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Questions 164

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Question 1 of 5

A new mother asks the nurse when the baby's umbilical cord will fall off. The nurse replies that it usually takes how many days to detach?

Correct Answer: C

Rationale: The umbilical cord typically detaches within 7-10 days as it dries and separates naturally, a standard newborn care fact.

Question 2 of 5

The nurse preceptor observes a graduate practical nurse collecting a urine sample for urinalysis and culture as pictured in the exhibit. What is the preceptor's best action?

Question Image

Correct Answer: C

Rationale: Urine for culture requires a midstream clean catch or catheterization (
C) to avoid contamination. A graduated container (
B) is acceptable if sterile. Discarding (
A) is unnecessary, and cooling (
D) is secondary.

Question 3 of 5

The nurse is reinforcing instructions about the use of regular and neutral protamine Hagedorn (NPH) insulin. Which statement by the client indicates that further instruction is needed?

Correct Answer: B

Rationale: Eating 30 minutes after NPH and regular insulin (
B) risks hypoglycemia, as regular insulin acts within 30 minutes. Checking glucose (
A), using new syringes (
C), and sliding scale for regular insulin (
D) are correct.

Question 4 of 5

The school nurse observes a 7-year-old client with attention deficit hyperactivity disorder begin to throw books and attempt to hit the classmates. Which of the following actions would be a priority for the nurse to take?

Correct Answer: C

Rationale: Removing the client to a quiet room (
C) ensures safety and de-escalates the situation. Balloon blowing (
A) is inappropriate, PRN methylphenidate (
B) is not typically ordered, and consequences (
D) are secondary.

Question 5 of 5

The nurse is screening pediatric clients for developmental dysplasia of the hip (DDH). Which of the following findings would be consistent with DDH in a 3-week-old client?

Correct Answer: C

Rationale: Extra gluteal folds (
C) are a sign of DDH. The affected leg appears shorter, not longer (
A). Narrowing of the perineum (
B) and pelvic tilt (
D) are not typical.

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