ATI RN
ATI Capstone Class Exam Week 12 Questions
Extract:
Question 1 of 5
A nurse in the nursery is caring for a newborn. The grandmother of the newborn asks if she can take the newborn to the mother’s room. Which of the following is an appropriate response by the nurse?
Correct Answer: C
Rationale: Hospital protocols require authorized personnel to transport newborns to prevent abduction. Having the mother call and the nurse transport the baby ensures safety. Allowing the grandmother to transport, even with ID, violates security measures.
Question 2 of 5
A nurse is assessing a newborn immediately following a scheduled cesarean delivery. Which of the following assessments is the nurse’s priority?
Correct Answer: B
Rationale: Respiratory distress is the priority because newborns delivered by cesarean may have difficulty clearing lung fluid, leading to respiratory issues. This is more immediate than checking for lacerations, hypothermia, or acrocyanosis, which are less critical or resolve spontaneously.
Question 3 of 5
A nurse is caring for a newborn delivered by vaginal birth with a vacuum assist. The newborn’s mother asks about the swollen area on her son’s head. After palpation to identify that the swelling crosses the suture line, which of the following is an appropriate response by the nurse?
Correct Answer: B
Rationale: Caput succedaneum, which crosses suture lines, is common with vacuum-assisted delivery and resolves in days. Cephalohematoma doesn’t cross suture lines, Mongolian spots are flat birthmarks, and telangiectatic nevi are vascular marks, not swollen.
Question 4 of 5
A nurse in a provider’s office is caring for a client who is at 34 weeks of gestation and at risk for placental abruption. The nurse should recognize that which of the following is the most common risk factor for abruption?
Correct Answer: C
Rationale: Hypertension is the most common risk factor for placental abruption, damaging placental vessels. Cocaine, trauma, and smoking are less common risk factors.
Question 5 of 5
A nurse is caring for a newborn and assessing newborn reflexes. To elicit the Moro reflex, the nurse should take which of the following actions?
Correct Answer: D
Rationale: A sharp hand clap triggers the Moro reflex, causing the newborn to extend and abduct arms.
Toe stimulation elicits the Babinski reflex, head-turning elicits the tonic neck reflex, and foot contact elicits the stepping reflex.