ATI RN
NCLEX Pediatric Respiratory Nursing Questions Questions
Question 1 of 5
A 2-1/2-year-old child is brought to the clinic by his father who explains that the child is afraid of the dark and says 'no' when asked to do something. The nurse would explain that the negativism demonstrated by toddlers is frequently an expression of...
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
The school nurse is planning a series of safety and accident prevention classes for a group of third graders. What preventive measures should the nurse stress during the first class, knowing the leading cause of incidental injury and death in this age?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
Postpartum overdistention of the bladder and urinary retention can lead to which complication?
Correct Answer: D
Rationale: Incomplete emptying and overdistention of the bladder can lead to urinary tract infection. Overdistention of the bladder displaces the uterus and prevents contraction of the uterine muscle. There is no correlation between bladder distention and blood pressure or fever. There is no correlation between bladder distention and eclampsia. The risk of uterine rupture decreases after the birth.
Question 4 of 5
The nurse has completed a postpartum assessment on a patient who delivered 1 hour ago. Which amount of lochia consists of a moderate amount?
Correct Answer: B
Rationale: Because estimating the amount of lochia is difficult, nurses frequently record flow by estimating the amount of lochia in 1 hour using the following labels: Scant€”less than 2.5 cm (1-inch) stain on the peripad; Light€”less than a 10 cm (4 inch) stain; Moderate€”less than a 15 cm (6 inch) stain; Heavy€”saturated peripad; Excessive€”saturated peripad in 15 minutes. Determining the time interval that the peripad is in place is also important. Lochia is less for women who have had a cesarean birth because some of the endometrial lining is removed during surgery.
Question 5 of 5
The nurse includes the addition of ice sitz baths for the postpartum patient. Which assessment finding indicates the treatment has been effective?
Correct Answer: A
Rationale: Sitz baths may be offered two to four times a day to women with episiotomies, painful hemorrhoids, or perineal edema. Sitz baths provide continuous circulation of water and cleanse and comfort the traumatized perineum. Cool water reduces pain caused by edema and may be most effective within the first 24 hours. Ice can be added to cool the water to a comfortable level as the woman sits in it. Approximation of the edges of a wound facilitates wound healing. The purpose of the cold sitz bath is to decrease the edema secondary to tissue trauma.