Questions 45

ATI RN

ATI RN Test Bank

ATI Capstone Class Exam Week 12 Questions

Extract:


Question 1 of 5

A nurse is planning care for a newborn who is small for gestational age (SGA). Which of the following interventions should the nurse include in the plan of care?

Correct Answer: A

Rationale: Monitoring blood glucose is critical for SGA newborns due to high hypoglycemia risk from limited glycogen stores. Intake/output, weight, and temperature are important but secondary to preventing hypoglycemia complications.

Question 2 of 5

A nurse is assessing a newborn who has developmental dysplasia of the hip (DDH). Which of the following findings should the nurse expect?

Correct Answer: D

Rationale: Asymmetric thigh folds are a common sign of DDH due to hip dislocation or subluxation, prompting further investigation. An inwardly turned foot relates to foot positioning, absent plantar reflexes suggest neurological issues, and the affected thigh is typically shorter, not longer.

Question 3 of 5

A nurse is planning care for a newborn who is small for gestational age (SGA). Which of the following interventions should the nurse include in the plan of care?

Correct Answer: A

Rationale: Monitoring blood glucose is critical for SGA newborns due to high hypoglycemia risk from limited glycogen stores. Intake/output, weight, and temperature are important but secondary to preventing hypoglycemia complications.

Question 4 of 5

A nurse is preparing to administer vitamin K by IM injection to a newborn. The nurse should administer the medication into which of the following muscles?

Correct Answer: B

Rationale: The vastus lateralis is the preferred site for IM injections in newborns due to its size, development, and low risk of nerve damage. Dorsogluteal, deltoid, and ventrogluteal are less suitable for newborns.

Question 5 of 5

A nurse is assessing a newborn immediately following a scheduled cesarean delivery. Which of the following assessments is the nurse’s priority?

Correct Answer: B

Rationale: Respiratory distress is the priority because newborns delivered by cesarean may have difficulty clearing lung fluid, leading to respiratory issues. This is more immediate than checking for lacerations, hypothermia, or acrocyanosis, which are less critical or resolve spontaneously.

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