ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
A nurse is caring for a newborn whose mother was taking methadone during her pregnancy.
Question 1 of 5
Which of the following findings indicates the newborn is experiencing withdrawal?
Correct Answer: D
Rationale: The correct answer is D: Hypertonicity. This finding indicates the newborn is experiencing withdrawal because it is a common symptom of withdrawal from substances such as opioids or benzodiazepines. Hypertonicity refers to increased muscle tone, which can be observed through increased resistance to passive movement. It is a sign of central nervous system hyperirritability, often seen in newborns going through withdrawal. Bulging fontanels (
A) are a sign of increased intracranial pressure. Acrocyanosis (
B) is a normal finding in newborns and is due to immature circulation. Bradycardia (
C) is a slow heart rate, which can be caused by various factors in newborns, not specifically indicative of withdrawal.
Extract:
A nurse in a PACU is transferring care of a client to a nurse on the medical-surgical unit.
Question 2 of 5
Which of the following statements should the nurse include in the hand-off report?
Correct Answer: A
Rationale: The correct answer is A: The estimated blood loss was 250 milliliters. This statement is crucial in a hand-off report as it provides important information about the client's condition post-procedure. It helps alert the receiving nurse to any potential complications or the need for further monitoring.
Statement B is incorrect as the client's position on the board of directors is not relevant to the client's immediate care needs and does not provide useful clinical information. Statement C, the number of sponges used, is also irrelevant to the client's immediate condition and does not impact the client's ongoing care.
Statement D, mentioning intubation without complications, could be important in certain contexts, but in this scenario, information about blood loss is more critical for the receiving nurse to be aware of.
Extract:
A nurse is caring for a newborn. Vital Signs 0640: Temperature 36.7° C(98.1° F) axillary Heart rate 154/min Respiratory rate 68/min BP 72/48 mm Hg 0650: Heart rate 156/min Respiratory rate 72/min 0700: Temperature 37° C(98.6° F) axillary Heart rate 156/min Respiratory rate 76/min Admission Assessment 0630: Newborn delivered via cesarean birth under spinal anesthesia at 0630. Amniotic fluid clear 0631: 1-min Apgar score 7 0536 5-min Apgar score 9 Newborn transferred to nursery Nurses' Notes 0640: Weight 4200 gm(9 ib 4 oz, head circumference 35.5 cm(14 in) Respiratory rate 68/min, with mild grunting 0650: Respiratory rate 72/min, with mild grunting 0700: Respiratory rate 76/min, with moderate grunting and mild intercostal retractions
Question 3 of 5
The client is at risk for developing ------- and--------
Correct Answer: A, C
Rationale: The correct answer is A and C. Hypoglycemia and transient tachypnea of the newborn are common risks for newborns. Hypoglycemia can occur due to immature liver function, while transient tachypnea results from retained lung fluid. The other choices are incorrect because bronchopulmonary dysplasia is a chronic lung condition seen in premature infants, and tachycardia is a symptom of various conditions but not typically a primary risk for newborns.
Extract:
A nurse is preparing to assess fetal heart tones for a client who is at 12 weeks of gestation.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Position the ultrasound stethoscope above the symphysis pubis to assess the fetal heart rate. This is the correct action because placing the ultrasound stethoscope above the symphysis pubis allows for optimal detection of the fetal heart rate. This location is where the fetal heart sounds are best heard due to the proximity to the fetal heart. Placing the stethoscope in this location ensures accurate assessment of the fetal heart rate.
Choice A is incorrect because placing the client in a side-lying position is not necessary for assessing the fetal heart rate with an ultrasound stethoscope.
Choice B is incorrect because measuring fundal height is not relevant to assessing the fetal heart rate.
Choice D is incorrect because Leopold maneuvers are used to determine fetal position and presentation, not to assess the fetal heart rate.
Extract:
A nurse is caring for a client who is at 33 weeks of gestation following an amniocentesis.
Question 5 of 5
The nurse should monitor the client for which of the following complications?
Correct Answer: A
Rationale: Contractions can indicate preterm labor, a potential complication after amniocentesis.