ATI LPN
Maternal Newborn ATI Proctored Exam
1. When reviewing postpartum nutrition needs with breastfeeding clients, which statement indicates an understanding of the teaching?
- A. I am glad I can have my morning coffee.
- B. I should take folic acid to increase my milk supply.
- C. I will continue adding 330 calories per day to my diet.
- D. I will continue my calcium supplements because I don't like milk.
Correct answer: D
Rationale: The correct answer is D. Clients who do not like milk should continue taking calcium supplements to ensure they meet their increased calcium needs while breastfeeding. Calcium is essential for bone health, and during breastfeeding, the mother's calcium requirements are higher. While caffeine in coffee can be consumed in moderation, folic acid does not directly impact milk supply, and the additional 330 calories per day are recommended but not the focus of this question.
2. A client who has a new prescription for simvastatin is receiving teaching from a nurse. Which of the following client statements indicates an understanding of the teaching?
- A. I will take this medication in the morning.
- B. I should avoid drinking grapefruit juice while taking this medication.
- C. I should expect my cholesterol levels to increase initially.
- D. I will need to have my kidney function checked every 3 months.
Correct answer: B
Rationale: The correct answer is B. Grapefruit juice can increase the risk of toxicity with simvastatin, so clients should avoid consuming it while on the medication. Choice A is incorrect because the timing of medication administration should be based on healthcare provider instructions. Choice C is incorrect because simvastatin is prescribed to lower cholesterol levels. Choice D is incorrect as monitoring kidney function is not specifically related to simvastatin therapy.
3. What is the primary focus of the Integrated Management of Childhood Illness (IMCI) strategy?
- A. Hospital-based care
- B. Curative care only
- C. Prevention and treatment of childhood illnesses
- D. Surgical interventions
Correct answer: C
Rationale: The primary focus of the Integrated Management of Childhood Illness (IMCI) strategy is the prevention and treatment of major childhood illnesses. The IMCI strategy aims to reduce child mortality and morbidity by emphasizing a holistic approach that includes preventive measures along with curative interventions.
4. How does a student primarily gain personal knowing?
- A. Arriving at every class on time
- B. Never missing a clinical experience
- C. Taking religious classes
- D. Self-evaluation and conscious examination
Correct answer: D
Rationale: Personal knowing in any field, especially in nursing, is primarily acquired through self-evaluation and conscious examination. This process involves reflecting on personal values, beliefs, experiences, and emotions to gain insight into oneself. By engaging in self-evaluation and conscious examination, students can enhance their self-awareness and develop a deeper understanding of themselves. This self-awareness is crucial for nurses as it enables them to provide holistic and patient-centered care. Choices A, B, and C do not directly contribute to personal knowing in the context of nursing. Being punctual, attending all classes, or participating in clinical experiences are important for professional development but do not necessarily lead to the deep self-reflection required for personal knowing.
5. When resolving a conflict, which statement made by the charge nurse is an example of smoothing?
- A. You have been a nurse a long time, so I’m sure you’re capable of the tasks.
- B. If you prefer, I can take over your assignment.
- C. We can switch your assignment with someone else.
- D. Let’s discuss your concerns in a private setting.
Correct answer: A
Rationale: The correct answer is A because it exemplifies smoothing, a conflict resolution strategy where the charge nurse reassures the staff nurse of their capabilities. Choice B offers to take over the assignment, which is more of a compromising strategy. Choice C suggests switching assignments, which aligns with compromising rather than smoothing. Choice D proposes a discussion in a private setting, indicating a collaborating approach rather than smoothing.
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