Questions 41

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ATI RN Test Bank

ATI Med Surg Quiz Questions

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Question 1 of 5

A nurse is caring for a newborn immediately following birth. After assuring a patent airway, what is the priority nursing action?

Correct Answer: D

Rationale: Drying the skin prevents heat loss and stimulates breathing and circulation, critical for newborn stabilization.

Question 2 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: C

Rationale: A fundus palpable to the right of the midline suggests bladder distention, which can displace the uterus and hinder contractions, increasing hemorrhage risk.

Question 3 of 5

A nurse is assessing a newborn the day after delivery. The nurse notes a raised, bruised area on the left side of the scalp that does not cross the suture line. How should the nurse document this finding?

Correct Answer: C

Rationale: A cephalhematoma is a collection of blood between the skull and periosteum, limited by suture lines, fitting the described finding.

Question 4 of 5

A nurse in the nursery is caring for a newborn. The grandmother of the newborn asks if she can take the newborn to the mother's room. Which of the following is an appropriate response by the nurse?

Correct Answer: D

Rationale: Using a wheeled bassinet ensures safe transport, aligning with hospital protocols and minimizing risk.

Question 5 of 5

A nurse is planning care for a newborn who has a new diagnosis of phenylketonuria (PKU). Which of the following actions should be included in the plan of care?

Correct Answer: D

Rationale: A low-protein diet limits phenylalanine intake, critical for managing PKU and preventing neurological damage.

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