ATI PN Question and Answer on High Risk New Norm

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Sample questions from ATI PN Question and Answer on High Risk New Norm

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.At change of shift in a neonatal unit, a 2-hour-old infant born at 35 weeks has an axillary temperature of 36.1 C, weak feeding, and a bedside glucose of 38 mg/dL. Which action should the PN take first?

   • A.Notify the RN promptly and continue to monitor the infant's temperature and glucose
   • B.Give the infant sterile water to improve the glucose level
   • C.Document the findings and recheck the glucose at the next scheduled feeding
   • D.Place the infant in an open bassinet and encourage the parent to feed

   Rationale: Hypothermia, poor feeding, and glucose of 38 mg/dL are concerning findings in a preterm newborn and require prompt reporting to the RN. Waiting until the next feeding could delay treatment. Sterile water is not an appropriate treatment for neonatal hypoglycemia, and an open bassinet can worsen heat loss.

2. 2.In a pediatric clinic, the parent of a 6-day-old newborn reports that the infant is increasingly yellow and difficult to wake for feeds. Which response by the PN is most appropriate?

   • A.Tell the parent this is expected and to wait for the 2-week visit
   • B.Recommend placing the infant in direct sunlight for several hours
   • C.Assess the infant's current condition and promptly report the change to the RN
   • D.Advise the parent to give water between feedings

   Rationale: Increasing jaundice with difficulty waking can signal significant hyperbilirubinemia or illness and needs prompt assessment and escalation. Reassuring the parent and delaying evaluation could be unsafe. Sun exposure is not a substitute for prescribed assessment and treatment, and water can interfere with feeding and is not a jaundice treatment.

3. 3.A 30-week newborn in the NICU has apnea alarms while the PN is assigned to provide routine care. Which task is appropriate for the PN to perform independently within the assignment?

   • A.Perform an initial comprehensive assessment of the infant
   • B.Record the frequency and duration of apnea episodes and report the findings to the RN
   • C.Create a new plan of care for recurrent apnea
   • D.Decide to discontinue cardiorespiratory monitoring

   Rationale: Recording observed episodes and reporting them are appropriate PN data collection and communication tasks. Developing the care plan and performing the initial comprehensive assessment are RN responsibilities. Discontinuing monitoring requires an authorized order and is not an independent PN decision.

4. 4.Refer to the client's chart. Which actions are appropriate for the PN to take or reinforce while caring for this infant? Select all that apply.

   • A.Teach the parent the initial home oxygen plan without RN involvement
   • B.Continue documenting feeding amounts and the infant's response
   • C.Independently increase the prescribed oxygen flow rate
   • D.Report the increasing respiratory rate and oxygen requirement to the RN promptly
   • E.Verify the feeding tube placement according to facility policy before a scheduled tube feeding

   Answer and rationale are in the full material.

5. 5.A provider prescribes a scheduled oral iron supplement for a stable 2-month-old former preterm infant. The PN checks the label and finds that the dispensed concentration differs from the concentration on the medication administration record. What should the PN do?

   • A.Calculate a volume using the dispensed concentration and administer it
   • B.Give half the prescribed volume to reduce the risk of error
   • C.Ask the parent to estimate the dose used at home
   • D.Hold the dose and clarify the discrepancy with the RN or pharmacist before administration

   Answer and rationale are in the full material.