ATI RN
ATI Capstone Class Exam Week 12 Questions
Extract:
Question 1 of 5
A nurse is assessing a newborn 1 hour after birth. Which of the following respiratory rates is within the expected reference range for a newborn?
Correct Answer: A
Rationale: A respiratory rate of 48/min is within the normal range for newborns (30-60/min), indicating healthy lung function. 22/min is too low, and 100 or 110/min indicate tachypnea, suggesting distress.
Question 2 of 5
A nurse is assisting with the care of a newborn immediately following birth. Which of the following medications should the nurse anticipate administering? Select all that apply:
Correct Answer: A,B,E
Rationale: Antibiotic ointment to both eyes is administered to prevent neonatal conjunctivitis from bacterial infections like gonorrhea and chlamydia. Hepatitis B immunization is given within 24 hours to protect against liver disease. Vitamin K injection is provided to prevent bleeding disorders due to low vitamin K levels in newborns. Lidocaine gel is not used for the umbilical stump, and Haemophilus influenzae type b immunization is given starting at 2 months, not immediately after birth.
Question 3 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 4 of 5
A nurse in a hospital is caring for a client who is at 38 weeks of gestation and has a large amount of painless, bright red vaginal bleeding. The client is placed on a fetal monitor indicating a regular fetal heart rate of 138/min and no uterine contractions. The client’s vital signs are: blood pressure 98/52 mm Hg, heart rate 118/min, respiratory rate 24/min, and temperature 97.6°F. Which of the following is the priority nursing action?
Correct Answer: B
Rationale: Initiating IV access is critical to manage hypovolemia from bleeding, indicated by low BP and high heart rate. This allows fluid resuscitation, prioritizing stabilization over consent, catheter insertion, or surgical prep.
Question 5 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.