ATI RN
Respiratory Pediatric Nursing Questions
Question 1 of 5
Nursing measures that help prevent postpartum urinary tract infection include
Correct Answer: A
Rationale: Adequate fluid intake prevents urinary stasis, dilutes urine, and flushes out waste products, reducing the risk of urinary tract infections. Early ambulation, not bed rest, is encouraged postpartum. Acidifying drinks like cranberry juice can also help prevent infections. Delaying voiding can lead to urinary stasis and increase the risk of infection.
Question 2 of 5
If the nurse suspects a pulmonary embolism in the patient who suddenly complains of chest pain, she or he should immediately
Correct Answer: B
Rationale: The immediate action for a suspected pulmonary embolism is to apply oxygen via a tight face mask to increase oxygen saturation and decrease hypoxia. Assessing breath sounds and monitoring pulse oximetry provide assessment data but do not address the immediate problem. A supine position with the head of the bed flat is incorrect as the head of the bed should be elevated to facilitate respiratory function.
Question 3 of 5
The nurse is explaining the risk of hypothermia in the newborn to a group of nursing students. Which statement best describes the manifestations of hypothermia in the newborn?
Correct Answer: C
Rationale: In pediatric nursing, understanding the manifestations of hypothermia in newborns is crucial for providing effective care. The correct answer is C) Newborns have increased glucose demands when experiencing hypothermia. This is because hypothermia leads to increased metabolic rate in an effort to generate heat, which in turn increases the body's demand for glucose as an energy source to fuel this process. Option A) Newborns do not shiver to generate heat like adults do. Their immature neuromuscular system makes shivering ineffective in generating heat. Option B) Contrary to the statement, newborns experiencing hypothermia have increased oxygen demands to support their heightened metabolic rate in an attempt to maintain body temperature. Option D) Newborns do not have a decreased metabolic rate when they are hypothermic. In fact, their metabolic rate increases as they try to generate heat. Educationally, it is important for nursing students to understand the physiological responses of newborns to hypothermia to effectively assess, intervene, and prevent complications in this vulnerable population. By grasping the increased glucose demands in hypothermic newborns, students can tailor their care to meet the unique needs of these patients.
Question 4 of 5
Which statement best explains why a newborn with a congenital defect of the penis should not be circumcised?
Correct Answer: B
Rationale: The correct answer is B because the foreskin may be needed to correct a defect in cases of epispadias and hypospadias. Circumcision does not significantly increase the risk of infection and would not make the defect more noticeable. It is important to preserve the foreskin for potential future repairs in cases of congenital defects.
Question 5 of 5
Which information should the nurse teach to new parents regarding the use of a bulb syringe?
Correct Answer: C
Rationale: The correct answer is C because inserting the bulb syringe into the sides of the mouth, rather than the back of the throat, helps avoid stimulating the vagal nerve and causing bradycardia. Suction can be done as needed, and vigorous suction of the back of the throat should be avoided. Suctioning the mouth first is important to prevent aspiration.