ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
Which assessment finding suggests thrombophlebitis in a postpartum client?
Correct Answer: D
Rationale: The correct answer is D. Positive Homan's sign, calf warmth, and pain are classic signs of thrombophlebitis. Homan's sign is elicited by dorsiflexing the foot, which causes pain in the calf with a blood clot. Calf warmth and pain indicate inflammation and possible clot formation. These findings are specific to thrombophlebitis.
Choice A is incorrect because it describes signs of pulmonary embolism, which is a complication of untreated thrombophlebitis.
Choice B is incorrect as it lists symptoms of a pulmonary embolism, not thrombophlebitis.
Choice C describes signs of sepsis or intra-abdominal infection, not thrombophlebitis.
Question 2 of 5
A nurse is caring for a 7-year-old child who is admitted with an asthma exacerbation.
Correct Answer: B
Rationale:
Correct Answer: B - "Identification and avoidance of factors that trigger symptoms."
Rationale:
1. Asthma exacerbations are often triggered by environmental factors.
2. Identifying triggers helps prevent future exacerbations.
3. Avoiding triggers reduces the likelihood of asthma symptoms.
4. Monitoring oxygen saturation, peak flow, and positioning are important, but identifying triggers is crucial for long-term management.
Summary:
- Option A: Monitoring oxygen saturation and respiratory rate is important but does not address preventive measures.
- Option C: Monitoring peak flow is useful for assessing lung function but does not address trigger identification.
- Option D: Positioning the client upright is helpful during exacerbations but does not prevent future episodes.
Question 3 of 5
When planning for the care of an infant experiencing neonatal abstinence syndrome, which nursing assessment is most important?
Correct Answer: A
Rationale: The correct answer is A: The mother's ability to provide a safe environment. This is crucial because infants with neonatal abstinence syndrome require a stable and safe environment for their care. Assessing the mother's ability to create such an environment helps ensure the infant's safety and well-being. B is incorrect because the extent of the mother's addiction, while important, does not directly impact the immediate care of the infant. C is incorrect as the mother's ability to obtain treatment is secondary to the immediate need for a safe environment for the infant. D is incorrect as the severity of the infant's withdrawal, while important, does not address the preventive aspect of ensuring a safe environment.
Question 4 of 5
A nurse is preparing a room for the admission of a client with sickle cell anemia who is in vasoocclusive crisis. Which type of equipment should the nurse place in the client's room?
Correct Answer: D
Rationale: The correct answer is D: Blood transfusion equipment. During a vasoocclusive crisis in sickle cell anemia, there is a blockage in blood vessels leading to severe pain and tissue damage. Blood transfusions may be necessary to improve oxygen delivery to tissues and alleviate symptoms. Having blood transfusion equipment readily available in the client's room allows for prompt intervention if needed.
A: Wheelchair with adjustable leg rests - Not directly related to managing vasoocclusive crisis.
B: A radio and age-appropriate reading materials - Entertainment items, not essential for crisis management.
C: Extra blankets and pillows - Provide comfort but do not address the underlying cause of the crisis.
In summary, the focus during a vasoocclusive crisis in sickle cell anemia should be on interventions that directly address the physiological needs of the client, such as blood transfusion equipment.
Question 5 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.