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NCLEX-PN

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Extract:

The patient delivered vaginally in small community.


Question 1 of 5

The nurse is assessing a term neonate about neonate rooting reflex by.

Correct Answer: A

Rationale: Stroking the cheek elicits the rooting reflex, guiding the neonate to feed.

Extract:


Question 2 of 5

The nurse is implementing a plan of care for a client with myxedema. Based on the client's diagnosis, the nurse should:

Correct Answer: C

Rationale: Myxedema (hypothyroidism) causes cold intolerance, so an additional blanket is appropriate. High-calorie snacks are for hyperthyroidism. Foot elevation and ketone checks are unrelated.

Question 3 of 5

An 8-year-old boy has just had a fiberglass cast applied to his right lower leg following a fractured ankle. The nurse is discussing care of the cast with the parents. Which instruction should be included?

Correct Answer: B

Rationale: Checking toes for warmth ensures circulation, detecting complications like compartment syndrome early. Bathing, drying time, and leg position are incorrect for fiberglass casts.

Question 4 of 5

The nurse is teaching parents of a newborn about feeding their infant. Which of the following instructions should the nurse include?

Correct Answer: A

Rationale: Using the defrost setting on a microwave prevents overheating formula, but the temperature must be checked. Partially used bottles should be discarded after 4 hours, formula is mixed 1:1, and adding new formula to used bottles risks contamination. Health Promotion and Maintenance

Question 5 of 5

Which clinical finding would the nurse expect to assess first in a newborn with spastic cerebral palsy?

Correct Answer: D

Rationale: Cerebral palsy is a neuromuscular impairment resulting in muscular and reflexive hypertonicity and the criss-crossing, or scissoring leg movements.

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