ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
Which of the following emotional manifestations demonstrates an improvement in a 7-month-old infant diagnosed with nonorganic failure to thrive?
Correct Answer: D
Rationale: The correct answer is D: Infant likes to be held and touched. This demonstrates an improvement in the infant's emotional well-being as it shows an attachment behavior, indicating a sense of security and trust. Infants with nonorganic failure to thrive often exhibit social withdrawal and disinterest in physical contact.
Choice A is incorrect as it describes a lack of stranger anxiety, which is not necessarily indicative of improvement in this context.
Choice B is incorrect as a wide-eyed gaze could indicate vigilance or anxiety rather than positive emotional development.
Choice C is incorrect as passivity and good sleep are not specific indicators of emotional improvement. In summary, choice D is the correct answer as it reflects positive emotional progress in the infant's attachment and responsiveness to touch.
Question 2 of 5
Which site is preferred for giving an IM injection to a newborn?
Correct Answer: B
Rationale: The correct answer is B: Vastus lateralis. This site is preferred for giving an IM injection to a newborn because it has a large muscle mass and is easily accessible. The vastus lateralis muscle is located on the lateral side of the thigh, making it a safe and effective site for administering injections in infants. It is important to avoid other sites like the ventrogluteal, rectus femoris, or dorsogluteal in newborns due to the risk of hitting nerves or blood vessels. The vastus lateralis is the most recommended site for IM injections in infants for safety and efficacy.
Question 3 of 5
A 17-year-old client delivered her first baby 8 hours ago. Which of the following is an indication that appropriate bonding is occurring? The client:
Correct Answer: A
Rationale: The correct answer is A because making eye contact with the baby is a fundamental aspect of bonding. Eye contact promotes attachment, emotional connection, and communication between the mother and baby. This visual interaction fosters feelings of love, protection, and bonding. In contrast, choices B, C, and D do not directly demonstrate bonding.
Choice B indicates confusion or lack of understanding about the baby's needs.
Choice C involves practical caregiving, not necessarily bonding.
Choice D focuses on the baby's physical appearance rather than emotional connection. Overall, making eye contact is a key indicator of the emotional bond forming between the mother and her baby.
Question 4 of 5
A nurse is caring for a 4-year-old client with full-thickness burns. Which of the following nursing actions are essential for the care of this child? (Select all that apply.)
Correct Answer: A,B,C
Rationale: Level of consciousness, IV fluids, vital signs, and urinary output are critical in burn management; a high-protein, high-calorie diet is recommended instead of a low-calorie diet.
Question 5 of 5
A nurse smells an odor identified as marijuana coming from a room. Which of the following client findings would confirm inhalation of the substance?
Correct Answer: A
Rationale: The correct answer is A: Poor coordination, red eyes, and euphoria. These findings are consistent with marijuana inhalation due to specific effects of tetrahydrocannabinol (TH
C) on the body. Poor coordination is a common effect of marijuana as it affects motor skills. Red eyes occur due to vasodilation caused by THC. Euphoria is a common psychological effect of marijuana due to its impact on neurotransmitters. Slurred speech, confusion, combativeness are more indicative of alcohol intoxication. Loss of consciousness, respiratory depression, coma are more severe symptoms seen in opioid overdose. Hypertension, tachycardia, hyperflexia are not typical findings with marijuana use.