NEWBORN SAUNDERS NCLEX ACTUAL
EXAM PAPER 2026 FULL QUESTIONS AND
CORRECT ANSWERS GRADED A+
●● The mother of a newborn calls the clinic and reports that when
cleaning the umbilical cord, she noticed that the cord was moist and that
dis-charge was present. What is the most appropriate nursing instruction
for this mother?
1. Bring the infant to the clinic.
2. This is a normal occurrence and no further action is needed.
3. Increase the number of times that the cord is cleaned per day.
4. Monitor the cord for another 24 to 48 hours and call the clinic if the
discharge continues.. Answer: 1
Rationale: Signs of umbilical cord infection are moistness, oozing,
discharge, and a reddened base around the cord. If signs of infection
occur, the client should be instructed to notify a health care provider
(HCP). If these symptoms occur, antibiotics may be necessary. Options
2, 3, and 4 are not the most appropriate nursing interventions for an
umbilical cord infection as given in the question.
●● The nurse in a neonatal intensive care unit (NICU) receives a
telephone call to prepare for the admis- sion of a 43-week gestation
, newborn with Apgar scores of 1 and 4. In planning for admission of this
newborn, what is the nurse's highest priority?
1. Turn on the apnea and cardio respiratory monitors.
2. Connect the resuscitation bag to the oxygen outlet.
3. Set up the intravenous line with 5% dextrose in water.
4. Set the radiant warmer control temperature at 36.5 °C (97.6 °F)..
Answer: 2
Rationale: The highest priority on admission to the nursery for a
newborn with a low Apgar score is the airway, which would involve
preparing respiratory resuscitation equipment and oxygen. The
remaining options are also important, although they are of lower priority.
The newborn would be placed on an apnea and cardiorespiratory
monitor. Setting up an intravenous line with 5% dextrose in water would
provide circulatory support. The radiant warmer would provide an
external heat source, which is necessary to prevent further respiratory
distress.
●● The nurse is assessing a newborn after circumcision and notes that
the circumcised area is red with a small amount of bloody drainage.
Which nursing action is most appropriate?
1. Apply gentle pressure.
2. Reinforce the dressing.
EXAM PAPER 2026 FULL QUESTIONS AND
CORRECT ANSWERS GRADED A+
●● The mother of a newborn calls the clinic and reports that when
cleaning the umbilical cord, she noticed that the cord was moist and that
dis-charge was present. What is the most appropriate nursing instruction
for this mother?
1. Bring the infant to the clinic.
2. This is a normal occurrence and no further action is needed.
3. Increase the number of times that the cord is cleaned per day.
4. Monitor the cord for another 24 to 48 hours and call the clinic if the
discharge continues.. Answer: 1
Rationale: Signs of umbilical cord infection are moistness, oozing,
discharge, and a reddened base around the cord. If signs of infection
occur, the client should be instructed to notify a health care provider
(HCP). If these symptoms occur, antibiotics may be necessary. Options
2, 3, and 4 are not the most appropriate nursing interventions for an
umbilical cord infection as given in the question.
●● The nurse in a neonatal intensive care unit (NICU) receives a
telephone call to prepare for the admis- sion of a 43-week gestation
, newborn with Apgar scores of 1 and 4. In planning for admission of this
newborn, what is the nurse's highest priority?
1. Turn on the apnea and cardio respiratory monitors.
2. Connect the resuscitation bag to the oxygen outlet.
3. Set up the intravenous line with 5% dextrose in water.
4. Set the radiant warmer control temperature at 36.5 °C (97.6 °F)..
Answer: 2
Rationale: The highest priority on admission to the nursery for a
newborn with a low Apgar score is the airway, which would involve
preparing respiratory resuscitation equipment and oxygen. The
remaining options are also important, although they are of lower priority.
The newborn would be placed on an apnea and cardiorespiratory
monitor. Setting up an intravenous line with 5% dextrose in water would
provide circulatory support. The radiant warmer would provide an
external heat source, which is necessary to prevent further respiratory
distress.
●● The nurse is assessing a newborn after circumcision and notes that
the circumcised area is red with a small amount of bloody drainage.
Which nursing action is most appropriate?
1. Apply gentle pressure.
2. Reinforce the dressing.
