Verified NGN Questions with Detailed Answers &
Rationales (Latest Update)
A nurse is planning care for a newborn who is receiving phototherapy
for an elevated bilirubin level. Which of the following actions should the
nurse take? - CORRECT ANSWER- D. Use a photometer to monitor
the lamp's energy
The nurse should monitor the lamp's energy throughout the therapy to
ensure the newborn is receiving the appropriate amount to be effective.
A nurse is assessing a client at 34 weeks gestation who has a mild
placental abruption. Which of the following findings should the nurse
expect? - CORRECT ANSWER- Dark red vaginal bleeding
The nurse should expect this client with a mild placental abruption to
have minimal dark red vaginal bleeding.
A nurse is assessing a newborn and notes an axillary temperature of
96.9°F (36°C). Which of the following actions should the nurse
perform? - CORRECT ANSWER- Correct Answer:
B.
Assess the newborn's blood glucose level
,Infants who become cold attempt to generate heat through increased
muscular and metabolic activity. This process increases glucose
consumption and puts the newborn at risk of hypoglycemia.
Incorrect Answers:
A. The nurse should not obtain a rectal temperature from a newborn due
to the risk of rectal perforation. Instead, the nurse should obtain an
axillary temperature.
C. Bathing a newborn will increase heat loss. The infant should not be
bathed until the temperature has stabilized within the normal range.
D. Placing the infant in front of a heater vent can incur heat loss through
convection. Additionally, there is a potential fire risk from the bassinet
linens and the vent.
A nurse is caring for a client who is in preterm labor and is receiving
magnesium sulfate. The client begins to show indications of magnesium
sulfate toxicity. Which of the following medications should the nurse
prepare to administer? - CORRECT ANSWER- Correct Answer:
C. Calcium gluconate
,The nurse should discontinue the magnesium sulfate infusion
immediately and prepare to administer calcium gluconate IV to reverse
the effects of magnesium sulfate and to prevent cardiac and respiratory
arrest.
Incorrect Answers:
A. Protamine sulfate helps reverse the effects of heparin, not magnesium
sulfate.
B. Naloxone is an opioid reversal agent. It does not reverse the effects of
magnesium sulfate.
D. Flumazenil reverses the effects of benzodiazepines such as lorazepam
and alprazolam, not magnesium sulfate.
A nurse is providing postpartum discharge teaching to a client who is
non-lactating about breast discomfort relief measures. Which of the
following pieces of information should the nurse include? - CORRECT
ANSWER- Correct Answer:
"Place fresh cabbage leaves on your breasts."
After 3 days postpartum, the client's breasts can become swollen and
distended because of congestion of the vascular structures of the breasts.
, Fresh cabbage leaves can be applied to engorged breasts to help relieve
breast discomfort.
The coolness of the leaves and the phytoestrogens exert a therapeutic
effect on engorged breasts.
Leaves should be replaced when they become wilted.
Incorrect Answers:
A. The client should be instructed to wear a tight-fitting bra or breast
binders to alleviate engorgement and swelling.
C. Application of warmth to the breasts should be avoided because heat
can stimulate milk production. An ice pack should be used to relieve
engorged breasts.
D. Milk should not be expressed from the breasts. This intervention
would increase milk production rather than decrease it.
A nurse is educating a client who is at 10 weeks gestation and reports
frequent nausea and vomiting. Which of the following statements should
the nurse include in the teaching? - CORRECT ANSWER- Correct
Answer:
D.
"You should eat dry foods that are high in carbohydrates when you wake
up."