ATI RN
NCLEX Pediatric Respiratory Nursing Questions Questions
Question 1 of 5
Nurse Bryan knows that one of the most effective strategies to teach a 4-year-old about safety is to...
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 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 3 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 4 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.
Question 5 of 5
What should a new mother do to accept the real baby?
Correct Answer: A
Rationale: Accepting the real infant and relinquishing the fantasy infant occurs during the letting-go phase of maternal adjustment. This phase is crucial for a mother to bond with her baby and establish a healthy relationship. Letting-go allows the mother to embrace the reality of her new role and the needs of her infant, leading to better maternal adjustment and overall well-being for both mother and baby.