ATI RN
ATI Capstone Class Exam Week 12 Questions
Extract:
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: 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 2 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 3 of 5
A nurse is monitoring a client who is 3 days postpartum and is breastfeeding. The nurse notes that the fundus is three fingerbreadths below the umbilicus, lochia rubra is moderate, and the breasts are full and warm to palpation. Which of the following interpretations of these findings should the nurse make?
Correct Answer: A
Rationale: The findings are normal: fundus descending, moderate lochia rubra, and full, warm breasts indicate milk production. No interventions are needed, as heating pads, bra removal, or mastitis signs (pain, fever) are not indicated.
Question 4 of 5
A nurse in a provider’s office is caring for a client who is at 34 weeks of gestation and at risk for placental abruption. The nurse should recognize that which of the following is the most common risk factor for abruption?
Correct Answer: C
Rationale: Hypertension is the most common risk factor for placental abruption, as it can damage placental blood vessels, leading to premature separation. Cocaine use, trauma, and smoking are risk factors but are less common than hypertension.
Question 5 of 5
A nurse is assessing a newborn 1 hour after birth. Which of the following respiratory rates is within the expected reference range for a newborn?
Correct Answer: A
Rationale: A respiratory rate of 48/min is within the normal range for newborns (30-60/min), indicating healthy lung function. 22/min is too low, and 100 or 110/min indicate tachypnea, suggesting distress.