ATI RN
ATI Capstone Week 11 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a 12-month-old toddler who is hospitalized and confined to a room with contact precautions in place. Which of the following toys would be best for the nurse to recommend in order to meet the developmental needs of the client?
Correct Answer: D
Rationale: The correct answer is D: Large building blocks. At 12 months, toddlers are in the sensorimotor stage of development, where they explore objects through touch and manipulation. Large building blocks allow the toddler to practice fine motor skills, hand-eye coordination, and spatial awareness. They also promote creativity and problem-solving. Crayons and coloring books (choice
A) are more suitable for older children who have developed better fine motor skills. Modeling clay (choice
B) may pose a choking hazard for a 12-month-old. Hanging crib toys (choice
C) are more appropriate for infants and may not provide enough stimulation for a toddler.
Question 2 of 5
A nurse is caring for an 18-month-old toddler who has been hospitalized for 10 days. After the toddler's mother leaves the room, the nurse observes the toddler sitting quietly in the corner of the crib, sucking her thumb. When the nurse approaches the crib, the toddler turns away from the nurse. The nurse should understand that these behaviors indicate which of the following developmental reactions?
Correct Answer: D
Rationale: The correct answer is D: Regression. The toddler's behavior of sitting quietly in the corner of the crib and sucking her thumb, along with turning away from the nurse when approached, indicates regression. Regression is a defense mechanism where individuals revert to an earlier stage of development in response to stress or anxiety. In this case, the toddler's hospitalization and separation from the mother may have triggered feelings of insecurity, leading to regressing to thumb sucking as a source of comfort.
A: Resentment toward the mother is not the correct choice as the behavior is more likely a coping mechanism rather than directed at the mother.
B: An anxiety reaction could be a possibility, but the specific behaviors described align more closely with regression.
C: Developing autonomy typically involves assertiveness and independence, which are not reflected in the described behaviors.
In summary, the toddler's behavior suggests regression as a response to stress, rather than resentment, anxiety, or developing autonomy.
Question 3 of 5
A nurse is teaching about fetal development to a group of clients in the antenatal clinic. Which of the following statements should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B because the baby's heart begins to beat around 5 weeks of pregnancy and is usually audible by a Doppler stethoscope at 12 weeks. This is important for monitoring fetal well-being.
Choice A is incorrect because fetal movements are usually felt by the mother around week 18-20.
Choice C is incorrect because lanugo typically covers the baby's body around week 20 and usually sheds before birth.
Choice D is incorrect because the sex of the baby is determined at conception, but it is usually revealed through ultrasound around week 20.
Question 4 of 5
A nurse is caring for a client who is in her first trimester of pregnancy and asks the nurse if she can continue to exercise during pregnancy. Which of the following responses by the nurse is appropriate?
Correct Answer: C
Rationale: The correct answer is C: Daily jogging for up to 30 minutes is fine throughout the pregnancy. This response is appropriate because moderate-intensity aerobic exercise, like jogging, is generally safe and beneficial during pregnancy, especially in the first trimester. Jogging helps improve cardiovascular fitness and can help manage weight gain. It is important to advise the client to listen to her body, stay hydrated, and avoid overexertion.
Choice A is incorrect because exercising during pregnancy is recommended, as long as it is safe and appropriate for the individual.
Choice B is incorrect as activities that raise body temperature, such as saunas and hot tubs, are not safe during pregnancy as they can lead to overheating.
Choice D is incorrect as pregnant clients are encouraged to engage in a variety of exercises, including aerobic activities, not just limiting to stretching activities.
Question 5 of 5
A nurse is providing teaching about phenylketonuria (PKU) testing to the parent of a newborn. Which of the following statements by the parent indicates a need for additional teaching?
Correct Answer: A
Rationale: The correct answer is A because PKU testing does not involve placing the baby under special lights. The test is a simple blood test to check for levels of phenylalanine. Placing the baby under special lights is a treatment for jaundice, not for PKU.
Choice B is correct as PKU can be managed with a special diet low in phenylalanine.
Choice C is accurate as sometimes the test is repeated to confirm the results.
Choice D is also correct as the baby needs to be consuming protein (from formula or breast milk) before the test.