ATI RN
ATI Pediatrics Final Exam Questions
Extract:
Newborn 8 hours of age. Newborn is alert and active. Oral mucosa pink. Respirations easy and unlabored. Extremities flexed. Good muscle tone. Breastfed vigorously x 2 for 30 to 40 min. Fontanel level and soft. Large ecchymotic caput succedaneum noted on posterior scalp. No stool or void noted since birth. 36 hours of age: Newborn is sleeping in their birth parent's arms. Awakens with stimulation, yellow discoloration noted of sclera and oral mucosa. Lung sounds clear bilaterally. Nasal flaring present. Fontanel level and soft with large ecchymotic caput succedaneum noted. Blood-tinged mucus noted at the vaginal opening. Has voided and stooled one time since birth. Uric acid crystals observed in urine. Breastfed x 1 in the past 6 hr for 10 min
Question 1 of 5
Which of the following assessment findings require follow-up by the nurse?
Correct Answer: A,C,E,F,G
Rationale: Low temperature, elevated respiratory rate, nasal flaring, blood-tinged mucus, uric acid crystals, and infrequent breastfeeding require follow-up for potential hypothermia, respiratory distress, trauma, dehydration, or sepsis.
Extract:
A client who is in active labor when the client's membranes rupture. The fetal monitor tracing shows late decelerations
Question 2 of 5
A nurse is caring for a client who is in active labor when the client's membranes rupture. The fetal monitor tracing shows late decelerations. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Turning the client onto her side can help improve uteroplacental perfusion by relieving pressure on the vena cava and increasing blood flow to the uterus.
Extract:
A client who is 2 hr postpartum. The nurse notes that the client soaked a perineal pad in 10 min, the client's skin color is ashen, and she states she feels weak and light headed
Question 3 of 5
A nurse is caring for a client who is 2 hr postpartum. The nurse notes that the client soaked a perineal pad in 10 min, the client's skin color is ashen, and she states she feels weak and light headed. After applying oxygen via nonrebreather face mask at 10 L/min which of the following actions should the nurse take next?
Correct Answer: D
Rationale: Massaging the fundus is a standard intervention for managing postpartum hemorrhage.
Extract:
A client who is in active labor and notes that the presenting part is at 0 station
Question 4 of 5
A nurse is assessing a client who is in active labor and notes that the presenting part is at 0 station. Which of the following is the correct interpretation of this clinical finding?
Correct Answer: D
Rationale: Station refers to the position of the presenting part of the fetus in relation to the ischial spines of the maternal pelvis.
Extract:
A client who comes to the emergency department reporting severe abdominal pain in the left lower quadrant. The provider suspects a ruptured ectopic pregnancy
Question 5 of 5
A nurse in the emergency department is caring for a client who comes to the emergency department reporting severe abdominal pain in the left lower quadrant. The provider suspects a ruptured ectopic pregnancy. Which of the following signs indicates to the nurse that the client has blood in the peritoneum?
Correct Answer: D
Rationale: Cullen's sign is characterized by superficial edema and bruising around the umbilicus, indicative of intra-abdominal bleeding.