ATI RN
NCLEX Pediatric Respiratory Nursing Questions Questions
Question 1 of 5
Which measure may prevent mastitis in a breastfeeding patient?
Correct Answer: C
Rationale: Early and frequent feedings prevent milk stasis, engorgement, and mastitis by ensuring proper milk flow and emptying of the breast. Nursing for only 5 minutes may not fully empty the breast, leading to stasis. Tight bras can constrict milk flow, and ice packs before feeding can decrease milk production. Frequent feedings are key to preventing mastitis in breastfeeding patients.
Question 2 of 5
To prevent infection of the reproductive tract, the nurse should instruct the patient to
Correct Answer: B
Rationale: Instructing the patient to cleanse the perineum from front to back helps prevent infection of the reproductive tract by avoiding introduction of infection from the anal area. Changing the peripad once per shift and performing pericare twice in a shift are incorrect as hygiene measures should be done at every voiding or bowel elimination. Increasing fluid intake does not directly prevent infection of the reproductive tract.
Question 3 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 4 of 5
The nurse is performing a gestational age assessment on a newborn. Which characteristic indicates the greatest gestational maturity?
Correct Answer: B
Rationale: Peeling, cracking, dryness, and a few visible veins in the skin are signs of maturity in the newborn. Extended arms and legs are a sign of preterm infants. Few rugae on the scrotum indicate a younger age in the newborn. The arm being able to be positioned with the elbow beyond the midline of the chest is a result of the scarf sign and indicates a newborn of a younger age. Therefore, the presence of peeling and cracking of the skin indicates the greatest gestational maturity.
Question 5 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.