ATI LPN
Maternal Newborn ATI Proctored Exam
1. A healthcare provider in an antepartum clinic is collecting data from a client who has a TORCH infection. Which of the following findings should the healthcare provider expect? (Select all that apply)
- A. Joint pain
- B. Malaise
- C. Rash
- D. Tender lymph nodes
Correct answer: D
Rationale: A TORCH infection can cause joint pain, malaise, rash, and tender lymph nodes. These findings are characteristic of TORCH infections and are important to recognize in pregnant individuals as they can have serious implications for both the mother and the fetus. While joint pain, malaise, and rash can be present in TORCH infections, tender lymph nodes are a common finding that the healthcare provider should expect. Tender lymph nodes are often associated with the inflammatory response to infection and can be palpated during a physical examination. Therefore, in this scenario, the healthcare provider should anticipate the presence of tender lymph nodes in a client with a TORCH infection, making option D the correct answer.
2. A nurse is providing discharge instructions to a client with oxygen therapy. What should the nurse emphasize?
- A. Avoid keeping oxygen tanks in an upright position
- B. Keep oxygen equipment at least 6 feet away from heat sources
- C. Allow family members to smoke in designated areas
- D. Restrict fluid intake while using oxygen therapy
Correct answer: B
Rationale: The correct answer is B: 'Keep oxygen equipment at least 6 feet away from heat sources.' It is crucial to keep oxygen equipment away from heat sources to prevent fire hazards. Option A is incorrect as oxygen tanks should be stored in an upright position. Option C is wrong because smoking near oxygen equipment poses a significant fire risk. Option D is also incorrect as fluid intake should not be restricted while using oxygen therapy; in fact, it is important to maintain adequate hydration.
3. According to C.E. Winslow, what is the goal of Public Health?
- A. For people to attain their birthrights and longevity
- B. For the promotion of health and prevention of diseases
- C. For people to have access to basic health services
- D. For people to be organized in their health efforts
Correct answer: A
Rationale: According to C.E. Winslow, the goal of Public Health is for people to achieve their birthrights of health and longevity. This encompasses ensuring that individuals have the opportunity to lead healthy lives and live long, fulfilling ones. It goes beyond just the absence of disease and includes promoting overall well-being and quality of life.
4. A nurse is preparing a change-of-shift report for an adult female client who is postoperative. Which of the following client information should the nurse include in the report?
- A. Hgb 12.8 g/dl.
- B. Potassium 4.2 mEq/L.
- C. RBC 4.4 million/mm3.
- D. Platelets 100,000/mm3.
Correct answer: D
Rationale: The correct answer is D: "Platelets 100,000/mm3." A platelet count of 100,000/mm3 is low and increases the client's risk for bleeding, which is crucial information to communicate during the change-of-shift report. Choices A, B, and C provide values within normal ranges and are not directly related to the client's postoperative status or risk for complications. Therefore, they are not the priority information to include in the report.
5. A nurse is planning care for a client who has a new diagnosis of dysphagia. Which of the following foods should be included when initiating feeding?
- A. Beef broth
- B. Oatmeal
- C. Apple juice
- D. Toast
Correct answer: B
Rationale: Oatmeal is a soft, easy-to-swallow food, making it appropriate for clients with dysphagia, as it minimizes the risk of aspiration compared to liquids or hard foods. Beef broth (Choice A) is a liquid and may pose a risk of aspiration. Apple juice (Choice C) is a liquid and can also be a choking hazard for individuals with dysphagia. Toast (Choice D) is a hard food that may be difficult for a client with dysphagia to swallow safely.
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