NCLEX QUESTION TRAINER EXPLANATIONS 2023 TEST 1

NCLEX QUESTION TRAINER EXPLANATIONS 2023 TEST 1 1. The nurse is caring for clients in the outpatient clinic. Which of the following messages should the nurse return FIRST? 1. A mother reports that the umbilical cord of her five-day-old infant is dry and hard to the touch. 2. A mother reports that the “soft spot” on the head of her four-day-old infant feels slightly elevated when the baby sleeps. 3. A mother reports that the circumcision of her 3-day-old infant is covered with yellowish exudate. 4. A father reports that he bumped the crib of his two-day-old infant and she violently extended her extremities and returned to them their previous position. Strategy: Determine the significance of each assessment and how it relates to a newborn. (1) expected outcome; falls off within 1-2 weeks; no tub baths until the cord falls off (2) correct–fontanelle should feel soft and flat; fullness or bulging indicates increased intracranial pressure (3) normal healing, don't remove exudate; clean with warm water (4) motor reflex is normal; disappears after 3-4 months 2. The parents of a child with hemophilia want to know the cause of the disease. Which of the following would be the BEST response by the nurse? 1. “The father transmits the gene to his son.” 2. “Both the mother and the father carry a recessive trait.” 3. “The mother transmits the gene to her son.” 4. “There is a 50% chance that the mother will pass the trait to each of her daughters.” Strategy: Think about each statement. Is it true? (1) affected male inherits gene from his mother and can transmit it only to his daughters (2) it is not an autosomal recessive trait (3) correct–hemophilia is a sex-linked disorder (4) there is a 50% chance that the mother will pass the trait to each of the children 3. A six-month-old is brought to the clinic for a well-baby check-up. Duri