Nursing Elites

1. The nurse is unsuccessful in inserting a nasogastric tube for a newborn client. The nurse suspects the newborn has esophageal atresia/tracheoesophageal (EA/TE) fistula. Which nursing action is appropriate while waiting for the healthcare provider to further assess the neonate?

• A. Position the newborn in a semi-Fowler position.
• B. Allow the newborn to stay in the nursery for observation.
• C. Offer the newborn pacifier for comfort.
• D. Wrap the newborn in blankets and place in an incubator.

Correct answer: A

Rationale: Positioning the newborn in a semi-Fowler position is appropriate as it helps prevent aspiration in suspected EA/TE fistula. This position helps reduce the risk of regurgitation and aspiration of gastric contents. Placing the newborn in a semi-Fowler position promotes the drainage of secretions and reduces the risk of complications while awaiting further assessment by the healthcare provider.

2. A parent of an infant with diaper dermatitis is being taught by a nurse. Which of the following instructions should the nurse include?

• A. Use baby wipes that contain alcohol to clean the baby's skin.
• B. Expose the baby's skin to air.
• C. Use a blow dryer on the warm setting to dry the baby's skin.
• D. Give the baby a bath once a week.

Correct answer: B

Rationale: The nurse should instruct the parent to expose the infant's skin to air as it helps in promoting the healing process of diaper dermatitis by allowing the skin to breathe and reducing moisture, which can worsen the condition.

3. A nurse administers naloxone (Narcan) to a post-op patient experiencing respiratory sedation. What undesirable effect would the nurse anticipate after giving this medication?

• A. Drowsiness
• B. Tics and tremors
• C. Increased Pain
• D. Nausea and vomiting

Correct answer: C

Rationale: Naloxone reverses the effects of narcotics. Although the patient’s respiratory status will improve after administration of naloxone, the pain will be more acute.

4. Which level nursery classifications are housed in institutions that can provide on-site surgical repair of serious congenital or acquired malformations?

• A. Level III
• B. Level I
• C. Level IV
• D. Level II

Correct answer: C

Rationale: The correct answer is C: Level IV. Level IV nurseries are equipped to provide the highest level of care, including complex surgical interventions for serious congenital or acquired malformations. These nurseries have the necessary resources and expertise to manage critical cases effectively. Choice A: Level III nurseries provide advanced care for moderately ill newborns but may not have the capacity for on-site surgical repair of serious malformations. Choice B: Level I nurseries offer basic care for healthy newborns and those with minor issues, lacking the resources for surgical interventions. Choice D: Level II nurseries can manage moderately ill newborns but may not have the capability for complex surgical interventions like Level IV nurseries.

5. A child is being assessed for possible appendicitis with perforation. Which of the following findings should the nurse expect?

• A. Hyperactive bowel sounds
• B. Abdominal distension
• C. Hypoactive bowel sounds
• D. Bradycardia

Correct answer: D

Rationale: In a child with appendicitis and possible perforation, the nurse should expect bradycardia due to peritoneal irritation. Bradycardia is a common response to peritoneal inflammation or infection, indicating a possible serious complication. Hyperactive bowel sounds, abdominal distension, and hypoactive bowel sounds are more commonly associated with other gastrointestinal conditions and are less likely to be present in a child with appendicitis and perforation. Therefore, the correct answer is bradycardia (D) as it aligns with the expected physiological response in this scenario.

Similar Questions