Questions 75

ATI RN

ATI RN Test Bank

ATI Custom Wn23 NS122 Questions

Extract:

A nurse is assisting in the care of a client who is in the second stage of labor.


Question 1 of 5

Which of the following findings should the nurse report to the provider?

Correct Answer: A

Rationale: Uterine contractions lasting 2 minutes indicate hyperstimulation, risking fetal distress, and must be reported. Early decelerations (
B), pelvic pressure (
C), and bloody show (
D) are normal in the second stage of labor.

Extract:

A 5-year-old boy was diagnosed with Duchenne muscular dystrophy less than 18 months ago, presenting with fatigue, muscular weakness, difficulty running, and frequent falls.


Question 2 of 5

Which of the following would the nurse expect to be elevated in Duchenne muscular dystrophy?

Correct Answer: D

Rationale: Creatine kinase is significantly elevated in Duchenne muscular dystrophy due to muscle damage. Lactate dehydrogenase (
A), C-reactive protein (
B), and sedimentation rate (
C) are not typically raised.

Extract:

A nurse is collecting data from a child who is descending stairs by placing both feet on each step and holding on to the railing.


Question 3 of 5

This behavior is developmentally appropriate at which of the following ages?

Correct Answer: D

Rationale: At 3 years, children typically descend stairs with both feet per step while holding the railing, a normal milestone. Older ages (A, B,
C) should show more advanced stair navigation.

Extract:

The nursing instructor is leading a discussion on the physical changes to a woman's body after the delivery of the baby.


Question 4 of 5

The instructor determines the session is successful after the students correctly point out which process results in the return of nonpregnant size and function of the female organs?

Correct Answer: D

Rationale: Involution is the process where the uterus and other organs return to prepregnancy size post-delivery. Evolution (
A), decrement (
B), and progression (
C) do not describe this process.

Extract:

A nurse is reinforcing teaching with a new mother about the purpose of administering vitamin K to her newborn following delivery.


Question 5 of 5

The nurse should explain that the purpose of administering vitamin K is to prevent which of the following complications?

Correct Answer: C

Rationale: Vitamin K prevents bleeding by aiding blood clotting, critical for newborns with low vitamin K levels. It does not prevent infection (
A), potassium deficiency (
B), or hyperbilirubinemia (
D).

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