RNC MNN EXAM |ACTUAL QUESTIONS AND
VERIFIED ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
A nurse is preparing to administer phytonadione to a newborn. The nurse should plan to
administer this medication by which of the following routes?
1. Ophthalmic
2. Intramuscular
3. Subcutaneous
4. Rectal
CORRECT ANSWER
Intramuscular.
--To prevent hemorrhage until the newborn's GI system can produce its own vitamin K.
**Phytonadione: Vitamin K administered to newborns due to lack of vitamin K present
during birth and this helps with clotting in the blood.
**Older infants receive phytonadione SubQ.
Question 2
A nurse is contributing to the plan of care for a client who is pregnant and has intermittent
constipation. Which of the following interventions should the nurse recommend in the
plan?
1
,1. Take two docusate calcium capsules each evening.
2. Use a hypertonic enema when episodes occur.
3. Consume 10 mL (2 tsp) of mineral oil each morning.
4. Drink 2 L of water per day.
CORRECT ANSWER
Drink 2 L of water per day.
--The client should drink 2 liters (67.6 oz) per day to decrease reabsorption of fluid and
prevent drying of stool, which causes constipation.
**Daily use of docusate can lead to dependence and electrolyte imbalances, stool
softeners should be used intermittently.
**Using a hypertonic enema during pregnancy may cause injury to the client or fetus, it
may also trigger labor.
**Consuming mineral oil during pregnancy depletes stores of fat-soluble vitamins A, D, E,
and K, which are necessary for fetal development.
Question 3
A nurse is contributing to the plan of care for a newborn following a vaginal birth. Which
of the following information should the nurse include when helping to develop the
newborn's plan of care? (Select all that apply).
1. Maternal group B streptococcus (GBS) status
2. Apgar score
3. Maternal urinary output
4. Type of birth
2
,5. Maternal weight
CORRECT ANSWER
1, 2, 4
-Maternal group B streptococcus (GBS) status
-Apgar score
-Type of birth
--If the mother is GBS positive and has not received antibiotic therapy, the newborn is at
risk for neonatal morbidity and mortality.
--Apgar score is documented at 1 and 5 mins following birth to determine how the
newborn has adjusted to extrauterine life.
--Type of birth is relevant to help in planning essential data collection and intervention.
Question 4
A nurse is planning to perform a blood collection via heel stick on a newborn. After
performing hand hygiene and donning gloves, which of the following actions should the
nurse plan to take next?
1. Cleanse the newborn's heel with antiseptic and allow it to dry.
2. Wrap the newborn's heel with a cloth moistened with warm water.
3. Cuddle and comfort the newborn.
4. Apply pressure to the newborn's heel by using a dry gauze square.
CORRECT ANSWER
Wrap the newborn's heel with a cloth moistened with warm water.
3
, --This allows for dilation of the vessels in the area in order to obtain an adequate sample.
**The nurse would cleanse the lateral side of the newborn's heel with an antiseptic
solution and allow it to dry to disinfect the skin and avoid diluting the specimen.
**Apply pressure to the site after drawing the blood to stop the bleeding.
Question 5
A nurse is assisting with the neuromuscular assessment of a newborn by eliciting primitive
reflexes. Which of the following images indicates a characteristic response of the tonic
neck reflex?
CORRECT ANSWER
The newborn's head is quickly turned to one side, the arm and leg on the same side
extend, while the arm and leg on the opposite side flex.
**Crawling reflex: When the newborn is placed on the abdomen, they will appear to
make crawling movements with the arms and legs.
**Magnet reflex: The newborn will push against the examiner's hands when pressure is
applied to the soles of the newborn's feet.
**Moro reflex: When the newborn hears a loud noise, they will abduct then extend the
arms with the fingers widely open and the thumb and index finger form a "C" shape. The
lower extremities might also extend then abduct toward the abdomen.
Question 6
A nurse is contributing to the plan of care for a client who is at 18 weeks gestation and has
just learned that the fetus has trisomy 21. Which of the following resources should the
nurse recommend for the client?
4
VERIFIED ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
A nurse is preparing to administer phytonadione to a newborn. The nurse should plan to
administer this medication by which of the following routes?
1. Ophthalmic
2. Intramuscular
3. Subcutaneous
4. Rectal
CORRECT ANSWER
Intramuscular.
--To prevent hemorrhage until the newborn's GI system can produce its own vitamin K.
**Phytonadione: Vitamin K administered to newborns due to lack of vitamin K present
during birth and this helps with clotting in the blood.
**Older infants receive phytonadione SubQ.
Question 2
A nurse is contributing to the plan of care for a client who is pregnant and has intermittent
constipation. Which of the following interventions should the nurse recommend in the
plan?
1
,1. Take two docusate calcium capsules each evening.
2. Use a hypertonic enema when episodes occur.
3. Consume 10 mL (2 tsp) of mineral oil each morning.
4. Drink 2 L of water per day.
CORRECT ANSWER
Drink 2 L of water per day.
--The client should drink 2 liters (67.6 oz) per day to decrease reabsorption of fluid and
prevent drying of stool, which causes constipation.
**Daily use of docusate can lead to dependence and electrolyte imbalances, stool
softeners should be used intermittently.
**Using a hypertonic enema during pregnancy may cause injury to the client or fetus, it
may also trigger labor.
**Consuming mineral oil during pregnancy depletes stores of fat-soluble vitamins A, D, E,
and K, which are necessary for fetal development.
Question 3
A nurse is contributing to the plan of care for a newborn following a vaginal birth. Which
of the following information should the nurse include when helping to develop the
newborn's plan of care? (Select all that apply).
1. Maternal group B streptococcus (GBS) status
2. Apgar score
3. Maternal urinary output
4. Type of birth
2
,5. Maternal weight
CORRECT ANSWER
1, 2, 4
-Maternal group B streptococcus (GBS) status
-Apgar score
-Type of birth
--If the mother is GBS positive and has not received antibiotic therapy, the newborn is at
risk for neonatal morbidity and mortality.
--Apgar score is documented at 1 and 5 mins following birth to determine how the
newborn has adjusted to extrauterine life.
--Type of birth is relevant to help in planning essential data collection and intervention.
Question 4
A nurse is planning to perform a blood collection via heel stick on a newborn. After
performing hand hygiene and donning gloves, which of the following actions should the
nurse plan to take next?
1. Cleanse the newborn's heel with antiseptic and allow it to dry.
2. Wrap the newborn's heel with a cloth moistened with warm water.
3. Cuddle and comfort the newborn.
4. Apply pressure to the newborn's heel by using a dry gauze square.
CORRECT ANSWER
Wrap the newborn's heel with a cloth moistened with warm water.
3
, --This allows for dilation of the vessels in the area in order to obtain an adequate sample.
**The nurse would cleanse the lateral side of the newborn's heel with an antiseptic
solution and allow it to dry to disinfect the skin and avoid diluting the specimen.
**Apply pressure to the site after drawing the blood to stop the bleeding.
Question 5
A nurse is assisting with the neuromuscular assessment of a newborn by eliciting primitive
reflexes. Which of the following images indicates a characteristic response of the tonic
neck reflex?
CORRECT ANSWER
The newborn's head is quickly turned to one side, the arm and leg on the same side
extend, while the arm and leg on the opposite side flex.
**Crawling reflex: When the newborn is placed on the abdomen, they will appear to
make crawling movements with the arms and legs.
**Magnet reflex: The newborn will push against the examiner's hands when pressure is
applied to the soles of the newborn's feet.
**Moro reflex: When the newborn hears a loud noise, they will abduct then extend the
arms with the fingers widely open and the thumb and index finger form a "C" shape. The
lower extremities might also extend then abduct toward the abdomen.
Question 6
A nurse is contributing to the plan of care for a client who is at 18 weeks gestation and has
just learned that the fetus has trisomy 21. Which of the following resources should the
nurse recommend for the client?
4
