ATI RN
ATI Pediatrics Final Exam Questions
Extract:
A newborn
Question 1 of 5
A nurse is assessing a newborn. Which of the following should the nurse understand is a clinical manifestation of pyloric stenosis?
Correct Answer: A
Rationale:
Rationale: A newborn with pyloric stenosis will exhibit projectile vomiting after feedings due to the obstruction at the pylorus, causing an increase in pressure within the stomach. This is a key clinical manifestation. Absent bowel sounds (
B) are not typically associated with pyloric stenosis. Increased sodium levels (
C) may be seen in dehydration from vomiting but are not specific to pyloric stenosis. A golf ball-sized mass over the left quadrant (
D) is not a typical finding in pyloric stenosis.
Therefore, option A is the correct answer as it aligns with the characteristic symptom of projectile vomiting.
Extract:
Newborn 1 hr following birth. 39-week gestation, Emergency cesarean birth for abruptio placenta and non-reassuring fetal heart rate, Apgar 5 at 1 min 8 at 5 min, Positive pressure ventilation given for 1 min followed by free flow oxygen
Question 2 of 5
Select the 5 findings the nurse should report to the provider.
Correct Answer: A,B,C,D,F
Rationale: The correct answer includes Hemoglobin, Hematocrit, Heart rate, Serum glucose, and Respiratory assessment. These findings are crucial for monitoring a patient's overall health. Hemoglobin and Hematocrit indicate oxygen-carrying capacity and blood volume. Heart rate reflects cardiovascular function. Serum glucose levels are essential for assessing metabolic status. Respiratory assessment helps evaluate oxygenation and ventilation. White blood cells are not typically reported for routine monitoring.
Extract:
A client who is considering several methods of contraception
Question 3 of 5
A nurse is caring for a client who is considering several methods of contraception. Which of the following methods of contraception should the nurse identify as being most reliable?
Correct Answer: A
Rationale: The correct answer is A: An intrauterine device (IU
D) is the most reliable method of contraception because it has a very low failure rate of less than 1%. It is a long-acting reversible contraceptive that doesn't rely on user compliance. It is more effective than male condoms, oral contraceptives, and diaphragms with spermicide. Male condoms have a higher failure rate due to incorrect use, while oral contraceptives and diaphragms can be less effective if not used consistently and correctly. Overall, the IUD is the most reliable option for preventing pregnancy.
Extract:
Newborn who has spinal bifida
Question 4 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 correct answer is D: Place the newborn in the prone position. Placing the newborn in the prone position helps prevent pressure on the spinal lesion, reducing the risk of further damage. This position also promotes comfort and proper spinal alignment.
A: Obtaining rectal temperatures can be contraindicated due to the risk of infection from the lesion.
B: Covering the lesion with a dry dressing may not be recommended as it can lead to moisture buildup and potential infection.
C: Applying snug, clean diapers can be appropriate, but it is not as crucial as positioning the newborn correctly.
Summary: Option D is the best choice as it directly addresses the newborn's condition and promotes proper care and comfort.
Extract:
A client who is at 34 weeks of gestation and at risk for placental abruption
Question 5 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: D
Rationale: The correct answer is D: Hypertension. Hypertension is the most common risk factor for placental abruption because it can lead to reduced blood flow to the placenta, increasing the risk of detachment. This can result in bleeding and compromise the baby's oxygen supply. Blunt force trauma (
A) can also cause abruption but is less common. Cigarette smoking (
B) and cocaine use (
C) can increase the risk but are not as prevalent as hypertension. The other choices are not commonly associated with placental abruption.