ATI RN
NCLEX Pediatric Respiratory Wong Nursing Questions Questions
Question 1 of 5
A newborn is admitted to the special care nursery with hypothermia. Which complication should the nurse monitor for closely?
Correct Answer: B
Rationale: Hypothermia can lead to metabolic acidosis in newborns. Cold stress increases oxygen demands and metabolism of glucose in the absence of sufficient oxygen can result in increased production of acids, leading to metabolic acidosis. Monitoring for metabolic acidosis is crucial in this scenario to prevent life-threatening complications. The other options, such as hyperglycemia, respiratory acidosis, and vasodilation of peripheral blood vessels, do not directly relate to the complication of hypothermia.
Question 2 of 5
Which of the following guidelines should the nurse implement to prevent the abduction of a newborn from the hospital?
Correct Answer: B
Rationale: The correct answer is B because questioning anyone seen walking in the hallways carrying an infant is a proactive measure to prevent newborn abduction. It is important to be vigilant and question individuals who do not have proper authorization or identification when carrying an infant. Restricting the time infants are out of the nursery and monitoring visitors are also important measures to prevent abduction.
Question 3 of 5
When an infant's temperature drops from (37 to 36.3°C) 98.7 to 97.4°F, the nurse should
Correct Answer: B
Rationale: When an infant's temperature drops, it may be caused by a decrease in blood glucose levels. Therefore, determining the time and amount of the last feeding is crucial to address the underlying issue. Instructing parents on cold stress and increasing room temperature are interventions to maintain a stable temperature but will not address the root problem. A blood sugar level higher than 50 mg/dL is actually a normal finding in infants.
Question 4 of 5
Which statement by a parent suggests that the nurse intervene with further teaching?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
Which is the first step in assisting the breastfeeding mother to nurse her infant?
Correct Answer: A
Rationale: The correct answer is A - Assess the woman's knowledge of breastfeeding. Assessment is the first step in determining the mother's learning needs and readiness to breastfeed. Only after assessing her knowledge can appropriate instruction and support be provided. The other options may be important steps in the process, but assessment comes first.