ATI RN
ATI Pediatrics Final Exam Questions
Extract:
Newborn delivered via cesarean birth approximately 1 hour ago. Apgar scores: 8 and 9. Vitamin K administered. Weight: 4337 grams (9 lb 9 oz). Gestational age: 39 weeks. Condition: Large for gestational age. Observations: Newborn noted to be jittery and have decreased muscle tone
Question 1 of 5
Complete the diagram by specifying: 1. The potential condition the newborn is most likely experiencing. 2. Two actions the nurse should take to address that condition. 3. Two parameters the nurse should monitor to assess the newborn's progress.
Correct Answer: A
Rationale: Hypoglycemia is likely due to the newborn's large size and symptoms of jitteriness and decreased muscle tone. Actions include checking capillary blood glucose and placing under a radiant warmer. Parameters to monitor are temperature and seizure activity.
Extract:
Newborn who is 72 hr old. Neonatal Abstinence Scoring System (NAS) score 20
Question 2 of 5
A nurse is caring for a newborn who is 72 hr old. The nurse is planning to contact the provider regarding the newborn's status. Which of the following prescriptions should the nurse anticipate?
Correct Answer: A,C,D,E
Rationale: Swaddling, continuing NAS scoring, encouraging breastfeeding, and administering oral morphine are appropriate interventions for managing neonatal abstinence syndrome (NAS) based on the high NAS score of 20.
Extract:
A client who is receiving magnesium sulfate to treat pre-eclampsia
Question 3 of 5
A nurse is assessing a client who is receiving magnesium sulfate to treat pre-eclampsia. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: Decreased urinary output can indicate renal insufficiency or impaired kidney function, which can be a sign of magnesium toxicity.
Extract:
Gravida 4 Para 3, 32 weeks of gestation, BMI 32, History of two newborns weighing over 4.5 kg (10 lb), Family history of type one diabetes mellitus (maternal), Fetal heart tones 140/min via doppler
Question 4 of 5
Which of the following provider prescriptions should the nurse plan to implement?
Correct Answer: A,C,D
Rationale: Limiting carbohydrate intake, prescribing metformin, and conducting non-stress tests are appropriate for managing the risk of gestational diabetes in this high-risk client.
Extract:
A client who is experiencing preterm labor
Question 5 of 5
A nurse is preparing to administer magnesium sulfate IV to a client who is experiencing preterm labor. Which of the following is the priority nursing assessment for this client?
Correct Answer: C
Rationale: Magnesium sulphate toxicity can lead to respiratory depression, making respiratory rate the priority assessment.