ATI RN
ATI RN Capstone Proctored Comprehensive Assessment A Questions
Extract:
Question 1 of 5
A nurse is performing a physical assessment of a newborn whose mother used cocaine throughout the pregnancy. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Irritability. Cocaine exposure in utero can lead to central nervous system stimulation in newborns, causing irritability. This is due to the drug's impact on neurotransmitters. Increased head circumference and decreased auditory startle response are not typically associated with cocaine exposure. Hypotonicity is more commonly seen in infants exposed to substances like opioids. The key here is to recognize the stimulant effects of cocaine on the central nervous system.
Question 2 of 5
A nurse is performing a physical assessment of a newborn whose mother used cocaine throughout the pregnancy. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Irritability. Cocaine exposure in utero can lead to central nervous system stimulation in newborns, causing irritability. This is due to the drug's impact on neurotransmitters. Increased head circumference and decreased auditory startle response are not typically associated with cocaine exposure. Hypotonicity is more commonly seen in infants exposed to substances like opioids. The key here is to recognize the stimulant effects of cocaine on the central nervous system.
Question 3 of 5
A nurse in an acute care facility is caring for a client who has anorexia nervosa. During the first week of care, which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Observe the client for 1 hr after meals. This is important in monitoring for signs of purging behaviors, such as vomiting or excessive exercise, common in anorexia nervosa. Weighing the client every 48 hr (
A) may trigger anxiety. Allowing the client to eat meals in their room (
B) may enable secretive behaviors. Obtaining vital signs every other day (
D) is important but does not address immediate post-meal monitoring.
Question 4 of 5
A nurse at a health department is providing anticipatory guidance to the parent of a 1-month-old infant. The nurse should inform the parent that the infant should receive which of the following immunizations at the age of 2 months?
Correct Answer: D
Rationale: The correct answer is D: Rotavirus. At 2 months, infants should receive the rotavirus vaccine to protect against severe diarrhea and vomiting. Rotavirus is a common cause of gastroenteritis in young children. Influenza, Hepatitis A, and Varicella vaccines are not typically administered at 2 months. Influenza vaccine is usually given starting at 6 months, Hepatitis A vaccine around 1 year, and Varicella vaccine around 1 year as well.
Therefore, choices A, B, and C are incorrect for a 2-month-old infant.
Question 5 of 5
A nurse is reviewing a client’s laboratory results prior to administering medications. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: SpO2 88%. This finding indicates low oxygen saturation levels, which can be life-threatening and require immediate medical attention. Oxygen saturation below 90% is considered critically low and can lead to hypoxemia. Reporting this to the provider promptly is crucial to ensure appropriate interventions are implemented to improve oxygenation.
A: Temperature within normal range.
B: Respiratory rate slightly elevated but not critical.
D: pH slightly low but not immediately life-threatening.