ATI Online Exam
Questions Verified
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Updated 2026
,A nurse is performing a physical assessment of a newborn upon
admission to the
nursery. Which of the following manifestations should the nurse expect?
(Select all that apply.)
Yellow sclera
Acrocyanosis
Posterior fontanel larger than the anterior
fontanel Positive Babinski reflex
Two umbilical arteries visible
Acrocyanosis
Positive Babinski reflex
Two umbilical arteries visible
Acrocyanosis is correct. Acrocyanosis is an expected finding for at least the first
24 hr following birth. Poor peripheral perfusion leads to bluish discoloration in the
newborn's hands and feet.
Positive Babinski reflex is correct. Newborns should exhibit a positive
Babinski sign following birth. The nurse should stroke the newborn's foot upward
from the heel to the toes. The toes should hyperextend, and dorsal flexion of the
big toe should occur. The absence of this finding requires neurological evaluation.
The Babinski reflex is no longer present after 1 year of age.
Two umbilical arteries visible is correct. The nurse should observe two
arteries and one vein in the umbilical cord. The presence of only one artery can
indicate a renal anomaly.
,A nurse is teaching a newly licensed nurse about collecting a specimen for
the
universal newborn screening. Which of the following statements should
the nurse include in the teaching?
-"Obtain an informed consent prior to obtaining the specimen."
-"Collect at least 1 milliliter of urine for the test."
-"Ensure that the newborn has been receiving feedings for 24 hours prior to obtaining
the specimen."
-"Premature newborns may have false negative tests due to immature development of
liver
"Ensure that the newborn has been receiving feedings for 24 hours prior to obtaining
the specimen."
The nurse should ensure that the newborn has been receiving regular feedings for at
least 24 hr prior to testing.
A nurse is demonstrating to a client how to bathe their newborn. In
which order should the nurse perform the following actions? (Move the
steps into the box on the right,
placing them in the selected order of performance. Use all the steps.)
1. Clean the newborn's diaper area.
2.Wash the newborn's neck by lifting the newborn's chin.
3.Wipe the newborn's eyes from the inner canthus outward.
4. Cleanse the skin around the newborn's umbilical cord stump.
5. Wash the newborn's legs and feet
3. Wipe the newborn's eyes from the inner canthus outward.
2. Wash the newborn's neck by lifting the newborn's chin.
4. Cleanse the skin around the newborn's umbilical cord stump
5. Wash the newborn's legs and feet
1. Clean the newborn's diaper area.
, A nurse is caring for a client who is at 24 weeks of gestation and has a
suspected
placental abruption. Which of the following laboratory tests should
the nurse expect the provider to prescribe?
A. Kleihauer-Betke test
B. Progesterone serum level
C. Lecithin/sphingomyelin (L/S) ratio
D. Maternal Alpha-fetoprotein (AFP)
A. Kleihauer-Betke test
The nurse should expect the provider to prescribe a Kleihauer-Betke test for a client
who has suspected placental abruption to determine if fetal blood is in maternal
circulation.
This test is useful to determine if Rho-(D) immune globulin therapy should be
administered to a client who is Rh-negative.
A nurse is caring for a client who has hyperemesis gravidarum and is
receiving IV fluid replacement. Which of the following findings should the
nurse report to the provider?
BUN 25 mg/dL
Serum creatinine 0.8 mg/dL
Urine output of 280 mL within 8
hr Urine negative for ketones
BUN 25 mg/dL
The nurse should report an elevated BUN to the provider since it can indicate
dehydration.
Questions Verified
and Provided with
A+ Graded
Answers| Latest
Updated 2026
,A nurse is performing a physical assessment of a newborn upon
admission to the
nursery. Which of the following manifestations should the nurse expect?
(Select all that apply.)
Yellow sclera
Acrocyanosis
Posterior fontanel larger than the anterior
fontanel Positive Babinski reflex
Two umbilical arteries visible
Acrocyanosis
Positive Babinski reflex
Two umbilical arteries visible
Acrocyanosis is correct. Acrocyanosis is an expected finding for at least the first
24 hr following birth. Poor peripheral perfusion leads to bluish discoloration in the
newborn's hands and feet.
Positive Babinski reflex is correct. Newborns should exhibit a positive
Babinski sign following birth. The nurse should stroke the newborn's foot upward
from the heel to the toes. The toes should hyperextend, and dorsal flexion of the
big toe should occur. The absence of this finding requires neurological evaluation.
The Babinski reflex is no longer present after 1 year of age.
Two umbilical arteries visible is correct. The nurse should observe two
arteries and one vein in the umbilical cord. The presence of only one artery can
indicate a renal anomaly.
,A nurse is teaching a newly licensed nurse about collecting a specimen for
the
universal newborn screening. Which of the following statements should
the nurse include in the teaching?
-"Obtain an informed consent prior to obtaining the specimen."
-"Collect at least 1 milliliter of urine for the test."
-"Ensure that the newborn has been receiving feedings for 24 hours prior to obtaining
the specimen."
-"Premature newborns may have false negative tests due to immature development of
liver
"Ensure that the newborn has been receiving feedings for 24 hours prior to obtaining
the specimen."
The nurse should ensure that the newborn has been receiving regular feedings for at
least 24 hr prior to testing.
A nurse is demonstrating to a client how to bathe their newborn. In
which order should the nurse perform the following actions? (Move the
steps into the box on the right,
placing them in the selected order of performance. Use all the steps.)
1. Clean the newborn's diaper area.
2.Wash the newborn's neck by lifting the newborn's chin.
3.Wipe the newborn's eyes from the inner canthus outward.
4. Cleanse the skin around the newborn's umbilical cord stump.
5. Wash the newborn's legs and feet
3. Wipe the newborn's eyes from the inner canthus outward.
2. Wash the newborn's neck by lifting the newborn's chin.
4. Cleanse the skin around the newborn's umbilical cord stump
5. Wash the newborn's legs and feet
1. Clean the newborn's diaper area.
, A nurse is caring for a client who is at 24 weeks of gestation and has a
suspected
placental abruption. Which of the following laboratory tests should
the nurse expect the provider to prescribe?
A. Kleihauer-Betke test
B. Progesterone serum level
C. Lecithin/sphingomyelin (L/S) ratio
D. Maternal Alpha-fetoprotein (AFP)
A. Kleihauer-Betke test
The nurse should expect the provider to prescribe a Kleihauer-Betke test for a client
who has suspected placental abruption to determine if fetal blood is in maternal
circulation.
This test is useful to determine if Rho-(D) immune globulin therapy should be
administered to a client who is Rh-negative.
A nurse is caring for a client who has hyperemesis gravidarum and is
receiving IV fluid replacement. Which of the following findings should the
nurse report to the provider?
BUN 25 mg/dL
Serum creatinine 0.8 mg/dL
Urine output of 280 mL within 8
hr Urine negative for ketones
BUN 25 mg/dL
The nurse should report an elevated BUN to the provider since it can indicate
dehydration.
