ATI RN
NCLEX Pediatric Respiratory Nursing Questions Questions
Question 1 of 5
The process in which bilirubin is changed from a fat-soluble product to a water-soluble product is known as
Correct Answer: C
Rationale: Conjugation of bilirubin is the process of changing bilirubin from a fat-soluble to a water-soluble product. This process is important for the elimination of bilirubin from the body. The other choices, such as albumin binding, enterohepatic circuit, and deconjugation of bilirubin, do not describe the specific process of changing bilirubin's solubility.
Question 2 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 3 of 5
A 38 weeks' gestation fetus is delivered via cesarean birth and transported to the newborn nursery in an isolette. Apgar scores were 8, 9, and 10. At this time, the infant is receiving an initial assessment in the newborn nursery. Which is the priority nursing diagnosis?
Correct Answer: C
Rationale: Delivery via cesarean birth may affect the newborn's ability to clear excess fluid secretions, posing a risk for ineffective airway clearance. The Apgar scores do not indicate immediate tissue perfusion issues or ineffective thermoregulation. There is no evidence of equipment malfunction at this point.
Question 4 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 5 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.