ATI RN
ATI Capstone Class Exam Week 12 Questions
Extract:
Question 1 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 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 is admitting a client who experienced a vaginal birth 2 hours ago. The client is receiving an IV of lactated Ringer’s with 25 units of oxytocin infusing and has large rubra lochia. Vital signs include blood pressure 146/94 mm Hg, pulse 80/min, and respiratory rate 18/min. The nurse reviews the prescriptions from the provider. Which of the following prescriptions requires clarification?
Correct Answer: C
Rationale: Methylergonovine is contraindicated with hypertension (BP 146/94 mm Hg) due to its vasoconstrictive effects, requiring clarification. Oxygen, clotting studies, and catheter insertion are appropriate given the client’s postpartum status and bleeding.
Question 4 of 5
The nurse is informed that a newborn infant with Apgar scores of 1 and 4 will be brought to the neonatal intensive care unit (NICU). The nurse determines that which intervention is the priority?
Correct Answer: B
Rationale: Low Apgar scores (1 and 4) indicate severe distress, requiring immediate resuscitation. Connecting the resuscitation bag to oxygen ensures oxygenation, the priority over monitoring, warming, or IV preparation.
Question 5 of 5
A nurse is caring for a client who has a suspected ectopic pregnancy at 8 weeks of gestation. Which of the following manifestations should the nurse expect to identify as consistent with the diagnosis?
Correct Answer: D
Rationale: Unilateral, cramp-like abdominal pain is a hallmark of ectopic pregnancy, typically in the fallopian tube. Heavy bleeding, excessive uterine enlargement, and severe nausea are not primary symptoms.