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NCLEX-PN

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Question 1 of 5

The nurse is performing a neurologic assessment on a 1-day-old neonate. Which of the following findings would indicate possible asphyxia in utero? Select all that apply:

Correct Answer: C,D,F

Rationale: Failure of the toes to curl downward when the baby's soles are stroked and lack of response to a loud sound can be evidence that neurological damage from asphyxia has occurred. The normal responses would be that the toes curl downward with stroking and that the arms and legs extend in response to a loud noise. Weak, ineffective sucking is another sign of neurologic damage; a neonate should root and suck when the side of his cheek is stroked. A neonate should also grasp a person's finger when it's placed in the palm of his hand, do stepping movements when held upright with the soles touching a surface, and turn toward an object when his cheek is touched by it.

Question 2 of 5

Which of the following would be the best strategy for the nurse to use when teaching insulin injection techniques to a newly diagnosed client with diabetes?

Correct Answer: D

Rationale: Observe a return demonstration. This is the best way to confirm the client has learned the proper psychomotor skill.

Question 3 of 5

The client with a cataract has decreased vision due to:

Correct Answer: C

Rationale: Cataracts result from crystalline protein deposits on the lens, causing opacity and vision loss. Other options affect different eye structures.

Question 4 of 5

Major competencies for the nurse giving end-of-life care include:

Correct Answer: A

Rationale: Demonstrating respect, compassion, and skilled care is a core competency for end-of-life nursing, addressing both client and family needs. The other options are either incomplete or inappropriate. Basic Care and Comfort

Question 5 of 5

An adult is receiving total parenteral nutrition (TPN). Which assessment is essential for the nurse to make?

Correct Answer: D

Rationale: Daily weights monitor fluid balance and nutritional status, critical for TPN to prevent overload or malnutrition. TPN is intravenous, not gastric, and bowel movements/sounds are less relevant.

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