ATI Capstone Class Exam Week 12 | Nurselytic

Questions 45

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ATI Capstone Class Exam Week 12 Questions

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Question 1 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: The correct answer is D: Document this as an expected finding. In a newborn, a heart rate of 130/min is within the normal range (120-160/min). The nurse does not need to take any immediate action as this heart rate is considered normal for a newborn. Documenting this finding is important for ongoing assessment and continuity of care.


Choice A is incorrect because there is no indication for transport to the NICU based solely on the heart rate.
Choice B is unnecessary as further assessment is not warranted for a normal heart rate.
Choice C is not needed as the nurse is capable of accurately assessing the heart rate.

Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

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Question 5 of 5

Correct Answer:

Rationale:

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