Nokea
The nurse admits the term newborn,who is at risk to develop neonatal abstinence syndrome (NAS) to the newborn nursery. The nurse correctly places this infant in which location?
- A. The general nursery with 15 other infants
- B. A small,well-lit nursery with two other newborns
- C. Alone in a small,darkened nursery room
- D. Right next to the charge nurse’s desk
Correct Answer: C
Rationale: Newborns with NAS require a low-stimulus environment due to withdrawal behaviors. A small darkened room alone minimizes noise and light stimulation.
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Which response by the nurse provides the best clarification about the disease process?
- A. If you're afraid of getting HIV, you'll be safer if you avoid having sex with past sex partners.
- B. An HIV-positive individual may not develop symptoms of AIDS for years.
- C. HIV can only be transmitted when symptoms of AIDS are present.
- D. The medication prescribed for AIDS also protects against HIV infection.
Correct Answer: B
Rationale: HIV can be asymptomatic for years, during which it is still transmissible, making this clarification critical for understanding the disease process and transmission risk.
Which of the following findings during a routine wellness checkup best indicates that a child has iron deficiency anemia?
- A. Weight gain and hypertension
- B. Nervousness and diarrhea
- C. Nausea and vomiting
- D. Pallor and listlessness
Correct Answer: D
Rationale: Pallor and listlessness are hallmark signs of iron deficiency anemia due to reduced hemoglobin, leading to decreased oxygen delivery and fatigue.
The nurse is caring for the newborn infant. The nurse should prepare to assess the newborn’s anterior fontanel by which method?
- A. Lay the infant on his or her back.
- B. Stimulate the infant to cry strongly.
- C. Feel near the parietal and occipital bones.
- D. Place the infant in a sitting position.
Correct Answer: D
Rationale: The anterior fontanel is assessed with the infant in a sitting position (45°–90°) to evaluate size and abnormalities. Supine positioning or crying may cause bulging and parietal/occipital bones locate the posterior fontanel.
Which statement by the nurse would best help the parents cope with their feelings?
- A. You'll feel better if you visited your child for shorter periods of time.
- B. Don't worry. You're doing a great job, and everything will work out for the best.
- C. This is painful for you. Let's identify things you can do to help make your child feel good.
- D. It's sad that you feel helpless. What do you usually do to take your mind off your worries?
Correct Answer: C
Rationale: Acknowledging the parents' pain and suggesting actionable ways to help their child empowers them, addressing helplessness constructively and fostering coping.
Which of the following is the priority nursing action if the child shows symptoms of hypoglycemic reaction?
- A. Give the child orange juice or milk to drink.
- B. Give the child 10% glucose I.V.
- C. Notify the physician immediately.
- D. Administer a second dose of insulin.
Correct Answer: A
Rationale: For hypoglycemia, the priority is to rapidly raise blood glucose. Giving orange juice or milk provides quick-acting carbohydrates, the first-line treatment for conscious patients with mild to moderate hypoglycemia.