ATI RN
ATI Capstone Class Exam Week 12 Questions
Extract:
Question 1 of 5
A nurse in a clinic is caring for a client who is 3 weeks postpartum following the birth of a healthy newborn. The client reports feeling “down” and sad, having no energy, and wanting to cry. Which of the following is a priority action by the nurse?
Correct Answer: A
Rationale: Asking about harm to the newborn assesses safety, the priority in suspected postpartum depression. Antidepressants, teaching, or coping skills are secondary to ensuring immediate safety of mother and baby.
Question 2 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.
Question 3 of 5
A nurse in the ambulatory surgery center is providing discharge teaching to a client who had a dilation and curettage (D&C) following a spontaneous miscarriage. Which of the following should be included in the teaching?
Correct Answer: C
Rationale: Resuming vaginal intercourse after 2 weeks is safe post-D&C, allowing cervical closure. Products of conception should be removed, zinc isn’t specifically needed, and aspirin increases bleeding risk.
Question 4 of 5
A nurse is planning care for a newborn who is small for gestational age (SGA). Which of the following interventions should the nurse include in the plan of care?
Correct Answer: A
Rationale: Monitoring blood glucose is critical for SGA newborns due to high hypoglycemia risk from limited glycogen stores. Intake/output, weight, and temperature are important but secondary to preventing hypoglycemia complications.
Question 5 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.