ATI RN
ATI Pediatrics Final Exam Questions
Extract:
An adolescent client who has pelvic inflammatory disease as a consequence of a sexually transmitted infection
Question 1 of 5
A nurse is caring for an adolescent client who has pelvic inflammatory disease as a consequence of a sexually transmitted infection, and will need intravenous antibiotic therapy. The client tells the nurse, 'My parents think I am a virgin. I don't think I can tell them I have this kind of an infection.' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: This response acknowledges the client's feelings and opens up the opportunity for further discussion.
Extract:
Newborn who is 4 hr old. Large ecchymotic caput succedaneum noted on occiput with molding of the skull. Anterior fontanel level and soft. Newborn's respirations are shallow and irregular. Newborn's skin color is consistent with their genetic background. Acrocyanosis noted. The newborn is active and moves all extremities except for left arm. Left arm remains at side during Moro reflex
Question 2 of 5
The newborn most likely has as evidenced by
Correct Answer: A
Rationale: The lack of movement in the left arm during the Moro reflex suggests a possible clavicle fracture, which can occur during birth, especially with difficult deliveries.
Extract:
A client who is a primigravida, at term, and having contractions but is stating that she is 'not really sure if she is in labor or not'
Question 3 of 5
A nurse is caring for a client who is a primigravida, at term, and having contractions but is stating that she is 'not really sure if she is in labor or not.' Which of the following should the nurse recognize as a sign of true labor?
Correct Answer: B
Rationale: True labor is characterized by characteristic lower abdominal pain that in frequency and intensity and radiate to the back with progressive changes in the cervix, including effacement and dilation.
Extract:
Newborn 1 hr following birth. 39-week gestation, Emergency cesarean birth for abruptio placenta and non-reassuring fetal heart rate, Apgar 5 at 1 min 8 at 5 min, Positive pressure ventilation given for 1 min followed by free flow oxygen
Question 4 of 5
Select the 5 findings the nurse should report to the provider.
Correct Answer: A,B,C,D,F
Rationale: Due to the emergency cesarean and initial low Apgar score, monitoring hemoglobin, hematocrit, heart rate, serum glucose, and respiratory assessment is critical.
Extract:
An 8-hour old, term newborn following a cesarean birth. The nurse observes that the newborn's skin is yellow
Question 5 of 5
A nurse is admitting an 8-hour old, term newborn following a cesarean birth. The nurse observes that the newborn's skin is yellow. This finding indicates the newborn is experiencing a complication related to which of the following?
Correct Answer: B
Rationale: Jaundice within 24 hours of birth is pathological and may indicate maternal/newborn blood group incompatibility.