ATI RN
ATI Pediatrics Final Exam Questions
Extract:
A client who experienced a vaginal birth 3 hr ago. Upon palpation, the fundus is displaced to the right of midline, is firm, and is two fingerbreadths above the umbilicus
Question 1 of 5
A nurse is caring for a client who experienced a vaginal birth 3 hr ago. Upon palpation, the fundus is displaced to the right of midline, is firm, and is two fingerbreadths above the umbilicus. Which of the following actions should the nurse complete at this time?
Correct Answer: C
Rationale: A firm, displaced fundus suggests a full bladder, and encouraging the client to urinate is the priority action.
Extract:
A client who is in active labor with 7 cm of cervical dilation and 100% effacement. The fetus is at 1+ station, and the client's amniotic membranes are intact. The client suddenly states that she needs to push
Question 2 of 5
A nurse is caring for a client who is in active labor with 7 cm of cervical dilation and 100% effacement. The fetus is at 1+ station, and the client's amniotic membranes are intact. The client suddenly states that she needs to push. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Panting helps the client manage the urge to push and prevents premature pushing, which can cause cervical swelling or injury.
Extract:
Newborn placed on radiate warmer. Color consistent with newborn's genetic background. Acrocyanosis present. Mild grunting, nasal flaring and intermittent retractions noted. Grunting, nasal flaring, and sternal retractions noted
Question 3 of 5
Select the 4 findings the nurse should report to the provider.
Correct Answer: B,D,E,F
Rationale: Respiratory distress signs, WBC count, hematocrit, and heart rate are critical to report due to potential respiratory or hematological issues.
Extract:
A client who is receiving magnesium sulfate to treat pre-eclampsia
Question 4 of 5
A nurse is assessing a client who is receiving magnesium sulfate to treat pre-eclampsia. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: Decreased urinary output can indicate renal insufficiency or impaired kidney function, which can be a sign of magnesium toxicity.
Extract:
An adolescent client who has pelvic inflammatory disease as a consequence of a sexually transmitted infection
Question 5 of 5
A nurse is caring for an adolescent client who has pelvic inflammatory disease as a consequence of a sexually transmitted infection, and will need intravenous antibiotic therapy. The client tells the nurse, 'My parents think I am a virgin. I don't think I can tell them I have this kind of an infection.' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: This response acknowledges the client's feelings and opens up the opportunity for further discussion.