ATI RN
ATI Capstone Class Exam Week 12 Questions
Extract:
Question 1 of 5
The nurse is informed that a newborn infant with Apgar scores of 1 and 4 will be brought to the neonatal intensive care unit (NICU). The nurse determines that which intervention is the priority?
Correct Answer: B
Rationale: Low Apgar scores (1 and 4) indicate severe distress, requiring immediate resuscitation. Connecting the resuscitation bag to oxygen ensures oxygenation, the priority over monitoring, warming, or IV preparation.
Question 2 of 5
A nurse is caring for an adolescent client who is gravida 1 and para 0. The client was admitted to the hospital at 38 weeks of gestation with a diagnosis of preeclampsia. Which of the following findings should the nurse identify as inconsistent with preeclampsia?
Correct Answer: B
Rationale: Deep tendon reflexes of 1+ are inconsistent with preeclampsia, which typically causes hyperreflexia (3+ or 4+). Proteinuria, high blood pressure, and edema are consistent with preeclampsia.
Question 3 of 5
A nurse is assessing a newborn 1 hour after birth. Which of the following respiratory rates is within the expected reference range for a newborn?
Correct Answer: A
Rationale: A respiratory rate of 48/min is within the normal range for newborns (30-60/min), indicating healthy lung function. 22/min is too low, and 100 or 110/min indicate tachypnea, suggesting distress.
Question 4 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 5 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.