ATI RN
Pediatric Respiratory Assessment Nursing Questions
Question 1 of 5
teaching regarding thrombus formation is unnecessary?
Correct Answer: D
Rationale: The correct answer is D because support stockings should be applied before the patient rises from bed in the morning to prevent venous congestion. Choices A, B, and C are incorrect as they do not address the prevention of thrombus formation. It is essential to educate the patient on proper measures to prevent thrombus formation, especially after childbirth when the risk is increased.
Question 2 of 5
Following a vaginal birth, a patient has lost a significant amount of blood and is starting to experience signs of hypovolemic shock. Which clinical signs would be consistent with this diagnosis?
Correct Answer: B
Rationale: The correct answer is B because in the early stages of hypovolemic shock, clinical signs include normal blood pressure, decreased pulse pressure, compensatory tachycardia, and pale, cool skin color. These signs indicate the body's compensatory response to the decreased blood volume. Other options such as a decrease in heart rate or flushed skin are not consistent with the diagnosis of hypovolemic shock.
Question 3 of 5
As you receive a report, which assessment finding should you recognize as an indication of a vaginal laceration?
Correct Answer: C
Rationale: Lacerations of the birth canal should always be suspected if excessive bleeding continues when the fundus is firm. Bleeding from the genital tract often is bright red, in contrast to the darker red color of lochia. A firm fundus, pulse of 90 bpm, blood pressure of 110/78 mm Hg, and being medicated twice in one shift are common findings in the postpartum patient.
Question 4 of 5
How can nurses prevent evaporative heat loss in the newborn?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
An infant at 39 weeks' gestation was just delivered; included in the protocol for a term infant is an initial blood glucose assessment. The nurse obtains the blood sample and the reading is 58 mg/dL. What is the priority nursing action based upon this reading?
Correct Answer: A
Rationale: A blood glucose reading of 58 mg/dL in a term infant is within the normal range (50 to 90 mg/dL). Therefore, the priority nursing action would be to document the finding in the newborn's chart. No further interventions or notifications are necessary as the glucose level is appropriate for a term infant.