The neonate is 16 hours old and is in the Neonatal Intensive Care Unit (NICU) for respiratory distress syndrome. The neonate has been consuming an increased amount of feedings, but not gaining weight. The NICU nurse noticed abdominal distention and vomiting.
The vital signs are 97.4 (A), HR 116, R 56. The nurse suspects that the infant has which complication?

Atelectasis

Congenital cardiac disease

Necrotizing enterocolitis

Infant formula allergy .

Answer and Explanation

The Correct Answer is C

Choice A rationale
Atelectasis, or collapse of part or all of a lung, is a potential complication of respiratory distress syndrome in neonates. However, it would not typically cause symptoms such as increased feeding without weight gain, abdominal distention, and vomiting.
Choice B rationale
Congenital cardiac disease could potentially cause symptoms such as increased feeding without weight gain, but it would not typically cause abdominal distention and vomiting. Furthermore, congenital cardiac disease would likely have been detected prior to the onset of respiratory distress syndrome.
Choice C rationale
Necrotizing enterocolitis is a serious intestinal condition that can occur in premature infants, particularly those with respiratory distress syndrome. Symptoms can include increased feeding without weight gain, abdominal distention, and vomiting.

Choice D rationale
An allergy to infant formula could potentially cause symptoms such as increased feeding without weight gain, abdominal distention, and vomiting. However, this would not typically be associated with respiratory distress syndrome. .

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A rationale
A negative pregnancy test is important to rule out pregnancy as a cause of abnormal uterine bleeding (AUB), but it is not the priority finding. Pregnancy is one of the common causes of AUB in reproductive-age women, but the user’s question is about prioritizing findings, and other choices are more critical to assess the patient’s condition.
Choice B rationale
Hemoglobin and hematocrit levels are crucial in assessing the severity of AUB. Chronic heavy or prolonged uterine bleeding may cause iron deficiency anemia. Therefore, these tests are prioritized to determine the patient’s blood volume and to plan appropriate interventions.
Choice C rationale
While an elevated white blood cell count could indicate an infection, which can also cause AUB, it is not the priority in this case. Infections are less common causes of AUB, and the symptoms would likely include pain, fever, or abnormal discharge.
Choice D rationale
Serum cholesterol levels are not directly related to AUB. While it’s important to monitor cholesterol levels for overall health and cardiovascular risk management, it’s not a priority in the assessment of AUB12.

A. 30 years B. 35 years C. 40 years D. 45 years

Correct Answer is D

Explanation

Choice A rationale
The American Cancer Society does not recommend starting mammograms at age 30 for women at average risk. This age is too young for the initiation of routine screening mammograms.
Choice B rationale
The American Cancer Society does not recommend starting mammograms at age 35 for women at average risk. This age is still considered too young for the initiation of routine screening mammograms.
Choice C rationale
The American Cancer Society does not recommend starting mammograms at age 40 for women at average risk, although women between 40 and 44 have the option to start screening with a mammogram every year.
Choice D rationale
According to the American Cancer Society, women at average risk should start having mammograms at age 45. From age 45 to 54, they should get mammograms every year.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing the laboratory test results of a client with abnormal uterine bleeding (AUB). Which finding should the nurse prioritize?

Correct Answer is B

Explanation

A woman at low risk and with no family history of breast cancer comes to the clinic and asks the nurse about when she should have her first mammogram. According to the recommendations of the American Cancer Society, at what age should the woman have her first mammogram?

Correct Answer is D

Explanation

A client comes to the clinic with abdominal pain. Based on her history, the nurse suspects endometriosis. When reviewing the woman’s history, the nurse would LEAST likely identify which factor as a possible risk?

After conducting an in-service program about ovarian cysts, what type of cyst would the nurse expect the group to identify as being commonly found in females of reproductive age and regresses with the menstrual cycle?

A client with genital herpes simplex infection asks the nurse, “Will I ever be cured of this infection?” Which response by the nurse would be most appropriate?

In the context of educating a group of postmenopausal women about hot flashes and night sweats, what would be the main cause the nurse would address?

What symptom would a nurse anticipate in a patient with endometriosis?

What will the nurse note when assessing an infant with asymmetric intrauterine growth restriction?

A patient inquires about the gamete intrafallopian transfer (GIFT) procedure. What would be an appropriate response for the nurse to make?

The nurse is developing the discharge plan for a woman who has had a left-sided radical mastectomy. The nurse is including instructions for ways to minimize lymphedema. Which statement by the client indicates the need for additional instruction?