ATI RN
Nursing Care of the Newborn and Family Questions
Question 1 of 5
A new nurse is preparing to administer erythromycin (Eyemycin) to an infant. What action by the new nurse would lead the precepting nurse to intervene?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
A nurse takes a newborns initial set of vital signs and records the following: Temperature: 97.9F (36.6C) pulse: 198 beats/minute respirations: 78 breaths/minute blood pressure: 64/44 mm Hg. What does the nurse conclude about this infant?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
A nurse notes that an infant has a drooping tongue which causes difficulty with feeding. What cranial nerve should the nurse assess further?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
A nurse observes a student nurse examining a newborn baby boys scrotum and testicles. The student softly palpates the scrotum with all five digits of the dominant hand and states that there is only one testicle present. What action by the nurse is best?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
A nurse assessing an infant notes that the baby is jittery, has muscle twitches, and has jittery movement of the arms and legs. What action by the nurse is most appropriate?
Correct Answer: D
Rationale: Hypertonia is characterized by muscle tremors, twitches, or jerkiness, and this finding is often associated with neonatal abstinence syndrome. The nurse should notify the health-care provider and request a drug screen. A warm, quiet environment may be best for this infant, but this action is not the priority. Muscle relaxants and scanning tests are not warranted.