ATI RN
ATI Capstone Class Exam Week 12 Questions
Extract:
Question 1 of 5
A nurse in a hospital is caring for a client who is at 38 weeks of gestation and has a large amount of painless, bright red vaginal bleeding. The client is placed on a fetal monitor indicating a regular fetal heart rate of 138/min and no uterine contractions. The client’s vital signs are: blood pressure 98/52 mm Hg, heart rate 118/min, respiratory rate 24/min, and temperature 97.6°F. Which of the following is the priority nursing action?
Correct Answer: B
Rationale: Initiating IV access is critical to manage hypovolemia from bleeding, indicated by low BP and high heart rate. This allows fluid resuscitation, prioritizing stabilization over consent, catheter insertion, or surgical prep.
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
An 8-pound 15-ounce baby born at 35 weeks’ gestation would be described using which terminology? Select all that apply.
Correct Answer: C,D
Rationale: At 35 weeks, the baby is preterm (before 37 weeks). An 8-pound 15-ounce weight is average for gestational age (AG
A), within the 10th-90th percentiles. The baby is not small for gestational age, term, or post-term.
Question 4 of 5
A nurse is caring for a client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina. Which of the following actions should the nurse perform first?
Correct Answer: D
Rationale: Inserting a gloved hand to relieve cord pressure prevents fetal hypoxia, the immediate priority in cord prolapse. Covering the cord, positioning, or preparing for birth are secondary to ensuring fetal oxygenation.
Question 5 of 5
A nurse in a provider’s office is caring for a client who is at 36 weeks of gestation and scheduled for an amniocentesis. The client asks why she is having an ultrasound prior to the procedure. Which of the following is an appropriate response by the nurse?
Correct Answer: A
Rationale: Ultrasound before amniocentesis locates the placenta and fetus to guide safe needle insertion. Estimating fetal age, screening for spina bifida, or detecting multiples are secondary, not primary purposes.