ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
An hour after delivery, the nurse instills erythromycin (Ilotycin) ointment into the eyes of a newborn. The main objective of the treatment is to prevent infection caused by which organism?
Correct Answer: B
Rationale: The correct answer is B: Gonorrhea. Erythromycin ointment is used to prevent ophthalmia neonatorum, an eye infection in newborns caused by Neisseria gonorrhoeae, the bacteria responsible for gonorrhea. This infection can lead to blindness if left untreated. Rubella, Syphilis, and HIV are not prevented by erythromycin ointment. Rubella is a viral infection, syphilis is caused by Treponema pallidum bacteria, and HIV is a retrovirus.
Therefore, the main objective of the treatment is to prevent gonorrhea infection in the newborn's eyes.
Question 2 of 5
A nurse is caring for a toddler who is in an oxygen tent. Which of the following actions should the nurse take in order to promote comfort while maintaining the child's safety?
Correct Answer: C
Rationale: The correct answer is C because changing the bedding and clothing frequently helps maintain cleanliness, comfort, and prevent skin breakdown due to moisture accumulation. This action also promotes hygiene and prevents infection. Option A is incorrect as toys with small parts are a choking hazard in an oxygen tent. Option D is incorrect as tucking the tent under the mattress may restrict airflow and increase the risk of suffocation.
Question 3 of 5
In a child diagnosed with Tetralogy of Fallot, which of the following is a compensatory mechanism to decrease venous return to the heart?
Correct Answer: A
Rationale: Squatting is a compensatory mechanism that decreases venous return (deoxygenated blood) to the heart. This clinical sign is commonly seen in young children with Tetralogy of Fallot, a type of cyanotic heart disease. Squatting helps reduce the workload on the heart by decreasing the amount of deoxygenated blood returning to it.
Question 4 of 5
A 6-year-old child is brought to the emergency department after falling down the outdoor steps. The parent's account of the incident appears different than the neighbor's account of the incident. Upon questioning the child, the nurse should recognize which of the following as usual pattern of behavior exhibited by an abused child?
Correct Answer: B
Rationale: Abused children often repeat their parents' stories to avoid implicating them.
Question 5 of 5
A nurse is monitoring a 9-year-old child on the first postoperative day following abdominal surgery.
Correct Answer: B
Rationale: The correct answer is B: "FACES rating scale." This scale is commonly used to assess pain in children, including a 9-year-old. It uses facial expressions to help children express their pain levels. The nurse can ask the child to choose the face that best represents their pain. This scale is age-appropriate, easy to use, and effective in assessing pain in children who may have difficulty verbalizing their discomfort.
Other choices:
A: "Poker chip tool" - This tool involves assigning a numerical value to poker chips. It is not as commonly used or specific for pediatric pain assessment.
C: "Visual analog scale" - This scale requires the child to mark a point on a line to indicate pain intensity, which may be challenging for younger children.
D: "Numerical 1 to 10 rating scale" - While this scale is commonly used for pain assessment, it may be difficult for a 9-year-old to accurately quantify and verbalize their pain on a numerical