NCLEX NEWBORN AT RISK EXAM PREPARATION
NCLEX NEWBORN AT RISK EXAM PREPARATION FOR 2025/2026
WITH COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |BRAND NEW VERSION!!
The mother of a preterm newborn is comparing the appearance of her preterm
baby to the nearby full-term babies. She asks why her baby's skin appears so
different. What is the best response for the nurse to provide?
1. "A full term newborn has decreased brown fat stores."
2. "A preterm newborn's skin appears more translucent due to decreased
amounts of subcutaneous fat."
3. "A preterm baby has additional subcutaneous fat beneath the skin that is lost
between 38 to 40 weeks."
4. "The full term newborn has produced much more soft downy hair, giving the
skin a more fuzzy appearance."
2. "A preterm newborn's skin appears more translucent due to decreased
amounts of subcutaneous fat."
The nurse is caring for a post-term, small for gestational age (SGA) newborn infant
immediately after admission to the nursery. What should the nurse monitor as
the priority?
1. Urinary output
2. Total bilirubin levels
3. Blood glucose levels
4. Hemoglobin and hematocrit levels
3. Blood glucose levels
1|Page
, NCLEX NEWBORN AT RISK EXAM PREPARATION
The nurse in the newborn nursery is assessing a neonate who was born of a
mother addicted to cocaine. Which assessment findings should the nurse expect
to note in the neonate? Select all that apply.
1. Tremors
2. Tachycardia
3. Flaccid muscles
4. Extreme lethargy
5. Exaggerated startle reflex
1. Tremors
2. Tachycardia
5. Exaggerated startle reflex
An infant returns to the nursing unit following surgery for a diagnosis of
esophageal atresia with tracheoesophageal fistula (TEF). The infant is receiving
intravenous fluids and a gastrostomy tube is in place. Following assessment, the
nurse positions the infant and performs which action?
1. Elevates the gastrostomy tube
2. Tapes the gastrostomy tube to the bed linens
3. Attaches the gastrostomy tube to low suction
4. Connects the gastrostomy tube to the feeding pump
1. Elevates the gastrostomy tube
A just-delivered newborn is dried immediately by the nurse in the delivery area.
The nurse thoroughly dries the newborn to prevent heat loss by which
mechanism?
1. Radiation
2. Convection
3. Conduction
4. Evaporation
2|Page
, NCLEX NEWBORN AT RISK EXAM PREPARATION
4. Evaporation
The nurse reviews the record of a newborn infant and notes that a diagnosis of
esophageal atresia with tracheoesophageal fistula is suspected. The nurse expects
to note which most likely sign of this condition documented in the record?
1. Incessant crying
2. Coughing at nighttime
3. Choking with feedings
4. Severe projectile vomiting
3. Choking with feedings
The nurse is preparing to care for an infant who has esophageal atresia with
tracheoesophageal fistula. Surgery is scheduled to be performed in 1 hour.
Intravenous fluids have been initiated, and a nasogastric (NG) tube has been
inserted by the primary health care provider. The nurse plans care, knowing that
which intervention is of highest priority during this preoperative period?
1. Monitor the temperature.
2. Monitor the blood pressure.
3. Reposition the infant frequently.
4. Aspirate the NG tube every 5 to 10 minutes.
4. Aspirate the NG tube every 5 to 10 minutes.
The nurse is monitoring an infant with congenital heart disease closely for signs of
heart failure (HF). The nurse should assess the infant for which early sign of HF?
1. Pallor
2. Cough
3. Tachycardia
4. Slow and shallow breathing
3|Page
NCLEX NEWBORN AT RISK EXAM PREPARATION FOR 2025/2026
WITH COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |BRAND NEW VERSION!!
The mother of a preterm newborn is comparing the appearance of her preterm
baby to the nearby full-term babies. She asks why her baby's skin appears so
different. What is the best response for the nurse to provide?
1. "A full term newborn has decreased brown fat stores."
2. "A preterm newborn's skin appears more translucent due to decreased
amounts of subcutaneous fat."
3. "A preterm baby has additional subcutaneous fat beneath the skin that is lost
between 38 to 40 weeks."
4. "The full term newborn has produced much more soft downy hair, giving the
skin a more fuzzy appearance."
2. "A preterm newborn's skin appears more translucent due to decreased
amounts of subcutaneous fat."
The nurse is caring for a post-term, small for gestational age (SGA) newborn infant
immediately after admission to the nursery. What should the nurse monitor as
the priority?
1. Urinary output
2. Total bilirubin levels
3. Blood glucose levels
4. Hemoglobin and hematocrit levels
3. Blood glucose levels
1|Page
, NCLEX NEWBORN AT RISK EXAM PREPARATION
The nurse in the newborn nursery is assessing a neonate who was born of a
mother addicted to cocaine. Which assessment findings should the nurse expect
to note in the neonate? Select all that apply.
1. Tremors
2. Tachycardia
3. Flaccid muscles
4. Extreme lethargy
5. Exaggerated startle reflex
1. Tremors
2. Tachycardia
5. Exaggerated startle reflex
An infant returns to the nursing unit following surgery for a diagnosis of
esophageal atresia with tracheoesophageal fistula (TEF). The infant is receiving
intravenous fluids and a gastrostomy tube is in place. Following assessment, the
nurse positions the infant and performs which action?
1. Elevates the gastrostomy tube
2. Tapes the gastrostomy tube to the bed linens
3. Attaches the gastrostomy tube to low suction
4. Connects the gastrostomy tube to the feeding pump
1. Elevates the gastrostomy tube
A just-delivered newborn is dried immediately by the nurse in the delivery area.
The nurse thoroughly dries the newborn to prevent heat loss by which
mechanism?
1. Radiation
2. Convection
3. Conduction
4. Evaporation
2|Page
, NCLEX NEWBORN AT RISK EXAM PREPARATION
4. Evaporation
The nurse reviews the record of a newborn infant and notes that a diagnosis of
esophageal atresia with tracheoesophageal fistula is suspected. The nurse expects
to note which most likely sign of this condition documented in the record?
1. Incessant crying
2. Coughing at nighttime
3. Choking with feedings
4. Severe projectile vomiting
3. Choking with feedings
The nurse is preparing to care for an infant who has esophageal atresia with
tracheoesophageal fistula. Surgery is scheduled to be performed in 1 hour.
Intravenous fluids have been initiated, and a nasogastric (NG) tube has been
inserted by the primary health care provider. The nurse plans care, knowing that
which intervention is of highest priority during this preoperative period?
1. Monitor the temperature.
2. Monitor the blood pressure.
3. Reposition the infant frequently.
4. Aspirate the NG tube every 5 to 10 minutes.
4. Aspirate the NG tube every 5 to 10 minutes.
The nurse is monitoring an infant with congenital heart disease closely for signs of
heart failure (HF). The nurse should assess the infant for which early sign of HF?
1. Pallor
2. Cough
3. Tachycardia
4. Slow and shallow breathing
3|Page
