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Question 1 of 5

The mother of a newborn asks why the nurse is checking the baby's nose. The nurse replies that it is important to check nasal patency because the newborn:

Correct Answer: B

Rationale: Newborns are obligate nose breathers, making nasal patency critical to prevent respiratory distress. Sneezing ability, apnea, or rapid respirations are unrelated.

Question 2 of 5

The nurse is reinforcing discharge instructions for several clients. Which client should receive information about the need for prophylactic antibiotics prior to dental procedures?

Correct Answer: A

Rationale: Mechanical valve replacements (
A) require prophylactic antibiotics before dental procedures to prevent endocarditis. Mitral valvuloplasty (
B), heart failure (
C), and mitral valve prolapse with regurgitation (
D) have lower risks.

Question 3 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 4 of 5

The mother of a newborn asks why the nurse is checking the baby's nose. The nurse replies that it is important to check nasal patency because the newborn:

Correct Answer: B

Rationale: Newborns are obligate nose breathers, making nasal patency critical to prevent respiratory distress. Sneezing ability, apnea, or rapid respirations are unrelated.

Question 5 of 5

A client who has been waiting for several hours in the clinic waiting room suddenly begins to shout, 'I need some attention and I need it now!' How should the nurse respond initially?

Correct Answer: C

Rationale: Engaging the client to assess her needs de-escalates agitation and addresses concerns. Silencing, calling security, or explaining delays may escalate tension.

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