Questions 150

NCLEX-RN

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Question 1 of 5

The nurse is assessing a neonate born to a diabetic mother. Which of the following findings should the nurse expect to see in the infant?

Correct Answer: C

Rationale: Neonates born to diabetic mothers are often macrosomic (large size) due to maternal hyperglycemia. Hypertonia, hyperactivity, and scaly skin are not typical findings.

Question 2 of 5

The nurse is caring for a child with a head injury. Place the following assessments in order of priority, starting with the nursing assessment the nurse should perform first.

Order the Items

Source Container

Vital signs.
Decreased urine output.
Level of consciousness.
Motor strength.

Correct Answer: C,A,D,B

Rationale: Level of consciousness is the priority to assess neurological status, followed by vital signs for stability, motor strength for deficits, and urine output for systemic effects.

Question 3 of 5

The nurse is assessing an infant diagnosed with bacterial meningitis. The nurse should ask the parent if the infant has which of the following? Select all that apply.

Correct Answer: A,B,D

Rationale: Bacterial meningitis in infants commonly presents with fever, vomiting, and poor feeding. Diarrhea and abdominal pain are less typical symptoms in this age group.

Question 4 of 5

The nurse identifies the type of presentation shown in the fi gure as which of the following?

Question Image

Correct Answer: C

Rationale: For a complete breech, the buttocks present, the feet and legs are fl exed on the thighs, and the thighs are fl exed on the abdomen. For a frank breech, the buttocks present with the hips fl exed and the legs extended against the abdomen and chest. This is the most common type of breech presentation. For a compound breech, the buttocks present together with another part, such as a hand. This is a rare occurrence. For an incomplete breech, one or both feet or the knees extend below the buttocks. This can also be termed a single footling or double footling breech.

Question 5 of 5

The nurse is assessing a neonate born to a diabetic mother. Which of the following findings should the nurse expect to see in the infant?

Correct Answer: C

Rationale: Neonates born to diabetic mothers are often macrosomic (large size) due to maternal hyperglycemia. Hypertonia, hyperactivity, and scaly skin are not typical findings.

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