ATI RN
ATI Capstone Class Exam Week 12 Questions
Extract:
Question 1 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 2 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.
Question 3 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 4 of 5
A nurse is preparing to assess a newborn who is post-term. Which of the following findings should the nurse expect? (Select all that apply)
Correct Answer: A,C,D
Rationale: Post-term newborns typically have vernix only in folds and creases due to reduced amounts, a positive Moro reflex as it is present at birth, and cracked peeling skin from prolonged amniotic fluid exposure. Abundant lanugo is shed before birth in post-term infants, and they usually have long fingernails, not short and soft.
Question 5 of 5
A nurse on the obstetric unit is caring for a client who experienced abruptio placentae. The nurse observes petechiae and bleeding around the IV access site. The nurse should recognize that this client is at risk for which of the following complications?
Correct Answer: D
Rationale: Petechiae and bleeding suggest disseminated intravascular coagulation (DI
C), a complication of abruptio placentae due to clotting factor consumption. Preeclampsia involves hypertension, puerperal infection involves fever, and anaphylactoid syndrome involves sudden collapse, not matching these signs.