ATI RN
ATI Capstone Class Exam Week 12 Questions
Extract:
Question 1 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 2 of 5
A nurse in a prenatal clinic is caring for a client who is suspected of having a hydatidiform mole. Which of the following findings should the nurse expect to observe in this client?
Correct Answer: C
Rationale: Excessive uterine enlargement is a hallmark of hydatidiform mole due to abnormal trophoblastic tissue growth. hCG levels are elevated, not declining; no viable fetus means no fetal heart rate; and discharge is typically bloody, not clear.
Question 3 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 4 of 5
A nurse on the labor and delivery unit is caring for a newborn immediately following birth. Which of the following actions by the nurse reduces evaporative heat loss by the newborn?
Correct Answer: A
Rationale: Drying the newborn’s skin prevents evaporative heat loss by removing amniotic fluid that cools the skin. Preventing drafts reduces convective loss, a warm surface reduces conductive loss, and room temperature addresses radiant loss.
Question 5 of 5
A nurse is monitoring a client who is 3 days postpartum and is breastfeeding. The nurse notes that the fundus is three fingerbreadths below the umbilicus, lochia rubra is moderate, and the breasts are full and warm to palpation. Which of the following interpretations of these findings should the nurse make?
Correct Answer: A
Rationale: The findings are normal: fundus descending, moderate lochia rubra, and full, warm breasts indicate milk production. No interventions are needed, as heating pads, bra removal, or mastitis signs (pain, fever) are not indicated.