ATI: Custom NUR 209 Final Assessment Summer 1 2026

Question 18 of 60

A nurse is caring for a newborn and calculating the Apgar score. At 1 min after delivery, the following findings are noted: heart rate slow, weak cry; some flexion of extremities; grimace in response to suctioning of the nares; body pink in color with blue extremities. Calculate the newborn’s Apgar score.

• 0
• 5
• 7
• 10

Question 24 of 60

A nurse is preparing to measure the baseline fetal heart rate (FHR) for a client in labor. Which of the following statements accurately describes baseline fetal heart rate characteristics?

• The normal baseline fetal heart rate ranges from 110 to 160 beats per minute
• The baseline fetal heart rate is only measured during contractions
• The baseline fetal heart rate is always above 170 beats per minute
• The baseline fetal heart rate does not change throughout labor

Question 25 of 60

A 2-month-old infant is brought to the emergency room. Which factor should lead the RN to suspect that the child may have experienced abusive head trauma?

• Large bruises on the body
• Laceration to forearm
• Sunken fontanels
• Retinal hemorrhage

Question 26 of 60

A nurse is assessing a postmature infant. Which of the following findings would the nurse expect? (Select All that Apply.)

• Abundant lanugo
• Deep creases covering the soles of the feet
• Long finger nail and toenails
• Little or no vernix
• Dry, cracked, peeling skin

Question 27 of 60

Identify the trimester when each fetal development finding occurs.

• Major organs begin forming: 1st Trimester
• Pregnant person may begin to feel fetal movement (quickening): 2nd Trimester
• Fetus has a heartbeat: 1st Trimester
• Lungs mature and prepare for breathing: 3rd Trimester

Question 28 of 60

The nurse is caring for a newborn diagnosed with patent ductus arteriosus (PDA). Which of the following assessment findings would be consistent with this diagnosis? (Select All that Apply.)

• Cyanosis of the extremities
• Wide pulse pressure
• Bradycardia
• Bounding peripheral pulses
• A continuous “machinery-like” heart murmur

Question 29 of 60

Which two assessment findings indicate that the breastfeeding client has achieved a proper latch?

• Dimpling of the infant’s cheeks while sucking
• Rhythmic sucking pattern visible
• Slurping sound while sucking
• Clicking sound while sucking
• Audible swallowing

Question 30 of 60

An infant has just undergone surgical repair of a myelomeningocele. What is the priority nursing intervention to perform immediately following the procedure?

• Position the infant supine
• Measure abdominal circumference
• Limit caregiver visitation
• Monitor head circumference

Question 31 of 60

Which assessment findings would alert the nurse to an infant or child in heart failure? (Select All that Apply.)

• Edema in feet and legs
• Tachypnea
• Wheezes or rales
• Tires easily, gets fatigued during feedings
• Clear breath sounds

Question 32 of 60

The nurse identifies the following assessment findings in a client who is 36 weeks’ gestation. Which should be immediately reported to the provider?

• Blood pressure 160/94 mm/Hg in left arm
• Copious leukorrhea
• O+ negative blood type
• Positive rubella serum antibody titer

Question 33 of 60

A nurse is assessing a client 1 hour after delivery and notices a large amount of lochia rubra along with several small clots on the perineal pad. The client’s fundus is firm and located at the umbilical level, in the midline. What action should the nurse take next?ATI: Custom NUR 209 Final Assessment Summer 1 2026

• Document the findings and continue to monitor the client.
• Encourage the client to empty her bladder.
• Increase the frequency of fundal massage.
• Notify the provider immediately.

Question 34 of 60

A nurse is assessing the fundus of a postpartum client one day after delivery and notes that the fundus is soft and spongy. Which is the first nursing intervention to preform?

• Notify the healthcare provider
• Document the fundal height and consistency
• Massage the fundus until it firms
• Administer Oxytocin IV per MD orders

Question 35 of 60

A nurse is assessing a newborn who has Trisomy 21 (Down’s Syndrome). Which of the following are common characteristics? (Select All that Apply.)

• Upward slanting eyes
• Protruding tongue
• Single palmar crease
• Hypertonia
• Large, high-set ears

Question 36 of 60

Which of the following factors would the nurse identify as risk factors for abuse in children? (Select All that Apply.)

• Poverty/Financial strain
• Child with developmental disabilities
• Premature birth
• A parent with a history of experiencing abuse during their own childhood
• The parent’s have a strong support system

Question 37 of 60

A nurse is precepting a newly licensed nurse who is caring for a client scheduled for a biophysical profile. The new nurse asks what is being assessed during this test. Which response by the nurse indicates understanding? (Select all that apply.)

• Amniotic fluid volume
• Fetal gender
• Fetal breathing movements
• Fetal gross body movement
• Fetal neck translucency measurements

Question 43

An 18-hour-old infant with hyperbilirubinemia is placed under phototherapy bank lights. Which of the following is an appropriate intervention for this infant?

• Keep skin moisturized with lotion
• Expose as much of the infant’s skin to the lights as possible
• Keep eye shields on at all times, including when breastfeeding
• Tightly swaddle the infant in blanket

Question 44

When preforming an initial assessment on a full-term infant whose parents are Asian, the nurse notes a blue-gray discoloration across the sacrum of the newborn. What is the most appropriate action for the nurse to take?

• Document the findings in the electronic health record
• Notify the healthcare provider
• Review clotting studies lab report
• Report parents to Child Protective Services

Question 45

The nurse is caring for a laboring client who presents with ruptured membranes, frequent contractions, and bloody show. Which intervention should be performed first?

• Obtain fetal heart rate
• Establish IV access
• Assess the client’s vital signs
• Perform a sterile vaginal exam

Question 46

Which of the following are common causative factors of mastitis in a lactating individual?

• Proper latch during feeding
• Wearing a well-fitted, supportive bra
• Infrequent breastfeeding or incomplete emptying of the breasts
• Maintaining adequate hydration

Question 47

After receiving instruction on the use of a diaphragm for contraception, which statement by the client indicates that they have understood the teaching?

• “I need to leave the diaphragm in for six hours after the last act of intercourse”
• “I can leave the diaphragm in for two days”
• “Once I am fitted for the diaphragm it will always be the correct size”
• “I do not have to apply spermicide before insertion”

Question 48

Which assessment finding would the nurse expect to find in a sexually active adolescent female concerned that she has contracted gonorrhea?

• White chunky vaginal discharge
• Frothy, white vaginal discharge
• Thin, white-gray discharge
• Yellow-green vaginal discharge

Question 49

A nurse is caring for a client who is 2 hr postpartum following a vaginal birth. Which of the following findings indicates the client’s bladder is distended?

• Client report of frequent uterine contractions
• Fundus palpable to right of midline
• Less than 2.5 cm of rubra lochia on perineal pad
• Client report of increased thirst

Question 50

A nurse is caring for a newborn and auscultates an apical heart rate of 130/min. Which of the following actions should the nurse take?

• Prepare the newborn for transport to the NICU
• Document this as an expected finding
• Call the provider to further assess the newborn
• Ask another nurse to verify the heart rate

Question 51

A nurse is reviewing a fetal heart rate tracing for a client in labor. Early decelerations are most commonly caused by which of the following?

• Fetal head compression
• Uteroplacental insufficiency
• Umbilical cord compression
• Maternal hypotension

Question 52

Which nursing interventions are appropriate while caring for a newborn whose mother was addicted to heroin during the pregnancy?

• Administer oral glucose for comfort
• Maintain low stimulation environment
• Offer the newborn a pacifier
• Feed the infant half strength formula
• Swaddle newborn with legs flexed
• Observe the newborn in a well-lit nursery

Question 53

A nurse is caring for a newborn immediately following birth. After assuring a patent airway, what is the priority nursing action?

• Administer eye prophylaxis
• Administer vitamin K
• Give the infant a bath
• Dry the skin

Question 54

A nurse is caring for a 5-year-old child who is postoperative following a tonsillectomy. Which of the following pain scales should the nurse use to determine the child’s pain level?

• FACES
• Numeric Rating Scale (NRS)
• NIPS (Neonatal Infant Pain Scale)
• FLACC

Question 55

A nurse on a postpartum unit is giving discharge instructions to a client whose newborn had a circumcision with a Plastibell technique. Which of the following client statements indicates an understanding of circumcision care?

• I should remove the ring in 24 hours
• I’ll expect the plastic ring to fall off by itself within 5-8 days
• I’ll call the doctor if I see any excessive bleeding
• I should clean the area with alcohol swabs to prevent infection
• I will call the doctor if a foul odor is present

Question 56

A nurse is caring for a client who is in the first stage of labor, undergoing external fetal monitoring, and receiving IV fluid. The nurse observes variable decelerations in the fetal heart rate on the monitor strip. Which of the following is a correct interpretation of this finding?

• Variable decelerations are caused by uteroplacental insufficiency
• Variable decelerations are related to fetal head compression
• Variable decelerations are a result of the administration of IV narcotic analgesics
• Variable decelerations are due to umbilical cord compression

Question 57 of 60

A nurse is planning care for a preterm newborn. Which of the following nursing interventions to promote development should be included in the plan of care?

• Keep the newborn in a well-lit nursery.
• Cluster care activities
• Increase the environmental noise
• Use one hand to pick up the preterm infant

Question 58 of 60

The nurse is caring for a newborn born at 30 weeks’ gestation. Which assessment finding should the nurse anticipate?

• Flexion of all four (4) extremities
• Abundance of subcutaneous fat deposits
• Lanugo covering most of the body
• Plantar creases over the entire sole

Question 59 of 60

A nurse is assessing a newborn immediately following a scheduled cesarean delivery. Which of the following assessments is the nurse’s priority?

• Erythema toxicum
• Acrocyanosis.
• Respiratory distress
• Small white cysts on gums or palate

Question 60 of 60

As the nurse caring for an infant who has been prescribed Amoxicillin (Amoxil) orally every 6 hours, you need to calculate the dose. The recommended safe dosage is 50 mg/kg/day, divided into multiple doses. If the infant weighs 6 kg, how much Amoxicillin should you administer per dose?

• 75 mg