ATI RN
ATI Pediatrics Final Exam Questions
Extract:
A client who has just delivered her first newborn. The nurse anticipates hyperbilirubinemia due to Rh incompatibility
Question 1 of 5
A nurse is caring for a client who has just delivered her first newborn. The nurse anticipates hyperbilirubinemia due to Rh incompatibility. The nurse should understand that hyperbilirubinemia occurs with Rh incompatibility for which of the following reasons?
Correct Answer: D
Rationale: The client's lack of Rh factor leads to the production of anti-Rh antibodies that cross the placenta, causing hemolysis in the newborn.
Extract:
A 26-year-old female who was in a car accident 6 months ago that killed her mother, husband, and 2-year-old son. She and her father were the only survivors of the crash. She is seeking care for depression
Question 2 of 5
Click to indicate whether findings at the next follow-up appointment indicate that the treatment was effective or ineffective.
| Finding | Effective | Ineffective |
|---|---|---|
| The client talks to her father and her best friend when she starts to feel sad | ||
| The client states she feels numb when thinking about the crash | ||
| The client states that she avoids driving altogether and takes the bus | ||
| The client reports sleeping 6 to 7 hours per night | ||
| The client states she feels less jumpy and more relaxed |
Correct Answer: A: Effective, B: Ineffective, C: Effective, D: Effective, E: Effective
Rationale: A: Seeking support is a positive coping mechanism. B: Feeling numb suggests unresolved trauma. C: Avoiding triggers is a healthy coping strategy. D: Adequate sleep indicates improvement. E: Reduced anxiety suggests effective treatment.
Extract:
A client who was admitted to the maternity unit at 38 weeks of gestation and who is experiencing polyhydramnios
Question 3 of 5
A nurse is caring for a client who was admitted to the maternity unit at 38 weeks of gestation and who is experiencing polyhydramnios. The nurse should understand that this diagnosis means which of the following?
Correct Answer: A
Rationale: Polyhydramnios refers to an excessive accumulation of amniotic fluid, which can occur for various reasons, including fetal anomalies, maternal diabetes, fetal anemia, or idiopathic causes.
Extract:
A client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina
Question 4 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: A
Rationale: Inserting a gloved hand to relieve pressure on the cord prevents compression and compromised blood flow to the fetus.
Extract:
A client who is in her second trimester and has a new diagnosis of gestational diabetes
Question 5 of 5
A nurse in a prenatal clinic is teaching a client who is in her second trimester and has a new diagnosis of gestational diabetes. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: B
Rationale: Glyburide is not recommended for use in pregnancy due to safety concerns for the fetus.