ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse on the labor and delivery unit is caring for a client who is having a difficult, prolonged labor with severe backache. Which of the following contributing causes should the nurse identify?
Correct Answer: A
Rationale: The correct answer is A: Fetal position is persistent occiput posterior. This position is associated with prolonged labor and severe backache due to the baby's head pressing against the mother's sacrum. A gynecoid pelvis (
B) is actually favorable for labor, not a contributing cause. Fetal attitude in general flexion (
C) is also favorable for labor. Fetal lie being longitudinal (
D) is normal.
Question 2 of 5
A nurse is providing teaching to the parents of a newborn. Which of the following information should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Your baby will only receive the hepatitis B vaccine prior to discharge. This is correct because the hepatitis B vaccine is typically given to newborns shortly after birth, before discharge from the hospital. This vaccination helps protect against hepatitis B virus infection. The other options are incorrect because: A is incorrect as the first diphtheria, tetanus, pertussis vaccine is usually given at 2 months, not 2 weeks. B is incorrect because the measles, mumps, rubella vaccine is typically given at around 12-15 months, not 6 months. D is incorrect as the pneumococcal conjugate vaccine is usually given at 2, 4, 6, and 12-15 months, not just on the first birthday. E, F, G are not provided as options.
Question 3 of 5
A nurse is preparing to administer acetaminophen 10 mg/kg/dose to a child who weighs 28 lb. The amount available is acetaminophen 120 mg/5 mL. How many mL should the nurse administer?
Correct Answer: 5.3
Rationale: The correct answer is 5.3 mL.
To calculate this, first convert the child's weight to kg (28 lb / 2.2 = 12.73 kg).
Then, multiply the weight by the dose (10 mg/kg) to get 127.3 mg. Next, calculate how many mL of the available acetaminophen solution contain 127.3 mg (127.3 mg / 120 mg/5 mL = 5.3 mL).
Therefore, the nurse should administer 5.3 mL.
Choice A: Incorrect, as it does not follow the correct calculation process.
Choice B-G: Irrelevant as they do not provide the correct calculation for determining the required mL for acetaminophen administration.
Question 4 of 5
A nurse is teaching the parent of a newborn about car seat use. Which of the following information should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Position the newborn at a 45-degree angle in the car seat. This is important because newborns have limited neck strength and need to be positioned at a reclined angle to keep their airway open and prevent their head from flopping forward, reducing the risk of suffocation. Placing the newborn at a 45-degree angle also helps prevent slumping which can compromise their breathing.
A: Placing the shoulder harness straps below the newborn's armpits can lead to improper positioning and potential injury in case of a crash.
B: Keeping the car seat rear-facing until the newborn can sit unsupported is a general guideline but not specific to the proper angle of positioning.
C: Placing the retainer clip across the newborn's abdomen can cause abdominal injury in a crash and should be positioned at armpit level.
E, F, G: No additional choices provided.
Question 5 of 5
A nurse who is off duty finds a woman who has collapsed and has right-sided weakness and slurred speech. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Call emergency services. This action is crucial because the woman is showing signs of a stroke, which requires immediate medical attention. Calling emergency services will ensure that the woman receives prompt care and assessment by healthcare professionals. Driving the client to the emergency department (
A) could delay treatment and worsen the condition. Finding a location for the client to sit (
C) is not appropriate as the woman needs urgent medical attention. Obtaining the telephone number of the client's provider (
D) is not necessary in this emergency situation.