ATI RN
ATI Pediatrics Final Exam Questions
Extract:
A client in labor who has had epidural anesthesia for pain relief
Question 1 of 5
A nurse is assessing a client in labor who has had epidural anesthesia for pain relief. Which of the following findings should the nurse identify as a complication from the epidural block?
Correct Answer: A
Rationale: Hypotension is a common complication of epidural anesthesia due to vasodilation.
Extract:
Newborn who has spinal bifida
Question 2 of 5
A nurse is planning care for a newborn who has spinal bifida. Which of the following actions should be included in the plan of care?
Correct Answer: D
Rationale: The newborn should be placed in prone position to prevent pressure to the lesion which may lead to damage to the contents of the sac.
Extract:
Newborn 8 hours of age. Newborn is alert and active. Oral mucosa pink. Respirations easy and unlabored. Extremities flexed. Good muscle tone. Breastfed vigorously x 2 for 30 to 40 min. Fontanel level and soft. Large ecchymotic caput succedaneum noted on posterior scalp. No stool or void noted since birth. 36 hours of age: Newborn is sleeping in their birth parent's arms. Awakens with stimulation, yellow discoloration noted of sclera and oral mucosa. Lung sounds clear bilaterally. Nasal flaring present. Fontanel level and soft with large ecchymotic caput succedaneum noted. Blood-tinged mucus noted at the vaginal opening. Has voided and stooled one time since birth. Uric acid crystals observed in urine. Breastfed x 1 in the past 6 hr for 10 min
Question 3 of 5
Which of the following assessment findings require follow-up by the nurse?
Correct Answer: A,C,E,F,G
Rationale: Low temperature, elevated respiratory rate, nasal flaring, blood-tinged mucus, uric acid crystals, and infrequent breastfeeding require follow-up for potential hypothermia, respiratory distress, trauma, dehydration, or sepsis.
Extract:
Newborn who has hydrocephalus
Question 4 of 5
A nurse is caring for a newborn who has hydrocephalus. Which of the following manifestations should the nurse expect to find?
Correct Answer: B
Rationale: Hydrocephalus is characterized by dilated scalp veins due to increased intracranial pressure.
Extract:
A client who is experiencing preterm labor
Question 5 of 5
A nurse is preparing to administer magnesium sulfate IV to a client who is experiencing preterm labor. Which of the following is the priority nursing assessment for this client?
Correct Answer: C
Rationale: Magnesium sulphate toxicity can lead to respiratory depression, making respiratory rate the priority assessment.