ATI RN
Wongs Essentials of Pediatric Nursing 11th Edition Test Bank Questions
Question 1 of 5
The nurse is caring for a newborn with hyperbilirubinemia who is receiving phototherapy. Which is an appropriate nursing intervention for this newborn?
Correct Answer: C
Rationale: Monitoring temperature to prevent hypothermia or hyperthermia is an appropriate nursing intervention for a newborn with hyperbilirubinemia receiving phototherapy. Phototherapy can increase the risk of hypothermia in newborns due to increased heat loss from evaporation, convection, and conduction. On the other hand, hyperthermia can occur if the newborn is over-wrapped or placed too closely to the light source. Therefore, frequent temperature monitoring is essential to maintain a stable body temperature within a normal range and prevent adverse effects related to temperature dysregulation.
Question 2 of 5
Which approach would be best to use to ensure a positive response from a toddler?
Correct Answer: A
Rationale: The approach that would be best to use to ensure a positive response from a toddler is to assume an eye-level position and talk quietly (Option A). This approach is effective because it demonstrates respect and consideration for the toddler's perspective. By being at the child's eye level, you are showing that you are engaging with them on their level, which can help them feel more comfortable and respected. Additionally, talking quietly can help create a calm and soothing environment, which is often more conducive to getting a positive response from a toddler. This approach shows empathy and understanding towards the toddler's needs and can help in building a positive relationship with them.
Question 3 of 5
The nurse is using the Centers for Disease Control and Prevention (CDC) growth chart for an African-American child. Which statement should the nurse consider?
Correct Answer: C
Rationale: The correct statement for the nurse to consider is that a correction factor is necessary when the CDC growth chart is used for non-Caucasian ethnic groups. This is because the CDC growth charts were primarily developed using data from Caucasian children. Research has shown that children from different ethnic backgrounds may have differences in growth patterns compared to Caucasian children. Therefore, when using the CDC growth chart for African-American children or other ethnic groups, a correction factor may need to be applied to ensure accurate growth assessment and monitoring.
Question 4 of 5
What type of breath sound is normally heard over the entire surface of the lungs except for the upper intrascapular area and the area beneath the manubrium?
Correct Answer: A
Rationale: Vesicular breath sounds are normal, low-pitched sounds heard over the majority of the lung surface. They are usually soft and rustling with a longer inspiratory phase than expiratory phase. Vesicular breath sounds are produced by air moving through smaller bronchioles and alveoli. These sounds can be heard over the entire lung surface except for the upper intrascapular area and the area beneath the manubrium, where bronchovesicular breath sounds are typically heard.
Question 5 of 5
The parents of a 9-month-old infant tell the nurse that they have noticed foods such as peas and corn are not completely digested and can be seen in their infant's stools. The nurse's explanation of this is based on which statement?
Correct Answer: D
Rationale: The correct answer is D. This is normal because of the immaturity of digestive processes at this age. At 9 months old, infants are still in the process of developing their digestive system. It is common for them to have difficulty digesting certain foods, especially those high in fiber like peas and corn. This is due to the immaturity of their digestive enzymes and processes. As the infant grows, their digestive system will continue to mature, and they will be able to digest these types of foods more effectively. Therefore, there is no need for further investigation or restriction of solid foods.