationale: The correct answer is A because in this scenario, the child's sudden relief from pain after a CT scan could indicate a possible rupture of the appendix. This is a critical situation that requires immediate attention to prevent complications such as peritonitis. Monitoring fluid balance is crucial to prevent dehydration, especially if surgery is needed.
Choices B, C, and D are incorrect and not the priority as they focus on managing diabetes, which is not the primary concern in this case. Monitoring glucose levels, adjusting insulin, or modifying the diet are not immediate actions required for a child with suspected appendicitis.