CCRN EXAM zm
Exam Solution zm
Exam 4: High Risk Newborn NCLEX Questions 2026 A+
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GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIE zm zm zm zm zm
D ANSWERS (43322)
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QUESTION 1 zm
3
ANSWER
A 1-day-
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old neonate, 32 weeks' gestation, is in an overhead warmer. The nurse assesses the morning axillary
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temperature as 96.9°F. Which of the following could explain this assessment finding? 1. This is a no
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rmal temperature for a preterm neonate. 2. Axillary temperatures are not valid for preterm babies.
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3. The supply of brown adipose tissue is incomplete. 4. Conduction heat loss is pronounced in the b
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aby.
QUESTION 2 zm
1
ANSWER
Four babies are in the newborn nursery. The nurse pages the neonatologist to see the baby who ex
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hibits which of the following? 1. Intracostal retractions. 2. Erythema toxicum. 3. Pseudostrabismus. 4.
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Vernix caseosa.
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QUESTION 3 zm
4
ANSWER
A baby is grunting in the neonatal nursery. Which of the following actions by the nurse is appropria
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te? 1. Place a pacifier in the baby's mouth. 2. Check the baby's diaper. 3. Have the mother feed the
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baby. 4. Assess the respiratory rate.
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, QUESTION 4 zm
2
ANSWER
A baby is born with erythroblastosis fetalis. Which of the following signs/symptoms would the nurse
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expect to see? 1. Ruddy complexion. 2. Anasarca. 3. Alopecia. 4. Erythema toxicum
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QUESTION 5 zm
15 zm
ANSWER
A newborn in the nursery is exhibiting signs of neonatal abstinence syndrome. Which of the followi
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ng signs/symptoms is the nurse observing? (Select all that apply) 1. Hyperphagia (excessive Hunger)
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2. Lethargy. 3. Prolonged periods of sleep. 4. Hyporeflexia. 5. Persistent shrill cry
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QUESTION 6 zm
4213 zm zm zm
ANSWER
The nurse must perform nasopharyngeal suctioning of a newborn with profuse secretions. Place the
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following nursing actions for nasopharyngeal suctioning in chronological order. 1. Slowly rotate and
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remove the suction catheter. 2. Place thumb over the suction control on the catheter. 3. Assess type
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and amount of secretions. 4. Insert free end of the tubing through the nose.
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QUESTION 7 zm
24
ANSWER
A neonate has been admitted to the neonatal intensive care unit with the following findings: -
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Completely flaccid posturing -Square window sign of 60° Arm recoil of 180° -
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Popliteal angle of 160° Full scarf sign -Heel that touches the ear -Skin that is red and translucent -
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Sparse lanugo -Faint red marks on the plantar surface -Barely perceptible breast tissue -
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Eyelids that are open but flat ear pinnae -
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Prominent clitoris and small labia minora Using the Ballard scale, what is the gestational age of this
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mneonate estimated to be? _____________ weeks
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QUESTION 8 zm
345 zm zm
ANSWER
Exam Solution zm
Exam 4: High Risk Newborn NCLEX Questions 2026 A+
zm zm zm zm zm zm zm zm zm
GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIE zm zm zm zm zm
D ANSWERS (43322)
zm zm
QUESTION 1 zm
3
ANSWER
A 1-day-
zm
old neonate, 32 weeks' gestation, is in an overhead warmer. The nurse assesses the morning axillary
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
temperature as 96.9°F. Which of the following could explain this assessment finding? 1. This is a no
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
rmal temperature for a preterm neonate. 2. Axillary temperatures are not valid for preterm babies.
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
3. The supply of brown adipose tissue is incomplete. 4. Conduction heat loss is pronounced in the b
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
aby.
QUESTION 2 zm
1
ANSWER
Four babies are in the newborn nursery. The nurse pages the neonatologist to see the baby who ex
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
hibits which of the following? 1. Intracostal retractions. 2. Erythema toxicum. 3. Pseudostrabismus. 4.
zm zm zm zm zm zm zm zm zm zm zm zm zm
Vernix caseosa.
zm zm
QUESTION 3 zm
4
ANSWER
A baby is grunting in the neonatal nursery. Which of the following actions by the nurse is appropria
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te? 1. Place a pacifier in the baby's mouth. 2. Check the baby's diaper. 3. Have the mother feed the
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baby. 4. Assess the respiratory rate.
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, QUESTION 4 zm
2
ANSWER
A baby is born with erythroblastosis fetalis. Which of the following signs/symptoms would the nurse
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expect to see? 1. Ruddy complexion. 2. Anasarca. 3. Alopecia. 4. Erythema toxicum
zm zm zm zm zm zm zm zm zm zm zm zm zm
QUESTION 5 zm
15 zm
ANSWER
A newborn in the nursery is exhibiting signs of neonatal abstinence syndrome. Which of the followi
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ng signs/symptoms is the nurse observing? (Select all that apply) 1. Hyperphagia (excessive Hunger)
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2. Lethargy. 3. Prolonged periods of sleep. 4. Hyporeflexia. 5. Persistent shrill cry
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QUESTION 6 zm
4213 zm zm zm
ANSWER
The nurse must perform nasopharyngeal suctioning of a newborn with profuse secretions. Place the
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following nursing actions for nasopharyngeal suctioning in chronological order. 1. Slowly rotate and
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remove the suction catheter. 2. Place thumb over the suction control on the catheter. 3. Assess type
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and amount of secretions. 4. Insert free end of the tubing through the nose.
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QUESTION 7 zm
24
ANSWER
A neonate has been admitted to the neonatal intensive care unit with the following findings: -
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
Completely flaccid posturing -Square window sign of 60° Arm recoil of 180° -
zm zm zm zm zm zm zm zm zm zm zm zm
Popliteal angle of 160° Full scarf sign -Heel that touches the ear -Skin that is red and translucent -
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Sparse lanugo -Faint red marks on the plantar surface -Barely perceptible breast tissue -
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Eyelids that are open but flat ear pinnae -
zm zm zm zm zm zm zm zm
Prominent clitoris and small labia minora Using the Ballard scale, what is the gestational age of this
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm z
mneonate estimated to be? _____________ weeks
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QUESTION 8 zm
345 zm zm
ANSWER