ATI RN
ATI Capstone Class Exam Week 12 Questions
Extract:
Question 1 of 5
A client is being treated with magnesium sulfate IV. The client’s respiratory rate is 10/min. What should the nurse do?
Correct Answer: B
Rationale: A respiratory rate of 10/min indicates magnesium sulfate toxicity, requiring immediate discontinuation of the infusion to prevent further respiratory depression. Glucose assessment, cesarean prep, or Trendelenburg position don’t address this issue.
Question 2 of 5
A nurse is assessing a newborn who has developmental dysplasia of the hip (DDH). Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Asymmetric thigh folds are a common sign of DDH due to hip dislocation or subluxation, prompting further investigation. An inwardly turned foot relates to foot positioning, absent plantar reflexes suggest neurological issues, and the affected thigh is typically shorter, not longer.
Question 3 of 5
A nurse is completing discharge instructions for a new mother and her 2-day-old newborn. The mother asks, “How will I know if my baby gets enough breast milk?” Which of the following responses should the nurse make?
Correct Answer: A
Rationale: Wet diapers (6-8/day) indicate adequate breast milk intake. Wake cycles vary, burping aids digestion but not intake assessment, and long sleep intervals may suggest insufficient feeding in newborns.
Question 4 of 5
A nurse is caring for a client who is in premature labor and is receiving terbutaline. The nurse should monitor the client for which of the following adverse effects that should be reported to the provider?
Correct Answer: A
Rationale: Dyspnea is a serious adverse effect of terbutaline, potentially indicating pulmonary edema, which requires immediate reporting. Headaches, nervousness, and tremors are common but less severe side effects that don’t typically need urgent attention unless severe.
Question 5 of 5
The nurse is caring for a newly delivered breast-feeding infant. Which nursing intervention would best prevent jaundice in this infant?
Correct Answer: C
Rationale: Frequent breastfeeding (every 2-3 hours) prevents jaundice by promoting bilirubin excretion via stools. Formula supplementation may disrupt breastfeeding, NPO delays feeding, and phototherapy treats, not prevents, jaundice.