ATI RN
ATI Maternal Newborn Exam 3 Fall 2023 Questions
Extract:
An older female client who resides in a long-term care facility has a male friend who often visits her in the evenings.
Question 1 of 5
The practical nurse (PN) enters the client's room to administer medications and finds the couple in bed together. What action should the PN take?
Correct Answer: D
Rationale: The correct answer is D: Ask when the nurse should return. This option respects the couple's privacy while still addressing the situation professionally. By asking when to return, the PN can ensure the couple has privacy to dress or address any immediate concerns. Option A may embarrass the couple and is not necessary. Reporting to the family (
B) violates client confidentiality. Exiting and closing the door (
C) may leave the couple uncomfortable. Asking when to return (
D) balances professionalism and respect for the clients.
Extract:
A client who requires seizure precautions.
Question 2 of 5
In caring for a client who requires seizure precautions, the practical nurse (PN) should ensure the ready availability of equipment to perform which procedure?
Correct Answer: A
Rationale: The correct answer is A: Suction the trachea. During a seizure, a client may experience excessive secretions or vomit, which can obstruct the airway. Suctioning the trachea helps maintain a clear airway, preventing aspiration and ensuring oxygenation. The other options are incorrect because:
B) Inserting a urinary catheter is not directly related to seizure precautions.
C) Applying soft restraints may not be necessary and could potentially exacerbate the client's distress during a seizure.
D) Inserting a nasogastric tube is not a priority during a seizure and may not be indicated. Overall, ensuring the availability of equipment to suction the trachea is crucial in managing a client with seizure precautions.
Extract:
The mother of a school-aged boy tells the practical nurse (PN) that he fell out of a tree and hurt his arm and shoulder.
Question 3 of 5
Which assessment should the practical nurse (PN) note as the most significant indicator of possible child abuse?
Correct Answer: D
Rationale: The correct answer is D. In cases of possible child abuse, inconsistencies between the caregiver's description of the injury and the child's version are a significant indicator. This is because it suggests potential fabrication or concealment of the truth, raising suspicion of abuse.
Choice A is incorrect as avoiding eye contact does not directly indicate abuse.
Choice B, the mother's detailed description, is not necessarily linked to abuse.
Choice C, healed abrasions, is concerning but not as indicative as conflicting injury accounts.
Extract:
A full-term, 24-hour-old infant in the nursery regurgitates and suddenly turns cyanotic.
Question 4 of 5
Which immediate intervention should the practical nurse (PN) implement?
Correct Answer: B
Rationale: The correct answer is B: Suction the oral and nasal passages. This intervention is crucial to maintain a clear airway for the infant, especially in emergency situations where there may be a risk of airway obstruction. Suctioning helps to remove any secretions or foreign objects that could compromise the infant's breathing. Turning the infant onto the right side (choice
A) may help with drainage but does not directly address airway clearance. Giving oxygen by positive pressure (choice
C) may be necessary but should not be the immediate priority if the airway is obstructed. Stimulating the infant to cry (choice
D) is not as critical as ensuring a patent airway.
Extract:
The practical nurse (PN) determines that a client's pupils constrict as they change focus from a far object to a near object.
Question 5 of 5
How should the PN document this finding?
Correct Answer: C
Rationale: The correct answer is C: Pupils reactive to accommodation. This finding indicates normal pupillary response to changes in focus, which is an important neurological assessment. It shows the integrity of the oculomotor nerve and brain pathways involved in pupillary reflexes.
Choice A is incorrect as it refers to a different pupillary response.
Choice B is incorrect as nystagmus is unrelated to pupillary response.
Choice D is incorrect as peripheral vision is not assessed through pupillary reaction.