ATI RN
ATI Capstone Class Exam Week 12 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a suspected ectopic pregnancy at 8 weeks of gestation. Which of the following manifestations should the nurse expect to identify as consistent with the diagnosis?
Correct Answer: D
Rationale: Unilateral, cramp-like abdominal pain is a hallmark of ectopic pregnancy, typically in the fallopian tube. Heavy bleeding, excessive uterine enlargement, and severe nausea are not primary symptoms.
Question 2 of 5
A nurse is caring for a client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina. Which of the following actions should the nurse perform first?
Correct Answer: D
Rationale: Inserting a gloved hand to relieve cord pressure prevents fetal hypoxia, the immediate priority in cord prolapse. Covering the cord, positioning, or preparing for birth are secondary to ensuring fetal oxygenation.
Question 3 of 5
A nurse is caring for a client who is postpartum. The client tells the nurse that the newborn’s maternal grandmother was born deaf and asks how to tell if her newborn hears well. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: Routine hearing screenings (OAE or AABR) are performed before hospital discharge to detect hearing issues early, critical for speech development. Genetic hearing loss is significant, clapping isn’t reliable, and visual cues don’t confirm hearing.
Question 4 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 5 of 5
A nurse is caring for a client who is in premature labor and is receiving terbutaline. The nurse should monitor the client for which of the following adverse effects that should be reported to the provider?
Correct Answer: A
Rationale: Dyspnea is a serious adverse effect of terbutaline, potentially indicating pulmonary edema, which requires immediate reporting. Headaches, nervousness, and tremors are common but less severe side effects that don’t typically need urgent attention unless severe.