Questions 41

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ATI RN Test Bank

ATI Med Surg Quiz Questions

Extract:


Question 1 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.

Question 2 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: B

Rationale: A heart rate of 130/min is within the normal range for a newborn, requiring only documentation.

Question 3 of 5

A nurse is performing a physical examination of a client who is 1 day postpartum. Which of the following findings requires immediate intervention?

Correct Answer: D

Rationale: A displaced fundus suggests uterine atony, necessitating immediate intervention to prevent hemorrhage.

Question 4 of 5

A nurse is planning care for a client who is 2 hours postpartum following a cesarean birth. The client has a history of thromboembolic disease. Which of the following nursing interventions should be included in the plan of care?

Correct Answer: B

Rationale: Ambulation prevents venous stasis, reducing the risk of thromboembolism in clients with a history of the condition.

Question 5 of 5

A nurse is assessing a newborn 1 hr 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 of 30-60 breaths per minute for a newborn.

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