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Questions 164

NCLEX-PN

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Question 1 of 5

The nurse monitoring a newborn after birth observes a bluish discoloration of the hands and feet. The trunk is pink. What is the nurse's initial action?

Correct Answer: D

Rationale: Acrocyanosis is normal in newborns. Skin-to-skin contact promotes thermoregulation and bonding.

Question 2 of 5

The nurse is teaching the parent of a 6-year-old client about sleep. Which of the following information should the nurse include? Select all that apply.

Correct Answer: A,D,E

Rationale: Children aged 6 need 9-11 hours of sleep, limited liquids prevent bedwetting, and routines promote sleep. Sleep needs decrease with age, and active play close to bedtime may disrupt sleep.

Question 3 of 5

The nurse has attended a staff education program about interdisciplinary communication. The nurse should recognize that the most important outcome of effective interdisciplinary communication is

Correct Answer: C

Rationale: Effective interdisciplinary communication primarily reduces medical errors by ensuring accurate information sharing.

Question 4 of 5

As a general guide for emergency management of acute alcohol intoxication, it is important for the nurse initially to obtain data regarding which of the following?

Correct Answer: B

Rationale: Blood alcohol levels are generally obtained to determine the level of intoxication. The amount of alcohol consumed determines how much medication the client needs for detoxification and treatment. Reports of alcohol consumption are notoriously inaccurate.

Question 5 of 5

A 3-month-old child with developmental dysplasia of the hip (DDH) is being fitted for a Pavlik harness. Which statement made by the parent indicates a need for further instruction?

Correct Answer: B

Rationale: The harness straps should only be adjusted by a healthcare provider to ensure proper fit and treatment efficacy. Other statements reflect correct understanding of harness care.

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