ATI RN
ATI Capstone Class Exam Week 12 Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse is preparing to administer magnesium sulfate to a client. Which of the following is the priority nursing assessment for this client?
Correct Answer: B
Rationale: Respiratory rate is critical when administering magnesium sulfate due to the risk of respiratory depression. This takes priority over bowel sounds, temperature, or fetal heart rate, which are less immediate concerns.
Question 3 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 4 of 5
A nurse in a prenatal clinic is caring for a client who is suspected of having a hydatidiform mole. Which of the following findings should the nurse expect to observe in this client?
Correct Answer: C
Rationale: Excessive uterine enlargement is a hallmark of hydatidiform mole due to abnormal trophoblastic tissue growth. hCG levels are elevated, not declining; no viable fetus means no fetal heart rate; and discharge is typically bloody, not clear.
Question 5 of 5
A nurse is monitoring a client who is 3 days postpartum and is breastfeeding. The nurse notes that the fundus is three fingerbreadths below the umbilicus, lochia rubra is moderate, and the breasts are full and warm to palpation. Which of the following interpretations of these findings should the nurse make?
Correct Answer: A
Rationale: The findings are normal: fundus descending, moderate lochia rubra, and full, warm breasts indicate milk production. No interventions are needed, as heating pads, bra removal, or mastitis signs (pain, fever) are not indicated.