ATI RN
ATI Pediatrics Final Exam Questions
Extract:
A client who is 2 hr postpartum following a vaginal birth
Question 1 of 5
A nurse is caring for a client who is 2 hr postpartum following a vaginal birth. Which of the following findings indicates the client's bladder is distended?
Correct Answer: B
Rationale: One of the signs that the bladder may be distended is when the fundus is palpable to the right of the midline.
Extract:
A client who comes to the emergency department reporting severe abdominal pain in the left lower quadrant. The provider suspects a ruptured ectopic pregnancy
Question 2 of 5
A nurse in the emergency department is caring for a client who comes to the emergency department reporting severe abdominal pain in the left lower quadrant. The provider suspects a ruptured ectopic pregnancy. Which of the following signs indicates to the nurse that the client has blood in the peritoneum?
Correct Answer: D
Rationale: Cullen's sign is characterized by superficial edema and bruising around the umbilicus, indicative of intra-abdominal bleeding.
Extract:
Gravida 4 Para 3, 32 weeks of gestation, BMI 32, History of two newborns weighing over 4.5 kg (10 lb), Family history of type one diabetes mellitus (maternal), Fetal heart tones 140/min via doppler
Question 3 of 5
Which of the following provider prescriptions should the nurse plan to implement?
Correct Answer: A,C,D
Rationale: Limiting carbohydrate intake, prescribing metformin, and conducting non-stress tests are appropriate for managing the risk of gestational diabetes in this high-risk client.
Extract:
Newborn who is 4 hr old. Large ecchymotic caput succedaneum noted on occiput with molding of the skull. Anterior fontanel level and soft. Newborn's respirations are shallow and irregular. Newborn's skin color is consistent with their genetic background. Acrocyanosis noted. The newborn is active and moves all extremities except for left arm. Left arm remains at side during Moro reflex
Question 4 of 5
The newborn most likely has as evidenced by
Correct Answer: A
Rationale: The lack of movement in the left arm during the Moro reflex suggests a possible clavicle fracture, which can occur during birth, especially with difficult deliveries.
Extract:
A client who is at 22 weeks of gestation and has been unable to control her gestational diabetes mellitus with diet and exercise
Question 5 of 5
A nurse is caring for a client who is at 22 weeks of gestation and has been unable to control her gestational diabetes mellitus with diet and exercise. The nurse should anticipate a prescription from the provider for which of the following medications for the client?
Correct Answer: C
Rationale: Insulin is the preferred medication for gestational diabetes as it is safe and does not cross the placenta.