ATI RN
ATI Capstone Class Exam Week 12 Questions
Extract:
Question 1 of 5
A male newborn infant has just been circumcised. The nurse checks the surgical site, expecting it to have what appearance?
Correct Answer: C
Rationale: Reddened with scant yellow exudate is expected during circumcision healing, indicating normal progress. Bloody drainage decreases over time, pink without drainage occurs later, and copious blood suggests complications.
Question 2 of 5
A nurse is completing the admission assessment of a newborn. Which of the following anatomical landmarks should the nurse use when measuring the newborn’s chest circumference?
Correct Answer: D
Rationale: The nipple line is the standard landmark for measuring chest circumference in newborns, ensuring consistent and accurate measurements. Intercostal spaces, xiphoid process, and sternal notch are not suitable due to variability or improper positioning.
Question 3 of 5
A nurse is caring for a client who is postpartum and received methylergonovine. Which of the following findings indicates that the medication was effective?
Correct Answer: D
Rationale: A firm fundus indicates effective uterine contractions, the goal of methylergonovine to control postpartum hemorrhage. Increased lochia suggests bleeding, breast pain is unrelated, and blood pressure increase is a side effect, not an efficacy indicator.
Question 4 of 5
A nurse is caring for a client who is 1 hour postpartum and observes a large amount of lochia rubra and several small clots on the client’s perineal pad. The fundus is midline and firm at the umbilicus. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Lochia rubra and small clots are normal 1 hour postpartum with a firm, midline fundus. Documenting and monitoring are appropriate, as no immediate interventions like provider notification, fundal massage, or bladder emptying are needed.
Question 5 of 5
A nurse is caring for a client who is 6 hours postpartum. The client is Rh-negative and her newborn is Rh-positive. The client asks why an indirect Coombs test was ordered by the provider. Which of the following is an appropriate response by the nurse?
Correct Answer: A
Rationale: The indirect Coombs test detects Rh-positive antibodies in the mother’s blood, assessing sensitization risk for future pregnancies. It’s performed on maternal blood, not newborn’s, and doesn’t assess kernicterus risk.