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Questions 158

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Question 1 of 5

Which skin assessment in a newborn indicates a need for follow-up?

Correct Answer: D

Rationale: Jaundice at birth is abnormal and may indicate hemolytic disease liver dysfunction or other serious conditions requiring immediate follow-up. Miliaria rubra erythema toxicum and Mongolian spots are benign and common in newborns.

Question 2 of 5

A client with pregnancy-induced hypertension is scheduled for a C-section. Before surgery, the nurse should keep the client:

Correct Answer: C

Rationale: The left lateral position improves uteroplacental blood flow in pregnancy-induced hypertension, reducing fetal distress risk. Right-sided, supine, or knee-chest positions are less optimal.

Question 3 of 5

The nurse is assessing the client’s bowel sounds. Which finding indicates normal bowel sounds?

Correct Answer: C

Rationale: Normal bowel sounds are described as 'normal,' occurring every 5–20 seconds with a gurgling quality. Stronger than normal or hyperactive sounds suggest increased motility (e.g., diarrhea), while hypoactive sounds indicate reduced motility (e.g., ileus).

Question 4 of 5

The nurse is caring for a client with a diagnosis of gestational diabetes. Which laboratory test is most appropriate to monitor?

Correct Answer: C

Rationale: Hemoglobin A1c reflects long-term glucose control and fasting blood glucose monitors daily management in gestational diabetes. Both tests are appropriate to ensure optimal maternal and fetal outcomes.

Question 5 of 5

The registered nurse is making shift assignments. Which client should be assigned to the licensed practical nurse (LPN)?

Correct Answer: A

Rationale: A diabetic with a foot ulcer is stable and suitable for an LPN, who can perform wound care and monitoring. Heparin infusion (
B), tracheostomy weaning (
C), and T-tube management (
D) require RN-level skills due to complexity and risk.

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