ATI RN
ATI Capstone Class Exam Week 12 Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for several clients. The nurse should recognize that it is safe to administer tocolytic therapy to which of the following clients?
Correct Answer: A
Rationale:
Tocolytics are safe and effective for preterm labor at 26 weeks to delay delivery and improve fetal outcomes. Braxton-Hicks contractions don’t require tocolytics, post-term pregnancy needs induction, and fetal death doesn’t benefit from delaying labor.
Question 3 of 5
A nurse in a provider’s office is caring for a client who is at 34 weeks of gestation and at risk for placental abruption. The nurse should recognize that which of the following is the most common risk factor for abruption?
Correct Answer: C
Rationale: Hypertension is the most common risk factor for placental abruption, as it can damage placental blood vessels, leading to premature separation. Cocaine use, trauma, and smoking are risk factors but are less common than hypertension.
Question 4 of 5
An 8-pound 15-ounce baby born at 35 weeks’ gestation would be described using which terminology? Select all that apply.
Correct Answer: C,D
Rationale: At 35 weeks, the baby is preterm (before 37 weeks). An 8-pound 15-ounce weight is average for gestational age (AG
A), within the 10th-90th percentiles. The baby is not small for gestational age, term, or post-term.
Question 5 of 5
A nurse on the labor and delivery unit is caring for a newborn immediately following birth. Which of the following actions by the nurse reduces evaporative heat loss by the newborn?
Correct Answer: A
Rationale: Drying the newborn’s skin prevents evaporative heat loss by removing amniotic fluid that cools the skin. Preventing drafts reduces convective loss, a warm surface reduces conductive loss, and room temperature addresses radiant loss.