A nurse is educating a parent of an infant diagnosed with gastroesophageal reflux. Which statement from the parent shows they have understood the teaching?

“I will need to feed my baby with formula instead of breast milk.”.

“I should position my baby on their side during sleep.”.

“I will keep my baby in an upright position after feedings.”.

“I can thicken my baby’s formula with oatmeal.”.

Answer and Explanation

The Correct Answer is C

Choice A rationale

While formula feeding is not contraindicated in infants with gastroesophageal reflux (GER), it is not necessary to switch from breast milk to formula. Both breast milk and formula can be used in infants with GER56.

Choice B rationale

Positioning the baby on their side during sleep is not recommended. This position does not help with GER and can increase the risk of sudden infant death syndrome.

Choice C rationale

Keeping the baby in an upright position after feedings can help reduce the symptoms of GER. Gravity helps keep the stomach contents down and prevents them from flowing back into the esophagus.

Choice D rationale

Thickening the baby’s formula with oatmeal is sometimes recommended for infants with GER. However, this should only be done under the guidance of a healthcare provider.

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Correct Answer is D

Explanation

When caring for a patient who practices Islam, the nurse should request a meal tray without pork. Dietary laws in Islam, known as halal, prohibit the consumption of pork.

A. Position the head of the patient’s bed flat. B. Provide the patient with humidified air. C. Clean the patient’s sutures every 8 hours. D. Suction the patient’s mouth on the side of the surgery.

Correct Answer is B

Explanation

Choice A rationale

Positioning the head of the patient’s bed flat is not typically recommended after a laryngectomy. Instead, the head of the bed is often elevated to help reduce swelling and improve breathing.

Choice B rationale

Providing the patient with humidified air can help keep the airway moist and reduce discomfort, making it a common practice after a laryngectomy.

Choice C rationale

While keeping the surgical site clean is important, cleaning the patient’s sutures every 8 hours is not a standard recommendation and may vary based on the surgeon’s instructions.

Choice D rationale

Suctioning the patient’s mouth on the side of the surgery is not typically recommended as it could potentially disrupt the surgical site.

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A nurse is educating a parent of an infant diagnosed with gastroesophageal reflux. Which statement from the parent shows they have understood the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is developing a plan of care for a patient who practices Islam. Which of the following actions should the nurse include in the plan?

Correct Answer is D

Explanation

A nurse is caring for a patient who has just undergone a laryngectomy. What action should the nurse take in this situation?

Correct Answer is B

Explanation

A nurse is caring for a child who is allergic to penicillin. Which prescription should the nurse verify with the provider?

A nurse in the emergency department is caring for a patient who reports severe abdominal pain in the left quadrant. The healthcare provider suspects a ruptured ectopic pregnancy.What sign should the nurse look for that indicates the patient has blood in the peritoneum?

A nurse is evaluating a patient who is suffering from prostatic hypertrophy.What symptoms associated with urinary retention should the nurse anticipate? (Choose all that apply)

A nurse is assisting a healthcare provider with a sterile procedure and is preparing to pour solution onto a sterile piece of gauze. In what sequence should the nurse perform the following steps when pouring the sterile solution?

A charge nurse is reviewing guidelines for initiating airborne precautions.Which of the following patients should the nurse identify as requiring airborne precautions?

A nurse is explaining the early stage of the dying process to a patient’s family. A family member mentions, “My parent seems really confused at times.”. What is the most appropriate response from the nurse?

A nurse is preparing to replace a nearly empty container of total parenteral nutrition (TPN) for a patient. There has been a delay in receiving the new TPN solution from the pharmacy. Which of the following solutions should the nurse infuse until the next TPN solution is available?