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: In this scenario, option C is the statement that suggests the nurse should intervene with further teaching. This is because the parent is attributing symptoms of drooling, biting, and running a fever to teething, which may not be accurate. This statement raises concerns as it could indicate a lack of understanding regarding potential underlying health issues that may require medical attention rather than just being related to teething. Option A is a correct statement as it reflects the recommended safe sleep practice of placing a newborn on their back to reduce the risk of Sudden Infant Death Syndrome (SIDS). Option B is also accurate as intermittent eye crossing is a normal developmental milestone in infants. Option D demonstrates good parental awareness by considering waiting until the appropriate age to introduce solids, aligning with current guidelines to start solid foods around 6 months of age. From an educational perspective, this question highlights the importance of accurate health information for parents. It underscores the role of nurses in providing evidence-based education to support parents in making informed decisions about their child's health. It also emphasizes the significance of differentiating between normal developmental variations and symptoms that may require further evaluation by healthcare providers.
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.