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Question 1 of 5

An infant's Apgar score is 9 at 5 minutes. The most likely cause for the deduction of one point is:

Correct Answer: C

Rationale: Blue hands and feet (acrocyanosis) are common in newborns and likely cause a 1-point deduction in the appearance category of the Apgar score.

Question 2 of 5

A newborn diagnosed with bilateral choanal atresia is scheduled for surgery soon after delivery. The nurse recognizes the immediate need for surgery because the newborn:

Correct Answer: D

Rationale: Bilateral choanal atresia blocks the nasal passages, preventing nasal breathing, which is critical for newborns who are obligate nose breathers.

Question 3 of 5

The nurse notes the following laboratory test results on a 24-hour postburn client. Which abnormality should be reported to the physician immediately?

Correct Answer: A

Rationale: Hyperkalemia (7.5 mEq/L) is life-threatening, risking cardiac arrhythmias, and requires immediate reporting for urgent correction.

Question 4 of 5

If both parents are carriers of the defective gene for a disease with an autosomal recessive inheritance, what percentage chance does each child have of inheriting the gene from both parents and developing the disorder? Report your answer using a whole number.

Correct Answer: 25

Rationale: Autosomal recessive inheritance: Each parent has a 50% chance of passing the defective gene, so the child's chance is 0.5 X 0.5 = 0.25 or 25%.

Question 5 of 5

The nurse on an orthopedic unit is assigned to care for four clients with displaced bone fractures. Which client will not be treated with the use of traction?

Correct Answer: D

Rationale: Ankle fractures are typically managed with immobilization or surgery, not traction.

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