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Questions 158

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Question 1 of 5

Which finding is expected in the normal newborn?

Correct Answer: B

Rationale: The Moro reflex, a startle response to sudden movement, is a normal finding in newborns, present until about 3-6 months. Epstein pearls are benign but not universal, and the others are abnormal.

Question 2 of 5

The nurse is teaching a client with a history of chronic sinusitis about self-care. The nurse should tell the client to:

Correct Answer: A

Rationale: A humidifier keeps nasal passages moist, reducing irritation and promoting drainage in chronic sinusitis.

Question 3 of 5

A client with a history of phenylketonuria (PKU) is seen in the local family planning clinic. While completing the intake history, the nurse provides information for a healthy pregnancy. Which statement indicates that the client needs further teaching?

Correct Answer: A

Rationale: Artificial sweeteners like aspartame contain phenylalanine, which is harmful in PKU. A low-phenylalanine diet, healthy snacks, and preventing mental retardation are correct understandings.

Question 4 of 5

Which situation would be reportable to the state board of nursing?

Correct Answer: B

Rationale: An incorrect narcotic count for three days suggests potential diversion or mismanagement of controlled substances a serious issue reportable to the state board of nursing. The other situations are administrative or safety issues but not typically reportable to the board.

Question 5 of 5

A female client has been treated since childhood for mitral valve prolapse. The antibiotic of choice for her during pregnancy would be:

Correct Answer: D

Rationale: Sulfa is a teratogen and will cause kernicterus. Tetracycline is a teratogen and will affect tooth development. Hydralazine is not an antibiotic but a calcium channel blocker. Erythromycin is safe during pregnancy and can be used when the client is allergic to penicillin.

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