ATI RN
ATI Capstone Class Exam Week 12 Questions
Extract:
Question 1 of 5
The nurse is caring for a newly delivered breast-feeding infant. Which nursing intervention would best prevent jaundice in this infant?
Correct Answer: C
Rationale: Frequent breastfeeding (every 2-3 hours) prevents jaundice by promoting bilirubin excretion via stools. Formula supplementation may disrupt breastfeeding, NPO delays feeding, and phototherapy treats, not prevents, jaundice.
Question 2 of 5
A nurse is admitting a client who experienced a vaginal birth 2 hours ago. The client is receiving an IV of lactated Ringer’s with 25 units of oxytocin infusing and has large rubra lochia. Vital signs include blood pressure 146/94 mm Hg, pulse 80/min, and respiratory rate 18/min. The nurse reviews the prescriptions from the provider. Which of the following prescriptions requires clarification?
Correct Answer: C
Rationale: Methylergonovine is contraindicated with hypertension (BP 146/94 mm Hg) due to its vasoconstrictive effects, requiring clarification. Oxygen, clotting studies, and catheter insertion are appropriate given the client’s postpartum status and bleeding.
Question 3 of 5
A nurse on the obstetric unit is caring for a client who experienced abruptio placentae. The nurse observes petechiae and bleeding around the IV access site. The nurse should recognize that this client is at risk for which of the following complications?
Correct Answer: D
Rationale: Petechiae and bleeding suggest disseminated intravascular coagulation (DI
C), a complication of abruptio placentae due to clotting factor consumption. Preeclampsia involves hypertension, puerperal infection involves fever, and anaphylactoid syndrome involves sudden collapse, not matching these signs.
Question 4 of 5
A nurse is preparing to administer magnesium sulfate to a client. Which of the following is the priority nursing assessment for this client?
Correct Answer: B
Rationale: Respiratory rate is critical when administering magnesium sulfate due to the risk of respiratory depression. This takes priority over bowel sounds, temperature, or fetal heart rate, which are less immediate concerns.
Question 5 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.