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ATI practice exam questions and answers solution 2021
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• 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?
Cold stress
• 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?
Dry the newborn
• A nurse is caring for a client who is postpartum and is breastfeeding her infant. Which of the
following findings indicates mastitis?
Red and painful area in one breast
• 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)
Cracked, peeking skin, and Moro reflex
• A nurse is preparing to administer vitamin K IM to a newborn. Into which of the following
muscles should the nurse inject the medication?
Vastus lateralis
• 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?
Hepatitis B immune globulin and the hepatitis B vaccine within 12 hr of birth
• 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?
Fundal consistency
• 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?
Check the consistency of the client’s uterine fundus
• 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?
Sleep as much as possible
• 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? Suction the newborn’s mouth with a bulb syringe
• 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? I
just wish he had more hair. I’m going to have to keep a hat on his head till he grows some.
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• 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? Provide a sitz bath to a
client who has a fourth-degree laceration and is 2 days postpartum
• 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.) 0.5
• 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? You should place your nipple and some of the areola into
her mouth.
• 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? If you breastfeed your newborn,
expect two to three stools per day.
• 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? I’ll feed my baby every 2 hours
• 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? Zinc
• 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? I will warm the
crib sheets before putting my baby to bed
• 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? Dry the newborn
• 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? Initiate early feeding
• A nurse is collecting data from a client who is 1 day postpartum. Which of the following findings
requires intervention by the nurse? Displaced fundus from the midline
• A nurse is assisting a client with breastfeeding her newborn. The nurse should explain that which
of the following reflexed will initiate sucking? Rooting
• 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? Continue routine monitoring
• 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? Pelvic pain
• 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). I’ll expect the plastic ring to
fall off by itself within a week, I’ll call the doctor if I see any bleeding, and I’ll make sure his
diaper is loose in the front.
• 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? Apply an ice pack to the perineum
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