ATI RN
ATI Capstone Class Exam Week 12 Questions
Extract:
Question 1 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 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 is preparing to administer vitamin K by IM injection to a newborn. The nurse should administer the medication into which of the following muscles?
Correct Answer: B
Rationale: The vastus lateralis is the preferred site for IM injections in newborns due to its size, development, and low risk of nerve damage. Dorsogluteal, deltoid, and ventrogluteal are less suitable for newborns.
Question 4 of 5
A nurse is planning care for a newborn who is small for gestational age (SGA). Which of the following interventions should the nurse include in the plan of care?
Correct Answer: A
Rationale: Monitoring blood glucose is critical for SGA newborns due to high hypoglycemia risk from limited glycogen stores. Intake/output, weight, and temperature are important but secondary to preventing hypoglycemia complications.
Question 5 of 5
An 8-pound 15-ounce baby born at 35 weeks’ gestation would be described using which terminology? Select all that apply.
Correct Answer: C,D
Rationale: At 35 weeks, the baby is preterm (before 37 weeks). An 8-pound 15-ounce weight is average for gestational age (AG
A), within the 10th-90th percentiles. The baby is not small for gestational age, term, or post-term.