NUR 230 Concepts of Nursing: The Childbearing/Child Caring Family
Galen College of Nursing
Academic Year 2026/2027
Examination 4 Comprehensive Practice Examination
Questions 1–50
Instructions: Select the one best answer. The correct answer is italicized.
1.
Which assessment finding in a newborn requires immediate nursing attention?
A. Respiratory rate of 42/min
B. Heart rate of 140/min
C. Central cyanosis
D. Periodic breathing
Answer: C. Central cyanosis
2.
Which intervention is the priority immediately after a healthy newborn's birth?
,A. Administer vitamin K
B. Obtain footprints
C. Maintain warmth and support effective breathing
D. Bathe the newborn
Answer: C. Maintain warmth and support effective breathing
3.
Which finding is expected during the first 24 hours of life?
A. Persistent grunting
B. Central cyanosis
C. Acrocyanosis of the hands and feet
D. Severe respiratory distress
Answer: C. Acrocyanosis of the hands and feet
4.
Which newborn finding is most concerning for respiratory distress?
A. Sneezing
B. Hiccups
C. Grunting and nasal flaring
D. Occasional irregular respirations
Answer: C. Grunting and nasal flaring
5.
, A nurse is assessing a newborn's temperature. Which method is generally preferred when
avoiding unnecessary stimulation?
A. Oral
B. Rectal
C. Axillary
D. Tympanic in every newborn
Answer: C. Axillary
6.
Which intervention helps prevent heat loss in a newborn?
A. Leaving the newborn uncovered for observation
B. Placing the newborn near a cold window
C. Drying the newborn thoroughly and using skin-to-skin contact
D. Delaying drying until after the first feeding
Answer: C. Drying the newborn thoroughly and using skin-to-skin contact
7.
A newborn develops jaundice during the first 12 hours after birth. How should the nurse
interpret this finding?
A. It is always physiologic
B. It is expected after every feeding
C. It requires prompt evaluation
D. It indicates adequate hydration
Galen College of Nursing
Academic Year 2026/2027
Examination 4 Comprehensive Practice Examination
Questions 1–50
Instructions: Select the one best answer. The correct answer is italicized.
1.
Which assessment finding in a newborn requires immediate nursing attention?
A. Respiratory rate of 42/min
B. Heart rate of 140/min
C. Central cyanosis
D. Periodic breathing
Answer: C. Central cyanosis
2.
Which intervention is the priority immediately after a healthy newborn's birth?
,A. Administer vitamin K
B. Obtain footprints
C. Maintain warmth and support effective breathing
D. Bathe the newborn
Answer: C. Maintain warmth and support effective breathing
3.
Which finding is expected during the first 24 hours of life?
A. Persistent grunting
B. Central cyanosis
C. Acrocyanosis of the hands and feet
D. Severe respiratory distress
Answer: C. Acrocyanosis of the hands and feet
4.
Which newborn finding is most concerning for respiratory distress?
A. Sneezing
B. Hiccups
C. Grunting and nasal flaring
D. Occasional irregular respirations
Answer: C. Grunting and nasal flaring
5.
, A nurse is assessing a newborn's temperature. Which method is generally preferred when
avoiding unnecessary stimulation?
A. Oral
B. Rectal
C. Axillary
D. Tympanic in every newborn
Answer: C. Axillary
6.
Which intervention helps prevent heat loss in a newborn?
A. Leaving the newborn uncovered for observation
B. Placing the newborn near a cold window
C. Drying the newborn thoroughly and using skin-to-skin contact
D. Delaying drying until after the first feeding
Answer: C. Drying the newborn thoroughly and using skin-to-skin contact
7.
A newborn develops jaundice during the first 12 hours after birth. How should the nurse
interpret this finding?
A. It is always physiologic
B. It is expected after every feeding
C. It requires prompt evaluation
D. It indicates adequate hydration
