ATI RN · NCLEX Pediatric Respiratory Nursing Questions
Question 1 of 114
To prevent infection of the reproductive tract, the nurse should instruct the patient to
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Question 2 of 114
Which position is most comfortable for a child with left-sided pneumonia?
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Question 3 of 114
Which of the following is a major risk factor for necrotizing enterocolitis (NEC) in neonates?
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ATI RN · NCLEX Pediatric Respiratory Nursing Questions
Question 4 of 114
The nurse should expect medical intervention for subinvolution to include
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Question 5 of 114
What is the most serious consequence of propping an infant's bottle?
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Question 6 of 114
A therapist treating a newborn with hypoxemia due to hypothermia should also be aware of which of the following conditions?
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Question 7 of 114
The respiratory therapist is attending a term labor of a woman diagnosed with gestational diabetes. The baby is very large for gestational age. What other metabolic disturbances should be considered?
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Question 8 of 114
The nurse is performing a gestational age assessment on a newborn. Which characteristic indicates the greatest gestational maturity?
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Question 9 of 114
What is the most appropriate next step for a neonate with persistent apnea despite caffeine therapy?
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Question 10 of 114
What is the most effective intervention for preventing intraventricular hemorrhage (IVH) in preterm neonates?
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Question 11 of 114
When instructing the mother about the neonate's need for sensory and visual stimulation, the nurse should plan to explain that the most highly developed sense in the neonate is...
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Question 12 of 114
What is the most common cause of neonatal seizures?
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Question 13 of 114
What is the recommended treatment for a neonate diagnosed with neonatal abstinence syndrome (NAS)?
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Question 14 of 114
Which of the following embryonic germ layers gives formation to the respiratory system?
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Question 15 of 114
While in utero, the fetus passes meconium. Based on this assessment, which nursing diagnosis takes priority for the newborn at birth?
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Question 16 of 114
A nurse is caring for a child with a history of seizures. The nurse should prioritize which of the following during a seizure?
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Question 17 of 114
How does the nurse interpret laboratory analysis of a stool sample containing excessive azotorrhea and steatorrhea in a child with cystic fibrosis (CF)?
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Question 18 of 114
Which of the following should the nurse do first for a 15-year-old boy with a full leg cast who is screaming in unrelenting pain and exhibiting right foot pallor signifying compartment syndrome?
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Question 19 of 114
A nurse is caring for a 6-month-old infant who is crying excessively. The nurse should first assess for which of the following?
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Question 20 of 114
What is the primary concern for neonates with meconium aspiration syndrome?
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Question 21 of 114
A 2-1/2-year-old child is brought to the clinic by his father who explains that the child is afraid of the dark and says 'no' when asked to do something. The nurse would explain that the negativism demonstrated by toddlers is frequently an expression of...
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Question 22 of 114
A 1-month-old male has had noisy breathing since birth. He is worse when supine. The physical examination reveals retractions, mild thoracic deformity, and inspiratory stridor. The most likely diagnosis is
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Question 23 of 114
What is the most important piece of information the nurse must ask the parent of a child in status asthmaticus?
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Question 24 of 114
Which of the following is a common cause of seizures in neonates?
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Question 25 of 114
Which child with asthma should the nurse see first?
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Question 26 of 114
What is the most common cause of neonatal hypoglycemia?
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Question 27 of 114
All the following inhalation therapies in cystic fibrosis are true EXCEPT:
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Question 28 of 114
Nurse Bryan knows that one of the most effective strategies to teach a 4-year-old about safety is to...
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Question 29 of 114
What is the most common cause of hypoglycemia in neonates?
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Question 30 of 114
What is the most beneficial educational information for parents of a child with severe cerebral palsy admitted with aspiration pneumonia?
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Question 31 of 114
The most important prevention method for the spread of any communicable disease is
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Question 32 of 114
A 3-year-old presents to your office with a 3-week history of unilateral nasal discharge. The discharge is malodorous and lately has been blood tinged. The most likely diagnosis is
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Question 33 of 114
What is the most common cause of apnea of prematurity?
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Question 34 of 114
Sarah was 5 weeks old when she was diagnosed with CF. Her mother had a close cousin who died of CF when she was 14 years old. Sarah's parents were sad and concerned about Sarah's current life expectancy. What is the nurse's best response?
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Question 35 of 114
The nurse is discussing sexuality with the parents of an adolescent girl with moderate cognitive impairment. Which would the nurse consider with this topic?
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ATI RN · NCLEX Pediatric Respiratory Nursing Questions
Question 36 of 114
Which of the following maternal complications is associated with cesarean section?
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Question 37 of 114
Which recommendation should the nurse make to a patient to assist in initiating the milk-ejection reflex?
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Question 38 of 114
What is the primary cause of neonatal seizures?
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Question 39 of 114
What should the parents of a child with asthma do to make their home more allergy-free?
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Question 40 of 114
An 18-month-old child presented with a second attack of sudden onset of harsh barking cough, hoarseness, and inspiratory stridor at night without a significant upper respiratory tract prodrome. Of the following, The MOST likely diagnosis is
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Question 41 of 114
Factors predisposing to secondary pneumothorax (underlying cause identified) include all the following EXCEPT
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Question 42 of 114
Airborne isolation is required for a child who is hospitalized with
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Question 43 of 114
Which of the following is the most common cause of neonatal seizures?
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Question 44 of 114
Postpartum overdistention of the bladder and urinary retention can lead to which complication?
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Question 45 of 114
Imaginary friends are common among pre-school as a way for them to manipulate their environment. The parents of Jillian a 4 year old child told the nurse that the child has an invisible friend named Jonjon. Jillian blames Jonjon for any misbehaviour and is often heard scolding him calling him a bad boy. The nurse understands that the best interpretation of this behaviour is which of the following?
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Question 46 of 114
Measurement of lung volumes and airflow rates using spirometry are important in assessing pulmonary disease. These measures are compared to predicted values which rely mostly on patient
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Question 47 of 114
The nurse includes the addition of ice sitz baths for the postpartum patient. Which assessment finding indicates the treatment has been effective?
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Question 48 of 114
The nurse caring for a hospitalized 8-year-old child being treated for right lower lobe pneumonia is providing teaching for the parents regarding the best positioning for improved lung aeration. The best recommendation by the nurse is:
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Question 49 of 114
Kartagener syndrome is the triad of
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Question 50 of 114
The nurse teaches the client's mother about the normal reaction that the infant might experience 12 to 24 hours after the DPT immunization. Which of the following reactions would the nurse discuss?
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Question 51 of 114
Laboratory evaluation for cystic fibrosis is indicated in cases of small bowel atresia. Other laboratory studies are not specific for atresia, but a complete blood count, serum electrolytes, liver functions, and amylase should be measured to identify dehydration, pancreatitis, and other complications.
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Question 52 of 114
The MOST consistent clinical manifestation of pneumonia is:
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Question 53 of 114
The process in which bilirubin is changed from a fat-soluble product to a water-soluble product is known as
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Question 54 of 114
A nurse is caring for a child with a history of asthma. The nurse should educate the parents on the importance of monitoring which of the following during an asthma attack?
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Question 55 of 114
The patient in Question 13 is noted to have a mass in the same nostril in which the epistaxis is noted. The most likely diagnosis is
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Question 56 of 114
A client has just given birth to her second child and will breastfeed. Although she wants 'lots of kids,' she does not want to become pregnant again until her second child is at least 2 years old. The nurse would counsel her to start using birth control at what point?
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Question 57 of 114
Which measure may prevent mastitis in a breastfeeding patient?
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Question 58 of 114
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?
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Question 59 of 114
Hypercarbic respiratory failure can occur in
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Question 60 of 114
What is the most important aspect of caring for a neonate with a diaphragmatic hernia after birth?
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Question 61 of 114
In providing and teaching cord care, which guidance is most appropriate?
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Question 62 of 114
A 6-month-old infant presents to the clinic for routine immunizations. Prior to this visit, the infant has remained up-to-date with immunizations. The nurse anticipates the infant will need which of the following immunizations recommended at 6 months? Select one that doesn't apply.
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Question 63 of 114
A nurse is admitting a child to the hospital with a diagnosis of giardiasis. Which medication would the nurse expect to be prescribed?
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Question 64 of 114
The x-ray findings of right ventricular hypertrophy combined with decreased pulmonary blood flow are suggestive of:
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Question 65 of 114
The MOST common cause of hydrothorax in children is:
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Question 66 of 114
Who is at the highest priority to receive the flu vaccine?
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Question 67 of 114
Which of the following best describes parallel play between two toddlers?
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Question 68 of 114
Which of the following is a risk factor for the development of neonatal hypoglycemia?
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Question 69 of 114
Gross motor development of an infant can also be seen to the head onto what degree the infant can lift it when prone. When can you expect an infant to raise his head 90° when prone?
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Question 70 of 114
Once preterm labor is diagnosed, which of the following medications should be considered as tocolytic?
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Question 71 of 114
A nurse is caring for a child who is diagnosed with a viral upper respiratory infection. The nurse should explain that this condition is typically treated with
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Question 72 of 114
Pneumonia in older patients with cystic fibrosis is usually caused by
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Question 73 of 114
The accepted definition of bronchopulmonary dysplasia (BPD) includes the requirement for supplemental oxygen for at least how many days?
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Question 74 of 114
Which symptom is NOT typically seen in children with heart failure?
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Question 75 of 114
The MOST common complaint in patients with bronchiectasis is:
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Question 76 of 114
A 7-month infant presented in emergency department with history of choking. On examination he is cyanosed. You are suspecting foreign body aspiration. What will be your immediate step in management?
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Question 77 of 114
A l-year-old presents with an acute onset of cough, choking, and respiratory distress. Physical evaluation reveals a respiratory rate of 45 and wheezing. There is no family history of asthma, and no one at home is ill. The older sister states that they were both playing house and that they both had eaten sunflower seeds. The most likely diagnosis is
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Question 78 of 114
A nurse is caring for a child with leukemia. The nurse recognizes that the child is at increased risk for
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Question 79 of 114
The sweat chloride test, which is still the standard diagnostic test for cystic fibrosis (CF), is positive if sweat chloride more than
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Question 80 of 114
What should a new mother do to accept the real baby?
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Question 81 of 114
A nurse is assessing a child with a history of frequent urinary tract infections (UTIs). The nurse should prioritize which of the following interventions?
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Question 82 of 114
What is the most common cause of jaundice in neonates?
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Question 83 of 114
A nurse is educating the parents of a child with cystic fibrosis about the need for daily chest physiotherapy. The nurse should explain that this therapy is used to
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Question 84 of 114
Which of the following is the most common cause of respiratory failure in neonates?
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Question 85 of 114
What is the nurse's best response to a mother whose son is diagnosed with epiglottitis?
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Question 86 of 114
Mild eosinophilia is characteristic of infantile pneumonia caused by
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Question 87 of 114
Which clinical finding indicates a sign of illness in the newborn?
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Question 88 of 114
Pathologic findings of pulmonary hemosiderosis in association with cow's milk include all the following EXCEPT:
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Question 89 of 114
What should children do to help stop the spread of influenza in the classroom?
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Question 90 of 114
A child age 7 was unable to receive the measles, mumps, and rubella (MMR) vaccine at the recommended scheduled time. When would the nurse expect to administer the MMR vaccine?
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Question 91 of 114
When should the first chest physiotherapy (CPT) be performed for a 4-month-old with cystic fibrosis (CF)?
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Question 92 of 114
When teaching parents about the child's readiness for toilet training, which of the following signs should the nurse instruct them to watch for in the toddler?
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Question 93 of 114
What is the primary concern for neonates diagnosed with hypoplastic left heart syndrome (HLHS)?
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Question 94 of 114
Which of the following is a common complication of premature rupture of membranes (PROM)?
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Question 95 of 114
A nurse is assessing a child with a respiratory illness. The child is experiencing nasal flaring and retractions of the ribs. The nurse should recognize that these are signs of
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Question 96 of 114
The parent of a 9-month-old calls the ER because his child is choking on a marble. The parent asks how to help his child while awaiting Emergency Medical Services (EMS). Which is the nurse's best response?
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Question 97 of 114
Which assessment findings are consistent with Down Syndrome?
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Question 98 of 114
The aim of the rehabilitation phase in the treatment of malnutrition is to;
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Question 99 of 114
There is no abdominal tenderness or distention and no vomiting. If these are intussusception or volvulus, should be present, other diagnoses, such as considered. Peripheral eosinophilia generally is not present on complete blood count, which nevertheless should be performed to rule out an associated iron deficiency anemia.
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Question 100 of 114
The nurse has completed a postpartum assessment on a patient who delivered 1 hour ago. Which amount of lochia consists of a moderate amount?
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Question 101 of 114
A newborn who has remained in the hospital because the mother had a cesarean birth is to be tested for phenylketonuria (PKU) on the morning of discharge. What should the nurse explain to the mother about the purpose of PKU testing?
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Question 102 of 114
The school nurse is planning a series of safety and accident prevention classes for a group of third graders. What preventive measures should the nurse stress during the first class, knowing the leading cause of incidental injury and death in this age?
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Question 103 of 114
Gino Ang, who weighed 7 lbs. at birth, was discharged from the hospital on his 3rd day of life. During the nest 2 weeks at home he developed severe vomiting & weight loss, although his appetite remained good. Finally, Gino's mother brought him to the hospital ER for treatment. Gino's PE revealed severe dehydration, epigastric pain & distention, and a palpable olive-size mass in the right upper quadrant. Vomiting due to this type of obstruction is typically characterized as: 1. Bile stained 2. Initiated with great force 3. Decreasing in severity in time 4. Unaccompanied by nausea
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Question 104 of 114
Which intervention is most appropriate to teach the mother of a child diagnosed with an upper respiratory infection (URI) and a dry, hacking cough that prevents sleep?
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Question 105 of 114
Which preterm infant should receive gavage feedings instead of bottle feedings?
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Question 106 of 114
While assessing a child with pyloric stenosis, the nurse is likely to note which of the following?
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Question 107 of 114
An infant presents with lethargy in the newborn nursery on the second day of life. On further examination, vital signs are stable and muscle tone is slightly decreased, with sluggish reflexes noted. Other physical characteristics are noted as being normal. Lab tests reveal a decreased hematocrit and increased blood sugar. The nurse suspects that the infant may be exhibiting signs and symptoms of
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Question 108 of 114
A nurse is assessing a child with a fever of 103°F (39.4°C). The nurse should prioritize which of the following?
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Question 109 of 114
Chest physiotherapy is most beneficial in children with
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Question 110 of 114
If a late postpartum hemorrhage is documented on a patient who delivered 3 days ago, the nurse recognizes that this hemorrhage occurred
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ATI RN · NCLEX Pediatric Respiratory Nursing Questions
Question 111 of 114
A 3-year-old has a sudden onset of cough and respiratory distress while playing with siblings in the playroom. There is wheezing over the left lung. The chest x-ray is shown in Figure 18-1. The most likely diagnosis is
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ATI RN · NCLEX Pediatric Respiratory Nursing Questions
Question 112 of 114
Grunting is produced by expiration against a partially closed glottis and is an attempt to maintain positive pressure in the airway for as long as possible. It is MOST commonly associated with which condition?
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ATI RN · NCLEX Pediatric Respiratory Nursing Questions
Question 113 of 114
What is the most appropriate intervention for a neonate diagnosed with hypoxic-ischemic encephalopathy (HIE)?
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ATI RN · NCLEX Pediatric Respiratory Nursing Questions
Question 114 of 114
The mother asks when the 'soft spots' close. The nurse explains that the neonate's anterior fontanel will normally close by age...
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