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NCLEX - HEALTHY NEWBORN EXAM 2026 QUESTIONS
WITH ANSWERS EXAM 2026 LATEST EDITION SOLVED
QUESTIONS & ANSWERS VERIFIED
The perinatal nurse wants to contact the pediatrician about a heart murmur
that was auscultated during a newborn assessment. During what time frame
would hearing the murmur lead the nurse to contact the health-care provider?
A. 8 to 12 hours
B. 12 to 24 hours
C. 24 to 48 hours
D. 48 to 72 hours
ANS: D - It is not uncommon to hear murmurs in infants less than 24 hours old.
Hearing a murmur after 48 hours indicates a need for further investigation, and the
health-care provider needs to be notified.
The perinatal nurse teaches the new mother and her family about appropriate
infant care to prevent omphalitis. Information given would include which of the
following instructions?
A. Apply a mild soap and lotion to dry skin.
B. Change diapers frequently following circumcision.
C. Keep the base of the umbilical cord clean and dry.
D. Take rectal temperatures twice a day for a week.
ANS: C - Omphalitis is infection of the umbilical cord stump. The area around the
base of the cord should be kept clean and dry. Cleaning the stump varies according
to agency protocol. The other instructions are not related to omphalitis.
When assessing a newborn baby, which action should the nurse perform first?
A. Auscultate the babys heart and lungs.
B. Don clean gloves before taking the baby.
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C. Record the parents choice of name.
D. Suction the nares and then the mouth.
ANS: B - The nurse should observe standard precautions when handling a neonate
until all blood and amniotic fluid has been removed to avoid possible infection. Then
the nurse can take the baby and suction the babys mouth, and then the nares if
needed. Auscultating the babys heart and lungs will occur later. The parents may not
name the baby immediately, but even if they have, recording the name would not
take priority over using standard precautions to prevent the spread of disease.
In order to promote thermal stabilization in a neonate, which action by the
nurse is best?
A. Lay the infant in an incubator.
B. Place the infant in skin-to-skin contact with the mom.
C. Put a knitted cap on the babys head.
D. Wrap the baby in warmed blankets.
ANS: B - All options will help the baby maintain a normal temperature, but ideally the
nurse places the infant in skin-to-skin contact on the mothers abdomen.
A new nurse is suctioning a neonate. What action by the new nurse would
cause the preceptor to intervene?
A. Assesses the infant for secretions in the airway
B. Places suction bulb into the babys cheek
C. Positions the suction bulb at the back of the throat
D. Suctions the babys mouth first, then the nares
ANS: C - Touching the suction bulb to the roof of the infants mouth or back of the
throat can stimulate the gag reflex. The preceptor should intervene and correct this
action. The other actions are appropriate.
The nurse is watching new parents suction their newborn. The baby begins
gagging. What action should the nurse demonstrate to the parents?
A. Pick the baby up and comfort her.
B. Place the baby on her back.
C. Turn the babys head to the side.
D. Wipe secretions out with a cloth.
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ANS: C - If the baby begins gagging or vomiting, the parents (or nurse) should
position the infants head to the side or downward to prevent aspiration. The other
actions are not appropriate.
A neonate has difficulty maintaining a normal temperature. A student nurse
prepares to place the infant under a radiant warmer. What action by the
student leads the faculty member to intervene?
A. Assesses the surrounding area for drafts
B. Ensures the infant is dried off completely
C. Observes the respiratory rate at the same time
D. Wraps the baby in a warmed blanket
ANS: D - Radiant heater units warm only the outer surface of objects in them, so it is
counterproductive to dress the baby or cover the baby with blankets. The other
actions are appropriate.
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questions, pharmacology, and test-taking techniques with confidence.
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Contact:
The nursery nurse notes the presence of diffuse edema on a newborn babys
head. Review of the birth record indicates that her mother experienced a
prolonged labor and difficult childbirth. What action by the nurse is best?
A. Document the findings in the infants chart.
B. Measure head circumference every 12 hours.
C. Prepare to administer IV osmotic diuretics.
D. Transfer the baby to the NICU for monitoring .
ANS: A - Caput succedaneum is diffuse edema that crosses the cranial suture lines
and disappears without treatment during the first few days of life. It often is the result
of a traumatic or difficult birth. The nurse should document the findings. No other
action is needed.
The perinatal nurse teaches new parents that the best sleeping position for
infants is which of the following?
NCLEX - HEALTHY NEWBORN EXAM 2026 QUESTIONS
WITH ANSWERS EXAM 2026 LATEST EDITION SOLVED
QUESTIONS & ANSWERS VERIFIED
The perinatal nurse wants to contact the pediatrician about a heart murmur
that was auscultated during a newborn assessment. During what time frame
would hearing the murmur lead the nurse to contact the health-care provider?
A. 8 to 12 hours
B. 12 to 24 hours
C. 24 to 48 hours
D. 48 to 72 hours
ANS: D - It is not uncommon to hear murmurs in infants less than 24 hours old.
Hearing a murmur after 48 hours indicates a need for further investigation, and the
health-care provider needs to be notified.
The perinatal nurse teaches the new mother and her family about appropriate
infant care to prevent omphalitis. Information given would include which of the
following instructions?
A. Apply a mild soap and lotion to dry skin.
B. Change diapers frequently following circumcision.
C. Keep the base of the umbilical cord clean and dry.
D. Take rectal temperatures twice a day for a week.
ANS: C - Omphalitis is infection of the umbilical cord stump. The area around the
base of the cord should be kept clean and dry. Cleaning the stump varies according
to agency protocol. The other instructions are not related to omphalitis.
When assessing a newborn baby, which action should the nurse perform first?
A. Auscultate the babys heart and lungs.
B. Don clean gloves before taking the baby.
, Page 2 of 25
C. Record the parents choice of name.
D. Suction the nares and then the mouth.
ANS: B - The nurse should observe standard precautions when handling a neonate
until all blood and amniotic fluid has been removed to avoid possible infection. Then
the nurse can take the baby and suction the babys mouth, and then the nares if
needed. Auscultating the babys heart and lungs will occur later. The parents may not
name the baby immediately, but even if they have, recording the name would not
take priority over using standard precautions to prevent the spread of disease.
In order to promote thermal stabilization in a neonate, which action by the
nurse is best?
A. Lay the infant in an incubator.
B. Place the infant in skin-to-skin contact with the mom.
C. Put a knitted cap on the babys head.
D. Wrap the baby in warmed blankets.
ANS: B - All options will help the baby maintain a normal temperature, but ideally the
nurse places the infant in skin-to-skin contact on the mothers abdomen.
A new nurse is suctioning a neonate. What action by the new nurse would
cause the preceptor to intervene?
A. Assesses the infant for secretions in the airway
B. Places suction bulb into the babys cheek
C. Positions the suction bulb at the back of the throat
D. Suctions the babys mouth first, then the nares
ANS: C - Touching the suction bulb to the roof of the infants mouth or back of the
throat can stimulate the gag reflex. The preceptor should intervene and correct this
action. The other actions are appropriate.
The nurse is watching new parents suction their newborn. The baby begins
gagging. What action should the nurse demonstrate to the parents?
A. Pick the baby up and comfort her.
B. Place the baby on her back.
C. Turn the babys head to the side.
D. Wipe secretions out with a cloth.
, Page 3 of 25
ANS: C - If the baby begins gagging or vomiting, the parents (or nurse) should
position the infants head to the side or downward to prevent aspiration. The other
actions are not appropriate.
A neonate has difficulty maintaining a normal temperature. A student nurse
prepares to place the infant under a radiant warmer. What action by the
student leads the faculty member to intervene?
A. Assesses the surrounding area for drafts
B. Ensures the infant is dried off completely
C. Observes the respiratory rate at the same time
D. Wraps the baby in a warmed blanket
ANS: D - Radiant heater units warm only the outer surface of objects in them, so it is
counterproductive to dress the baby or cover the baby with blankets. The other
actions are appropriate.
PASS YOUR NCLEX ON YOUR FIRST ATTEMPT!
I help nursing students master NCLEX strategies, critical thinking, SATA
questions, pharmacology, and test-taking techniques with confidence.
Join my coaching program today and prepare smarter, not harder.
Contact:
The nursery nurse notes the presence of diffuse edema on a newborn babys
head. Review of the birth record indicates that her mother experienced a
prolonged labor and difficult childbirth. What action by the nurse is best?
A. Document the findings in the infants chart.
B. Measure head circumference every 12 hours.
C. Prepare to administer IV osmotic diuretics.
D. Transfer the baby to the NICU for monitoring .
ANS: A - Caput succedaneum is diffuse edema that crosses the cranial suture lines
and disappears without treatment during the first few days of life. It often is the result
of a traumatic or difficult birth. The nurse should document the findings. No other
action is needed.
The perinatal nurse teaches new parents that the best sleeping position for
infants is which of the following?
