ATI RN
NCLEX Pediatric Respiratory Wong Nursing Questions Questions
Question 1 of 5
When an infant's temperature drops from (37 to 36.3°C) 98.7 to 97.4°F, the nurse should
Correct Answer: B
Rationale: When an infant's temperature drops, it may be caused by a decrease in blood glucose levels. Therefore, determining the time and amount of the last feeding is crucial to address the underlying issue. Instructing parents on cold stress and increasing room temperature are interventions to maintain a stable temperature but will not address the root problem. A blood sugar level higher than 50 mg/dL is actually a normal finding in infants.
Question 2 of 5
Which is the first step in assisting the breastfeeding mother to nurse her infant?
Correct Answer: A
Rationale: The correct answer is A - Assess the woman's knowledge of breastfeeding. Assessment is the first step in determining the mother's learning needs and readiness to breastfeed. Only after assessing her knowledge can appropriate instruction and support be provided. The other options may be important steps in the process, but assessment comes first.
Question 3 of 5
A mother is breastfeeding her newborn son and is experiencing signs of her breasts feeling tender and full in between infant feedings. She asks if there are any suggestions that you can provide to help alleviate this physical complaint. The ideal nursing response would be to
Correct Answer: B
Rationale: The correct answer is B because the patient may be experiencing signs of engorgement, and placing the infant to feed more frequently may help prevent physical complaints of tenderness due to milk accumulation. Wearing a bra or using ice packs may provide comfort but will not resolve engorgement issues. It is important to address the root cause of the issue, which is milk accumulation.
Question 4 of 5
Overstimulation may cause increased oxygen use in a preterm infant. Which nursing intervention helps to avoid this problem?
Correct Answer: D
Rationale: Teaching parents the signs of overstimulation allows them to adjust their care to prevent overstimulation in the preterm infant. This empowers parents to provide appropriate care and create a soothing environment for the infant, ultimately reducing the risk of increased oxygen use due to overstimulation.
Question 5 of 5
Following a traumatic birth of a 10lb infant, the nurse should evaluate
Correct Answer: B
Rationale: A large infant born after a traumatic birth is at risk for shoulder dystocia, which may result in clavicle fracture or damage to the brachial plexus. Evaluating the flexion of both upper extremities can provide important information about any potential injuries. Gestational age status or growth chart percentile will not provide data about traumatic birth injuries, and while large infants are at risk for hypoglycemia, evaluating blood sugar alone may not address potential physical injuries.