ATI RN
NCLEX Pediatric Respiratory Nursing Questions Questions
Question 1 of 5
In providing and teaching cord care, which guidance is most appropriate?
Correct Answer: D
Rationale: The correct answer is D because keeping the umbilical cord dry helps decrease bacterial growth, as bacteria thrive in moist environments. Evidence-based practice recommends cleaning the cord with water when necessary and keeping it clean and dry for optimal care. No additional agents are needed for cord care, and the cord typically falls off within 10 to 14 days.
Question 2 of 5
Which clinical finding indicates a sign of illness in the newborn?
Correct Answer: D
Rationale: An axillary temperature greater than 38°C (100.4°F) in a newborn is a sign of illness and should be promptly evaluated by a healthcare provider. Yellow scaly lesions on the scalp, more than two soft stools per day, and regurgitating a small amount of feeding are generally normal findings in newborns. Monitoring for signs of illness is crucial for early detection and intervention.
Question 3 of 5
Which recommendation should the nurse make to a patient to assist in initiating the milk-ejection reflex?
Correct Answer: C
Rationale: The correct answer is C - Place the infant to the breast. This is because oxytocin, which causes the milk let-down reflex, increases in response to nipple stimulation. Placing the infant to the breast stimulates this reflex and helps initiate milk flow. The other options, such as wearing a firm bra, drinking fluids, and applying cool packs, do not directly stimulate the milk-ejection reflex.
Question 4 of 5
What is the most serious consequence of propping an infant's bottle?
Correct Answer: B
Rationale: Propping the bottle increases the likelihood of choking and aspiration if regurgitation occurs, which can be a life-threatening situation for the infant. While colic, dental caries, and ear infections are concerning, aspiration poses the most immediate danger to the infant's health and well-being. It is important to educate parents on the risks associated with propping bottles to ensure the safety of the child.
Question 5 of 5
Which preterm infant should receive gavage feedings instead of bottle feedings?
Correct Answer: C
Rationale: Infants less than 34 weeks of gestation or those who weigh less than 1500g generally have difficulty with bottle-feeding. Gavage feedings should be initiated if the respiratory rate is above 60 breaths per minute. In this case, a sustained respiratory rate of 70 breaths per minute indicates the need for gavage feedings to ensure proper nutrition and avoid respiratory distress.