ATI Pediatrics Proctored Exam with Answers (95 Solved Questions)

Page 1 of 16

ATI Pediatrics Proctored Exam with Answers (95 Solved Questions) - Page 1 preview image

ATI PROCTORED EXAM-MATERNALNEWBORNGRADED A-ALL ANSWERSCORRECT-180QUESTIONS ANDANSWERSA nurse is planning care for a newborn who is receiving phototherapy for anelevated bilirubin level. Which of the following actions should the nurse take?-CORRECT ANSWERD. Use a photometer to monitor the lamp's energyThe nurse should monitor the lamp's energy throughout the therapy to ensure thenewborn is receiving the appropriate amount to be effective.A nurse is assessing a client at 34 weeks gestation who has a mild placentalabruption. Which of the following findings should the nurse expect?-CORRECTANSWERDark red vaginal bleedingThe nurse shouldexpect this client with a mild placental abruption to haveminimal dark red vaginal bleeding.A nurse is assessing a newborn and notes an axillary temperature of 96.9°F (36°C).Which of the following actions should the nurse perform?-CORRECT ANSWERCorrect Answer:B.Assess the newborn's blood glucose level

Page 2 of 16

ATI Pediatrics Proctored Exam with Answers (95 Solved Questions) - Page 2 preview image

Page 3 of 16

ATI Pediatrics Proctored Exam with Answers (95 Solved Questions) - Page 3 preview image

Infants who become cold attempt to generate heat through increased muscularand metabolic activity. This process increases glucose consumption and puts thenewborn at risk of hypoglycemia.Incorrect Answers:A. The nurse should not obtain a rectal temperature from a newborn due to therisk of rectal perforation. Instead, the nurse should obtain an axillary temperature.C. Bathing a newborn will increase heat loss. The infant should not be batheduntilthe temperature has stabilized within the normal range.D. Placing the infant in front of a heater vent can incur heat loss throughconvection. Additionally, there is a potential fire risk from the bassinet linens andthe vent.A nurse is caring for a client who is in preterm labor and is receiving magnesiumsulfate. The client begins to show indications of magnesium sulfate toxicity. Whichof the following medications should the nurse prepare to administer?-CORRECTANSWERCorrect Answer:C. Calcium gluconateThe nurse should discontinue the magnesium sulfate infusion immediately andprepare to administer calcium gluconate IV to reverse the effects of magnesiumsulfate and to prevent cardiac and respiratory arrest.Incorrect Answers:A. Protamine sulfate helps reverse the effects of heparin, not magnesiumsulfate.

Page 4 of 16

ATI Pediatrics Proctored Exam with Answers (95 Solved Questions) - Page 4 preview image

B. Naloxone is an opioid reversal agent. It does not reverse the effects ofmagnesium sulfate.D. Flumazenil reverses the effects of benzodiazepines such as lorazepam andalprazolam, not magnesium sulfate.A nurse is providing postpartum discharge teaching to a client who is non-lactating about breast discomfort relief measures. Which of the following piecesof information should the nurse include?-CORRECT ANSWERCorrect Answer:"Place fresh cabbage leaves on your breasts."After 3 days postpartum, the client's breasts can become swollen and distendedbecause of congestion of the vascular structures of the breasts.Fresh cabbage leaves can be applied to engorged breasts to help relieve breastdiscomfort.The coolness of the leaves andthe phytoestrogens exert a therapeutic effect onengorged breasts.Leaves should be replaced when they become wilted.Incorrect Answers:A. The client should be instructed to wear a tight-fitting bra or breast binders toalleviate engorgement and swelling.

Page 5 of 16

ATI Pediatrics Proctored Exam with Answers (95 Solved Questions) - Page 5 preview image

C. Application of warmth to the breasts should be avoided because heat canstimulate milk production. An ice pack should be used to relieve engorged breasts.D. Milk should not be expressed from the breasts. This intervention wouldincrease milk production rather than decrease it.A nurse is educating a client who is at 10 weeks gestation and reports frequentnausea and vomiting. Which of the following statements should the nurse includein the teaching?-CORRECT ANSWERCorrect Answer:D."You should eat dry foods that are high in carbohydrates when you wake up."The nurse should instruct the client to eat foods that are high in carbohydratessuch as dry toast or crackers upon waking or when nausea occurs.Incorrect Answers:A. The nurse should instruct the client to eat foods served at cool temperatures todecrease nausea and vomiting.B. The nurse should instruct the client to avoid brushing her teeth immediatelyafter eating to decrease vomiting.C. The nurse should instruct the client to eat salty and tart foods during periods ofnausea.A nurse is providing postpartum discharge teaching for a client who isbreastfeeding. The client states, "I've heard that I can't use any birth control until I

Page 6 of 16

ATI Pediatrics Proctored Exam with Answers (95 Solved Questions) - Page 6 preview image

stop breastfeeding." Which of the following responses should the nurse make?-CORRECT ANSWERCorrect Answer:D."A progestin-only pill or injection is available for use while you are breastfeeding."Progestin-only injections, implants, and birth control pills are acceptable optionsfor clients who are breastfeeding, although some experts recommend waitinguntil 6 weeks postpartum to initiate the medication.Incorrect Answers:A. Breastfeeding can inhibit ovulation or prolong menstruation; however, it is nota reliable and effective means of birth control. The client may experience anunplanned pregnancy if she waits until her periods resume before consideringbirth control options.B. Estrogen-containing birth control pills, implants, patches, and vaginal rings arenot recommended for clients who are breastfeeding due to the risk of inhibitingbreast milk production and supply.C. Condoms and other non-hormonal birth control methods are appropriate forclients who are breastfeeding; however, there are other methods that are alsoappropriate.A nurse is assessing a client who is receiving morphine via a patient-controlledanalgesia (PCA) pump following a cesarean birth. Which of the following findingsshould the nurse report to the provider?-CORRECT ANSWERCorrect Answer:D.Urine output 20 mL/hr

Page 7 of 16

ATI Pediatrics Proctored Exam with Answers (95 Solved Questions) - Page 7 preview image

Opioid analgesics such as morphine can cause urinary retention. The client shouldhave a urinary output of at least 30 mL/hr. The nurse should report this finding tothe provider.Incorrect Answers:A. Opioid analgesics can cause respiratory depression. However, this respiratoryrate is within the expected reference range.B. This temperature is within the expected reference range.C. Dizziness is a common adverse effect of receiving opioid analgesics. The nurseshould instruct the client to sit on the side of the bed before getting up, assist theclient with ambulation, and implement general safety measures. However, it is notnecessary to report this finding to the provider.A nurse in a clinic is providing teaching to a client who is at 37 weeks of gestationand is scheduled for an external cephalic version. Which of the followingstatements should the nurse make?-CORRECT ANSWERCorrect Answer:B."You will receive a medication to relax your uterus prior to the procedure."A client who is scheduled to undergo an external cephalic version often receives atocolytic prior to the procedure to allow the uterus to relax. A relaxed uterusallows an easier version by the provider.Incorrect Answers:A. This action is appropriate for internal version. With external version, theprovider attempts to turn the fetus around externally and not internally.

Page 8 of 16

ATI Pediatrics Proctored Exam with Answers (95 Solved Questions) - Page 8 preview image

C. External version is a high-risk procedure that is performed in a hospital settingin the event of an emergency.D. During the external version, the fetalheart-rate pattern is monitoredcontinuously because the fetus is at risk of bradycardia and variable decelerations.The nurse also monitors the fetal heart rate for at least 60 minutes following theprocedure.A postpartum nurse is caring for a client who reports excessive sweating duringthe first night after delivery. Which of the following statements should the nursemake?-CORRECT ANSWERCorrect Answer:D."This is a source of your fluid loss after delivery."Postpartum diuresis is the loss of the remaining pregnancy-induced increase inblood volume. The loss of excess tissue fluid begins within 12 hours after birth.Fluid loss by urination and perspiration results in a weight loss of approximately2.27 kg (5 lb) during the early postpartum period.Incorrect Answers:A. Postpartum diuresis is attributed to decreased estrogen levels, the removal ofincreased venous pressure in the lower extremities, and the loss of the remainingpregnancy-induced increase in blood volume.B. Postpartum diuresis is caused by decreased estrogen levels. Fluid loss byurination and perspiration results in a weight loss of approximately 2.27 kg (5 lb)during the early postpartum period.

Page 9 of 16

ATI Pediatrics Proctored Exam with Answers (95 Solved Questions) - Page 9 preview image

C. Postpartum diuresis is caused, in part, by the removal of increased venouspressure in the lower extremities. Urine output can exceed 3000 mL/day duringthe first 2 to 3 days postpartum.The parents of a child with phenylketonuria (PKU) ask the nurse if their secondunborn child could have the same condition. The nurse should base the responseon which ofthe following inheritance patterns responsible for PKU?-CORRECTANSWERCorrect Answer:C.Autosomal recessivePKU is inherited by autosomal-recessive gene patterns. In these types ofdisorders, neither parent may actually have the disorder, but bothmother andfather must carry and contribute a variant gene for it to occur. Other autosomal-recessive disorders are cystic fibrosis and sickle cell anemia.Incorrect Answers:A. PKU does not have an X-linked recessive pattern of inheritance. In X-linkedrecessive disorders, the abnormal gene is carried on the X chromosome. In males,only 1 copy of the abnormal gene is required for the disorder to be expressed inmales since the Y chromosome does not carry the disorder. Females must have 2copies of the gene. Examples of this type of disorder are hemophilia and colorblindness.B. PKU does not have an X-linked dominant pattern of inheritance. In X-linkeddominant disorders, the abnormal gene is carried on the X chromosome. Only 1copy of the abnormal geneis necessary for the disorder to occur. However, malesare more likely to be severely affected due to the homozygous expression. There

Page 10 of 16

ATI Pediatrics Proctored Exam with Answers (95 Solved Questions) - Page 10 preview image

are only a few disorders that follow this pattern of inheritance. Examples includevitamin D-resistant rickets and Rett syndrome.D. PKU does not have an autosomal-dominant pattern of inheritance. In thesedisorders, only 1 copy of the variant gene is necessary for the disorder to occur.Examples of this type of disorder are neurofibromatosis and Treacher Collinssyndrome.A nurse is teaching a client about physiological changes that can occur withmenopause. Which of the following changes should the nurse include?-CORRECTANSWERCorrect Answer:C. Stress incontinenceThe nurse should teach the client that stress incontinence can occur due to theshrinking of the uterus, vulva, and distal portion of the urethra.Urinary incontinence and uterine displacement can occur because of commonage-related changes but are not necessarily a result of menopause-relatedchanges.Incorrect Answers:A. The nurse should teach the client that urinary frequency, not hesitancy, canoccur due to the shrinking of the uterus, vulva, and distal portion of the urethra.B. The nurse should teach the client that hematuria is a manifestation of irritationto thebladder mucosa and might indicate a urinary tract infection. It is not anexpected change associated with menopause.

Page 11 of 16

ATI Pediatrics Proctored Exam with Answers (95 Solved Questions) - Page 11 preview image

D. The nurse should teach the client that vaginal dryness can occur withmenopause due to the vaginal walls becoming thinner and drier, delayinglubrication. This can lead to painful intercourse.A nurse is providing education about newborn skin care for a group of newparents. Which of the following instructions should the nurse include?-CORRECTANSWERCorrect Answer:B.Sponge bathethe newborn every other dayDaily bathing can disrupt the acid mantle of the newborn's skin and alter skinintegrity. The parents should sponge bathe the infant until the cord stump hasdetached and the area has healed.Incorrect Answers:A. In uncircumcised males, the foreskin adheres to the glans of the penis. Parentsshould not attempt to retract the foreskin before the age of 3 years. Parentsshould wash the penis with soap and water.C. The parents should avoid using antimicrobial soaps and insteaduse soap with aneutral pH and no preservatives to protect the acid mantle of the newborn's skin.D. The parents should maintain the bath water temperature between 38° and40°C (100° and 104°F).A postpartum nurse is caring for a client who is 4 hours postpartum and has apainful third-degree perineal laceration. Which of the following interventionsshould the nurse take?-CORRECT ANSWERCorrect Answer:Apply cold ice packs to the client's perineum

Page 12 of 16

ATI Pediatrics Proctored Exam with Answers (95 Solved Questions) - Page 12 preview image

A third-degree laceration extends from the perineumto the external sphincter ofthe rectum. This can cause severe discomfort. Cold ice packs are used on theperineal area during the first 24 hours to decrease edema, pain, and discomfort.Incorrect Answers:A. Warm sitz baths are appropriate after the first 24 hours postpartum. A cool sitzbath is recommended within the first 24 hours to reduce edema and promotecomfort.B. The nurse should encourage the client to sit on firm surfaces. The client shouldavoid soft pillows and donut pillows because they separate the buttocks anddecrease venous blood flow, resulting in more pain and discomfort to the perinealarea.D. The use of suppositories or enemas is contraindicated for a client who has athird-degree perineal laceration due to the severity of the laceration.A nurse is providing teaching to the parents of a newborn about home safety.Which of the following statements by the parents indicates an understanding ofthe teaching?-CORRECT ANSWERCorrect Answer:"I will place my baby on his back when putting himto sleep."Newborns should always sleep on the back to prevent sudden infant deathsyndrome.Incorrect Answers:

Page 13 of 16

ATI Pediatrics Proctored Exam with Answers (95 Solved Questions) - Page 13 preview image

B. The parents should not place the newborn's crib close to a heat source due tothe risk of the crib linen catching on fire.C. The parentsshould always place the newborn in an approved car seat whiledriving with the newborn. Infant carriers are not approved safety seats for motorvehicles.D. The parents should never tie any type of string or cord around the newborn'sneck due to the riskof strangulation.A nurse is caring for a newborn who is premature at 30 weeks gestation. Which ofthe following findings should the nurse expect?-CORRECT ANSWERCorrectAnswer:Abundant lanugoNewborns who are premature have abundant lanugo (finehair), especially overtheir back. A full-term newborn typically has minimal lanugo present only on theshoulders, pinna, and forehead.Incorrect Answers:B. Newborns who are premature demonstrate hypotonia and a relaxed posture.Full-term newborns demonstrate moderate flexion of the arms and legs.C. Newborns who are premature have few heel creases. Full-term newborns haveheel creases that cover most of the bottom of the feet.

Page 14 of 16

ATI Pediatrics Proctored Exam with Answers (95 Solved Questions) - Page 14 preview image

D. Newborns who are premature have abundant vernix caseosa, a thick whitishsubstance, covering and protecting their skin in utero. Post-mature newborns arelikely to have dry, parchment-like skin.A nurse is caring for a client who is in labor and received meperidine for pain 1 hrprior to entering the second stage of labor. Which of the following actions shouldthe nurse take?-CORRECT ANSWERCorrect Answer:Assess the newborn for respiratory depressionMeperidine should not be administered to laboring clients who are expected todeliver within 4 hours of the medication administration.This medication crosses the placenta and causes respiratory depression in thenewborn, which peaks in 2 to 3 hours after administration. Narcan is ineffective atreversing the respiratory depression caused by this medication.Incorrect Answers:A. Meperidine does not affect the client's reflexes. It reduces the transmission ofpain impulses through stimulation of the mu and kappa opioid receptors.C. Meperidine can cause tachycardia, nausea, vomiting, dizziness, and alteredmental status.D. Neonatal abstinence syndrome occurs in newborns who are exposed to opioidsover a long period of time during pregnancy. A client receiving an opiate duringlabor would not lead to opiate dependence in the newborn.

Page 15 of 16

ATI Pediatrics Proctored Exam with Answers (95 Solved Questions) - Page 15 preview image

A nurse is assessing a client who is in the fourth stage of labor. Which of thefollowing findings should the nurse expect?-CORRECT ANSWERCorrect Answer:Urinary retentionAfter delivery, many clients have a reduced urge to urinate. This can result frombirth trauma, a larger bladder capacity after birth, analgesia, pelvic soreness, anepisiotomy, and other factors.Incorrect Answers:A. Breast engorgement does not generally become problematic until 3 to 5 daysafter birth.B. Hypothermia is unlikely during the fourth stage of labor. The nurse shouldmeasure the client's temperature at this time, then every 4 hours for the first 8hours, and then at least every 8 hours after that. The client might feel chilly duringthis stage; if so, the nurse should provide a warmed blanket.D. Rupture of membranes occurs spontaneously or via amniotomy prior to thesecond stage of labor.A nurse is reviewing the medical record of a client at 39 weeks gestation who haspolyhydramnios. Which of the following findings should the nurse expect?-CORRECT ANSWERCorrect Answer:Fetal gastrointestinal anomaly

Page 16 of 16

ATI Pediatrics Proctored Exam with Answers (95 Solved Questions) - Page 16 preview image

Polyhydramnios is the presence of excessive amniotic fluid surrounding theunborn fetus. Gastrointestinal malformations and neurological disorders areexpected findings for a fetus experiencing the effects of polyhydramnios.Incorrect Answers:A. Polyhydramnios will result in a fundal height greater than expected forgestational age.B. Polyhydramnios will result in an increase in weight gain, not a decrease.C. Gestational hypertension causes oligohydramnios, which is a decrease in theamount of amniotic fluid surrounding the fetus.A nurse in a clinic is providing education to a client at 32 weeks of gestation whohas pruritus gravidarum. Which of the following pieces of information should thenurse provide?-CORRECT ANSWERCorrect Answer:"You should slightly increase your exposure to sunlight."Pruritus gravidarum is a condition of pregnancy that causes generalized itchingwithout the presence of a rash. This occurs due to the stretching of the skin.Exposure to sunlight can reduce itching.Incorrect Answers:B. Pruritus gravidarum is a condition of pregnancy that causes generalized itchingthat occurs due to the stretching of the skin. It will resolve without extensivetreatment after delivery.

Preview Mode

This document has 67 pages. Sign in to access the full document!

Report

Learning Tools

Writing Tools

Browse Resources

ATI Pediatrics Proctored Exam with Answers (95 Solved Questions) - Page 1

Study Now!

Document Details

Related Documents

ATI TEAS Prep Plus: 2 Practice Tests + Proven Strategies [Excluded Online Resource] (Kaplan Test Prep) (2019)

2023 NGN ATI RN Med Surg Proctored Exam with Answers (240 Solved Questions)

2019 ATI RN Maternal Newborn with Answers (70 Solved Questions)

2023 NGN ATI RN Comprehensive Predictor Retake Exam with Answers (177 Solved Questions)

2013 ATI RN Proctored Pharmacology Form B with Answers (70 Solved Questions)

2023 ATI Nutrition Proctored Exam with Answers (121 Solved Questions)

ATI RN Maternal Newborn NGN Proctored Exam with Answers (250 Solved Questions)

ATI Pharmacology Proctored Test Bank with Answers (313 Solved Questions)

2022-2023 ATI Leadership Proctored Focus Practice Exam with Answers (63 Solved Questions)

2024 ATI RN Predictor Practice Exam with Answers (136 Solved Questions)

Company

Explore

Study Tools