Examl V4l –l (Newl 2026/l 2027l Update)l
Transitionl tol Registeredl Nursingl Practice|l
Questionsl &l Answersl |l Gradel A|l 100%l
Correctl (Verifiedl Solutions)-l Galen
QUESTION
Al newbornl hasl al bloodl glucosel ofl 32l mg/dL.l Whatl isl thel nurse'sl firstl action?
A.l Administerl dextrosel IV
B.l Calll thel healthcarel provider
C.l Feedl thel newbornl immediately
D.l Recheckl glucosel inl 30l minutes
Answer:
C.l Feedl thel newbornl immediately
Rationale:l Feedingl isl thel firstl interventionl forl asymptomaticl hypoglycemial (glucosel <40l
mg/dL).l Ifl symptomsl orl poorl feeding,l IVl dextrosel mayl bel needed.
QUESTION
Al nursel assessesl thel lochial ofl al clientl 5l daysl postpartum.l Whichl isl anl abnormall
finding?
A.l Lochial serosa
B.l Mustyl odor
C.l Moderatel flow
D.l Brightl redl bleedingl saturatingl padl inl 1l hour
,Answer:
D.l Brightl redl bleedingl saturatingl padl inl 1l hour
Rationale:l Heavyl bleedingl (saturatingl al padl inl <1l hour)l isl al postpartuml hemorrhagel
sign.l Serosal (pink/brown)l isl expectedl byl dayl 4-10.
QUESTION
Whichl teachingl pointl isl appropriatel forl al clientl withl hyperemesisl gravidarum?
A.l "Tryl drinkingl largel amountsl ofl fluidl withl meals."
B.l "Youl mayl needl hospitalizationl forl IVl fluidsl andl electrolytes."
C.l "Thisl isl expectedl andl nol treatmentl isl necessary."
D.l "Consumel spicyl foodl tol stimulatel appetite."
Answer:
B.l "Youl mayl needl hospitalizationl forl IVl fluidsl andl electrolytes."
Rationale:l Hyperemesisl gravidaruml involvesl persistentl vomiting,l dehydration,l andl weightl
loss.l Hospitalizationl forl IVl fluidsl andl electrolytel correctionl isl oftenl necessary.
QUESTION
Whatl isl thel nurse'sl priorityl duringl thel fourthl stagel ofl laborl (firstl hourl postpartum)?
A.l Assessl newbornl reflexes
B.l Massagel thel fundusl everyl 4l hours
C.l Monitorl maternall vitall signsl andl bleedingl closely
D.l Initiatel dischargel teaching
Answer:
C.l Monitorl maternall vitall signsl andl bleedingl closely
Rationale:l Thel fourthl stagel ofl laborl isl al criticall timel forl detectingl postpartuml
hemorrhage.l Frequentl assessmentl ofl fundus,l lochia,l andl vitalsl isl priority.
, QUESTION
Al nursel isl assessingl al 4-month-oldl infantl atl al well-babyl visit.l Whichl developmentall
milestonel shouldl thel infantl bel expectedl tol perform?
A.l Rolll froml backl tol stomach
B.l Sitl unsupported
C.l Holdl headl steadyl whenl heldl upright
D.l Usel al pincerl grasp
Answer:
C.l Holdl headl steadyl whenl heldl upright
Rationale:l Atl 4l months,l infantsl typicallyl developl goodl headl controll whenl heldl upright.l
Rollingl froml backl tol stomachl andl sittingl unsupportedl occurl aroundl 6l months,l andl al
pincerl graspl developsl aroundl 9-10l months.
QUESTION
Al toddlerl diagnosedl withl otitisl medial isl prescribedl amoxicillin.l Whatl isl thel mostl
importantl instructionl forl thel parents?
A.l Discontinuel thel medicationl ifl feverl resolves
B.l Givel thel medicationl withl orangel juice
C.l Completel thel fulll coursel ofl antibiotics
D.l Administerl thel medicationl onlyl duringl meals
Answer:
C.l Completel thel fulll coursel ofl antibiotics
Rationale:l Completingl thel fulll coursel ofl antibioticsl isl essentiall tol preventl antibioticl
resistancel andl recurrence.l Treatmentl shouldl notl bel stoppedl early,l evenl ifl thel childl feelsl
better.
QUESTION