ATI RN
ATI Capstone Class Exam Week 12 Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse is caring for a newborn and auscultates an apical heart rate of 130/min. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: A heart rate of 130/min is within the normal range for newborns (100-170/min), so documenting it as expected is appropriate. NICU transport, provider consultation, or verification is unnecessary without other distress signs.
Question 3 of 5
A nurse on the obstetric unit is caring for a client who experienced abruptio placentae. The nurse observes petechiae and bleeding around the IV access site. The nurse should recognize that this client is at risk for which of the following complications?
Correct Answer: D
Rationale: Petechiae and bleeding suggest disseminated intravascular coagulation (DI
C), a complication of abruptio placentae due to clotting factor consumption. Preeclampsia involves hypertension, puerperal infection involves fever, and anaphylactoid syndrome involves sudden collapse, not matching these signs.
Question 4 of 5
A nurse is caring for a newborn and assessing newborn reflexes. To elicit the Moro reflex, the nurse should take which of the following actions?
Correct Answer: D
Rationale: A sharp hand clap triggers the Moro reflex, causing the newborn to extend and abduct arms.
Toe stimulation elicits the Babinski reflex, head-turning elicits the tonic neck reflex, and foot contact elicits the stepping reflex.
Question 5 of 5
A nurse on the labor and delivery unit is caring for a newborn immediately following birth. Which of the following actions by the nurse reduces evaporative heat loss by the newborn?
Correct Answer: A
Rationale: Drying the newborn’s skin prevents evaporative heat loss by removing amniotic fluid that cools the skin. Preventing drafts reduces convective loss, a warm surface reduces conductive loss, and room temperature addresses radiant loss.