ATI RN
ATI Clinical Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a preschooler. Which of the following findings should the nurse report to the healthcare provider immediately? Which finding in a preschooler should the nurse report immediately?
Correct Answer: C
Rationale: Abnormal absolute neutrophil count indicates infection or serious conditions, requiring immediate reporting.
Question 2 of 5
A nurse is caring for a patient who is receiving heparin by continuous IV infusion. Which of the following medications should the nurse plan to administer in the event of an overdose? Which medication should the nurse administer for heparin overdose?
Correct Answer: D
Rationale: Protamine reverses heparin’s anticoagulant effects. Vitamin K is for warfarin, and others are irrelevant.
Extract:
Medical History (0700 hrs)
• Gestational age: 42 weeks
• Delivery: Spontaneous vaginal birth
• Amniotic fluid: Dark brown-greenish color noted
• Apgar scores: 8 at 1 minute, 9 at 5 minutes
Vital Signs (0700 hrs)
• Axillary temperature: 36.9°C (98.4°F)
• Heart rate: 170/min
• Respiratory rate: 72/min
• Birth weight: 4025 gm (8 lb 14 oz) (Appropriate for Gestational Age)
Nurses' Notes (0700 hrs)
The newborn was placed on the birth parent's abdomen immediately following delivery. The mouth and nose were suctioned with a bulb syringe to clear secretions. The newborn was dried and stimulated, resulting in a strong cry. The newborn was moving all extremities with a flexed tone noted. Acrocyanosis was present. The newborn was alert and active. Respirations were rapid and shallow with occasional expiratory grunting. Fine crackles were auscultated throughout the lung fields. A small amount of green- stained vernix was present in skin folds. The newborn had fingernails stained green. Molding of the skull and generalized soft occipital swelling were noted.
Question 3 of 5
A nurse is caring for a newborn who is 30 minutes old following a spontaneous vaginal birth. The birth parent noted dark brown- greenish amniotic fluid during labor. The newborn was delivered at 42 weeks gestation. Apgar scores were 8 at 1 minute and 9 at 5 minutes. Exhibits After reviewing the information in the newborn's medical record, which of the following complications should the nurse identify as posing the greatest risk? Drag one condition and one client finding to fill in each blank in the following sentence.The condition that poses the greatest risk to the newborn is ---------------- due to -------------------
Correct Answer: A,B
Rationale: Dark brown-greenish amniotic fluid indicates meconium, increasing risk of meconium aspiration syndrome, a serious lung condition.
Extract:
Question 4 of 5
A nurse is conducting a patient's history and physical examination. Which information should the nurse consider as subjective data? Which information is subjective data?
Correct Answer: B
Rationale: Nausea is subjective, reported by the patient. Petechiae, cyanosis, and fever are objective, observable.
Question 5 of 5
A nurse is caring for a patient who is receiving total parenteral nutrition (TPN). Which of the following laboratory values should the nurse monitor? Which lab value should the nurse monitor for TPN?
Correct Answer: A
Rationale: TPN can cause hyperglycemia, requiring glucose monitoring. Other electrolytes are monitored but less critical.