ATI practice exam questions and answers solution 2024 docs

ATI practice exam questions and answers solution 2024 docs A nurse is caring for a newborn shortly after birth and places the newborn under a radiant warmer. Which of the following potential complications does this action help to prevent? A nurse is assisting with the care of a client who is in labor. Immediately after delivery of a newborn, which of the following actions should the nurse take first?A nurse is caring for a client who is postpartum and is breastfeeding her infant. Which of the following findings indicates mastitis? A nurse is preparing to examine a post-term newborn immediately following delivery. Which of the following findings should she expect to observe? (Select all that apply) A nurse is preparing to administer vitamin K IM to a newborn. Into which of the following muscles should the nurse inject the medication? A nurse is caring for a newborn whose mother is positive for the hepatitis B surface antigen. Which of the following treatments should the nurse receive? A nurse is assisting with the care of a client who is receiving oxytocin via IV infusion following a vaginal delivery. Which of the following findings should the nurse monitor to evaluate effectiveness of this medication? A nurse is caring for a client 2 hr following a spontaneous vaginal delivery and notes that the client has saturated two perineal pads with blood in a 30 min period. Which of the following actions should the nurse take first? A nurse is reinforcing discharge teaching with a client who is 2 days postpartum and has a history of postpartum depression. Which of the following instructions should the nurse include? A nurse is assisting in the care of a newborn immediately following birth. The nurse notes mucus bubbling out of the newborn’s mouth and nose. Which of the following actions should the nurse take first? A nurse is caring for a client who is postpartum. The nurse should recognize which of the following statements by the client as a possible indication of inhibition of parental attachment? A nurse on the postpartum unit is planning to delegate client care to an assistive personnel (AP). Which of the following tasks should the nurse plan to delegate to the AP? A nurse is preparing to administer vitamin k 1mg IM to a newborn. Available is vitamin k injection 1mg/0.5mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero A nurse is assisting a client who is postpartum with her first breastfeeding experience. When the client asks how much of the nipple she should put into the baby’s mouth, which of the following responses by the nurse is appropriate? A nurse is reinforcing discharging teaching with a client who is 2 days postpartum. Which of the following statements should the nurse include in the teaching? A home health care nurse is reinforcing teaching about breast engorgement with a client who is postpartum and is breastfeeding her newborn. Which of the following client statements indicates an understanding of the teaching? A nurse is reinforcing teaching with a group of clients about nutritional requirements during lactation. Which of the following nutrients should the nurse instruct the clients to increase? A nurse is reinforcing teaching about crib safety with the parent of a newborn. Which of the following statements by the parent indicates an understanding of the teaching A nurse is caring for a newborn immediately following delivery. After assuring a patient airway, which of the following actions should be the nurse’s priority? A nurse is assisting in the care of a newborn shortly after birth. Which of the following actions should the nurse take to assist in the prevention of hyperbilirubinemia? A nurse is collecting data from a client who is 1 day postpartum. Which of the following findings requires intervention by the nurse? A nurse is assisting a client with breastfeeding her newborn. The nurse should explain that which of the following reflexed will initiate sucking? A nurse is collecting data from a newborn who is 12 hr old. His representation rate is 44/min, shallow, with periods of apnea lasting up to 5 seconds. Which of the following actions should the nurse take? A nurse is collecting data from a client who gave birth one week ago. Which of the following findings should the nurse identify as a manifestation of endometritis? A nurse is reinforcing discharge teaching about circumcision care with the parent of a newborn who had a circumcision using the plastibell device. Which of the following client statements indicates an understanding of the teaching? (Select all that apply A nurse is caring for a client who has unrelieved episiotomy pain 8 hr following delivery. Which of the following actions should the nurse take? A nurse is reinforcing teaching about umbilical cord care with a client who is postpartum. Which of the following instructions should the nurse include? A nurse is assisting with the care of a newborn immediately following birth. Which of the following medications should the nurse expect to administer? (select all that apply) A nurse is collecting data from a client who is postpartum 2 hr following delivery of a healthy newborn. Which of the following findings indicates the client’s bladder is distended? A nurse is collecting data from a client who is 12 hr postpartum. Which of the following findings should the nurse expect? A nurse who is caring for a newborn observes signs of respiratory distress, jitteriness, and lethargy. Which of the following actions should the nurse take? A nurse is collecting data from a newborn and notes a swollen area on the head that does not cross the suture line. The nurse should document this finding as which of the following? A nurse is reinforcing teaching with a client who has genital herpes. Which of the following client statements should the nurse identify as understanding of the teaching? A nurse is collecting data from a postpartum client and notes the client’s fundus is boggy and displaced to the right. Which of the following actions should the nurse take? A nurse is reinforcing teaching with a parent about using an iron fortified formula to feed her newborn. Which of the following information should the nurse include in the teaching? A nurse is caring for a client who is postpartum. The client states, “ I am concerned about my baby’s hearing because my mother was born deaf” Which of the following statements should the nurse make? We do routine hearing screenings on newborns. A nurse is caring for a client who is 1 day postpartum following a cesarean birth. To prevent thrombophlebitis, the nurse should contribute which of the following interventions to the client’s plan of care? A nurse is assessing a client who is 8hr postpartum and multiparous. Which of the following findings should alert the nurse to the client’s need to urinate? A nurse is caring for a postpartum client following a vaginal birth of a newborn weighing 4252 (9 lb 6 oz). The nurse should identify that this client is at risk for which of the following postpartum complications? A nurse is collecting data form a client who is postpartum. Which of the following findings should alert the nurse to the possibility of a postpartum complication? HR 110/min A nurse is collecting data from a client who is 14 hr postpartum. The nurse notes: breasts soft; fundus firm, slightly deviated to the right; moderate lochia rubra; temperature 37.7 C (100 F), pulse rate 88/min, rr 18/min. Which of the following actions should the nurse perform? A nurse is assisting in the care of a client who is experiencing sore nipples from breastfeeding. Which of the following actions should the nurse take? A nurse is reinforcing teaching about formula feeding to a group of parents of newborns. Which of the following statements by one of the parents indicates a need for further teaching? A nurse is caring for a client who is postpartum. Which of the following findings is an indication for the nurse to administer Rho(D) immune globulin? A nurse is assisting with the care of a newborn immediately following a cesarean delivery. The nurse’s highest priority is to monitor the newborn for which of the following? A nurse is caring for a client who is 4hr postpartum. The nurse finds a small amount of lochia rubra on the client’s perineal pad. The fundus is midlines and firm at the umbilicus. Which of the following actions should the nurse take? A nurse is assisting in the plan of care for a client who is pregnant and has phenylketonuria (pku). Which of the following actions should the nurse take include in the plan of care? A nurse is caring for a client who is 2 days postpartum, is breastfeeding, and reports nipple soreness. Which of the following measures should the nurse suggest to help lessen discomfort during breastfeeding? (Select all that apply A nurse is assisting in the care of a newborn following birth. At 1 min after birth, the nurse notes the following: heart rate 110/min; slow, weak cry; some flexion of extremities; grimace in response to suctioning of the nares; body pink in color with blue extremities. What should the nurse document as the newborn’s 1-min Apgar score? A nurse is collecting data from a client who is 3 days postpartum and is breastfeeding. Her fundus is three fingerbreadths below the umbilicus, and her lochia rubra is moderate. Her breasts feel hard and warm. Which of the following recommendations should the nurse give the client? A nurse is assisting in the care of a newborn immediately after birth. At 5 min after birth, the newborn has acrocyanosis, flexed extremities, a grimace when suctioned, a heart rate of 130/min, and a lusty cry with tactile stimulation. What should the nurse document as the newborn’s 5-min Apgar score? A nurse is caring for a newborn. How many blood vessels should the nurse expect to observe in the newborn’s umbilical cord? A nurse is reinforcing discharge teaching with a client who is 3 days following a cesarean birth. Which of the following client statements indicates that the teaching was effective? (Select all that apply.) A nurse is reinforcing teaching with a newly licensed nurse about the purpose of an indirect Coombs test. Which of the following statements should the nurse include in the teaching? A nurse is caring for a newborn immediately after birth. Which of the following actions by the nurse reduces evaporative heat loss by the newborn? A nurse is collecting data from a newborn immediately after delivery by a client who was at 42 weeks of gestation. Which of the following findings should the nurse expect? A nurse is caring for a client following a cesarean birth. The client tells the nurse that she is hungry. Which of the following actions should the nurse take first? A nurse is collecting data from a postpartum client and finds a large amount of lochia rubra with several clots on the client’s perineal pad. Which of the following actions should the nurse take first? A nurse is reinforcing teaching about dietary recommendations with a client who is breastfeeding her newborn. Which of the following statements by the client indicates an understanding of the teaching? A nurse is caring for a newborn who was delivered by vacuum extraction and has swelling on his head that crosses the suture line. The newborn’s mother asks about the swelling on her newborn’s head. Which of the following responses should the nurse make? A nurse working in the newborn nursery is preparing to return a newborn to the mother. Which of the following should the nurse verify? (Select all that apply.) A nurse is reinforcing teaching about comfort measures for breast engorgement with a client who is postpartum and is bottle feeding her newborn. Which of the following statements by the client indicates a need for further teaching A nurse is caring for a client who is 12 hr postpartum. The nurse recognizes the client is in the dependent, taking-in phase of maternal postpartum adjustment. Which of the following is an expected finding during this period? A nurse reinforcing teaching about vitamin k with a client who is postpartum. Which of the following statements should the nurse include? A nurse is collecting data from a client who is 3 hr postpartum. The nurse notes that the client’s fundus is displaced to the right of midline, is firm, and is two fingerbreadths above the umbilicus. Which of the following actions should the nurse take? A client is concerned that her newborn has “crossed eyes.” Which of the following statements is a therapeutic response by the nurse? A nurse is contributing to the plan of care for a preterm newborn. To help the newborn conserve energy, which of the following actions should the nurse recommend? A nurse is observing a new mother bathe her newborn for the first time. Which of the following actions by the mother requires the nurse to intervene? A nurse is preparing a sitz bath for a client who is 1 day postpartum. Which of the following actions should the nurse take? A nurse is reinforcing teaching about phenylketonuria (PKU) testing with the parent of a newborn. Which of the following statements by the parent indicates a need for further teaching? A nurse is caring for a newborn who is formula fed. The born takes 0.5 oz at 1830. How many mL of formula should the nurse record as the client’s intake for the shift? A nurse is caring for a client who is requesting to go to the bathroom immediately after a vaginal birth. Which of the following actions should the nurse take? A nurse is reinforcing teaching about dietary intake with a client who is breastfeeding her newborn. Which of the following information should the nurse include in the teaching? A nurse is caring for several newborn clients. For which of the following findings should the nurse notify the charge nurse? A nurse is reinforcing teaching with a new mother about the purpose of administering vitamin k to her newborn following delivery. The nurse should explain that the purpose of administering vitamin k is to prevent which of the following complications? A nurse in the nursery is caring for a newborn. The grandmother of the newborn asks if she can take the newborn to the mother’s room. Which of the following statements is an appropriate response by the nurse? A nurse is caring for a newborn who is small for gestational age (SGA). Which of the following findings should the nurse expect? A nurse is reinforcing teaching with a client who is pregnant and has phenylketonuria (PKU). Which of the following foods should the nurse instruct the client to eliminate from her diet? A nurse is reinforcing teaching about bottle feeding with a client who is postpartum. Which of the following statements by the client indicates a need for further teaching? A nurse is assisting with the care of a newborn following a vaginal delivery. Which of the following actions should the nurse take first? A nurse is reinforcing teaching about newborn care with a client who is 2 hr postpartum. Which of the following statements by the client indicates a need for further teaching? A nurse is reviewing the laboratory result of a newborn that is 4 hr old. Which of the following findings should the nurse identify as the priority? A nurse is updating the plan of care for a newborn who is undergoing phototherapy. Which of the following actions should the nurse include in the plan? A nurse is collecting data from a newborn 1 hr after delivery. Which of the following respiratory rates is within the expected reference range for a newborn? A nurse is caring for a client who is experiencing shaking chills during the immediate postpartum period. Which of the following actions should the nurse take? A nurse is caring for a client who is breastfeeding and tells the nurse that she is concerned about her newborn’s hydration. Which of the following nursing observations is appropriate to use in evaluating the adequacy of the newborn’s hydration? A nurse is caring for a client who is postpartum and asks, “When will my breast milk come in?” Which of the following responses should the nurse make? A nurse is reinforcing teaching with a client who is postpartum about bathing her newborn. Which of the following statements by the client indicates a need for further teaching? A nurse is collecting data from a newborn who is has Trisomy 21. Which of the following findings should the nurse expect? (Select all that apply.) A nurse is assisting in the care of a client who had a vaginal birth 2 hr ago. Which of the following actions should the nurse take? (Select all that apply A nurse is collecting data from a client who gave birth 12 hr ago. The nurse notes the fundus is deviated to the right, boggy, and 2 cm above the umbilicus. Which of the following actions should the nurse take first? A nurse is collecting data about reflexes from a newborn. Which of the following actions should the nurse take to elicit the newborn’s Moro reflex? A nurse is preparing to administer Methylergonovine IM for a client who had a vaginal delivery earlier that day. The nurse should explain to the client that this medication will help prevent which of the following? A nurse is assisting to collect data from a gestational age assessment on a newborn. Which of the following should the nurse check during a neuromuscular assessment? (Select all that apply). A nurse is collecting data from a newborn and finds an apical pulse of 130/min. Which of the following actions should the nurse take? A nurse is collecting data from a client who is 12 hr postpartum following a spontaneous vaginal delivery. The nurse should expect to find the uterine fundus at which of the following positions on the client’s abdomen? A nurse in the newborn nursery is receiving report on four newborns. Which of the following newborns should he nurse see first? A nurse is reinforcing teaching with a client who is breastfeeding. Which of the following instructions should the nurse include in the teaching? A nurse is reinforcing teaching about strategies to calm a newborn with a client who is postpartum. Which of the following suggestions should the nurse make? (Select all that apply.) A nurse is caring for a postpartum client who saturates a perineal pad in 10 min. Which of the following actions should the nurse take first? A nurse is collecting a data form a newborn who has respiratory distress syndrome and is experiencing respiratory acidosis. Which of the following risk factors predisposes the newborn to respiratory difficulties? A nurse is reinforcing teaching with the parents of a newborn about caring for the umbilical cord stump. Which of the following instructions should the nurse include? A nurse is assisting a client out of bed for the first time since delivery. The client becomes frightened when she passes a large amount of lochia. Which of the following responses should the nurse make? A nurse is admitting a term newborn to the nursery following a cesarean birth. The nurse observes that the newborn’s skin is slightly yellow. This finding indicates the newborn is experiencing a complication related to which of the following? A nurse is caring for a client who is 2 hr postpartum. The client has an IV of lactated Ringer’s with 25 units of oxytocin infusing and large rubra lochia with a hypotonic uterus. Vital signs include blood pressure 146/94 mm Hg, pulse 80/min, and respirations 18/min. Which of the following prescriptions should the nurse clarify the provider? A nurse is teaching a new mother about signs of effective breastfeeding of her newborn. Which of the following information should the nurse include in the teaching? A nurse is collecting data from a newborn. Which of the following anatomical landmarks should the nurse use to measure chest circumstance? A nurse is caring for a client who is 36 hr postpartum and has a distended bladder. The client reports saturating four perineal pads in the past hour. Which of the following actions should the nurse take? (Select all that apply). A nurse is collecting data form a newborn who is 48-hr old. Which of the following findings should the nurse report to the provider?