ATI RN
ATI Capstone Week 11 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client at the first prenatal visit who has a BMI of 26.5. The client asks how much weight she should gain during pregnancy. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct response is B: The recommendation for you is about 15 to 25 pounds. This is because a client with a BMI of 26.5 falls into the overweight category, and the recommended weight gain during pregnancy for overweight individuals is 15-25 pounds. This range helps in promoting a healthy pregnancy and reducing the risk of complications. Options A and D suggest weight gain ranges that are higher than recommended for an overweight individual, which could lead to potential health risks. Option C states a fixed rate of 1 pound per week, which may not be suitable for everyone and could lead to excessive weight gain.
Therefore, option B is the most appropriate recommendation for a client with a BMI of 26.5.
Question 2 of 5
A nurse on a labor unit is admitting a client who reports painful contractions. The nurse determines that the contractions have a duration of 1 min and a frequency of 3 min. The nurse obtains the following vital signs: fetal heart rate 130/min, maternal heart rate 128/min and maternal blood pressure 92/54 mm Hg. Which of the following is the priority action for the nurse to take?
Correct Answer: D
Rationale: The correct answer is D: Place the client in a lateral position. This is the priority action because the client's low blood pressure (92/54 mm Hg) indicates hypotension, which could be causing decreased perfusion to the fetus. Placing the client in a lateral position can help improve blood flow to the placenta and fetus. This position can also help alleviate pressure on the vena cava, improving maternal cardiac output.
Choice A (Have the client void) is not the priority action in this case as the client's vital signs indicate a more urgent concern related to hypotension and fetal well-being.
Choice B (Ask the client if she needs pain medication) is not the priority as addressing pain relief is important but not as urgent as addressing potential hypotension.
Choice C (Notify the provider of the findings) may be necessary but is not the immediate priority.
In summary, placing the client in a lateral position is the priority action to address hypotension
Question 3 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.
Question 4 of 5
A nurse in a prenatal clinic is caring for a client who is pregnant and asks the nurse for her estimated date of birth (EDB). The client's last menstrual period began on July 27. What is the client's EDB? (State the date in MMDD. For example, July 27 is 0727)
Correct Answer: 504
Rationale:
Rationale:
To calculate the EDB, count back 3 months from the first day of the last menstrual period (LMP) and add 7 days. The LMP is July 27. Counting back 3 months gives us April 27. Adding 7 days to April 27 gives us May 4, written as 0504. This is the estimated date of birth. Other choices are incorrect as they do not follow the standard calculation method for determining the EDB based on the LMP.
Question 5 of 5
A nurse working in a community health center is preparing a flow sheet detailing essential screenings according to age group. At which developmental stage on the chart should the nurse add scoliosis screening?
Correct Answer: B
Rationale:
Rationale: The correct answer is B (Pre-adolescent/adolescent). Scoliosis screening is typically done during adolescence when rapid growth occurs, making it easier to detect and treat early. Screening during toddler/preschooler stage (
C) may miss early signs. Infants (
D) are not typically screened for scoliosis. Older adults (
A) are less likely to develop scoliosis.