CRNE Exam Prep - Question List

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81. A three-day-old full-term infant is observed with yellowish skin and sclera. Laboratory examination reveals a total serum bilirubin level of 15 mg/dl. The nurse determines that these symptoms suggest:
  1. Jaundice of prematurity
  2. Physiological jaundice
  3. Pathological jaundice
  4. Breastfeeding jaundice
82. The nurse is assessing a newborn. Which of the following findings, if observed by the nurse, should be a cause for concern?
  1. Blood pressure difference between the upper arms and thighs is wide
  2. A newborn with an apical heart rate of 170 beats per minute when crying
  3. Symmetric blue or cyanotic discoloration of the feet and hands
  4. Brief periods of apnea during sleep
83. As the nurse assesses a six-month-old female infant, the nurse notices that when the infant’s feet are placed on a firm surface, she pushes down with her legs. Which of the following is the nurse’s initial action?
  1. Document the finding as normal.
  2. Instruct the parents to stretch the infant’s legs when lying on her stomach.
  3. Inform the parents about possible treatment options for cerebral palsy.
  4. Notify the physician.
84. A female teenaged client comes to the emergency room following an assault. The client is extremely anxious and is hyperventilating. Which of the following interventions is the most appropriate nursing action?
  1. Teach the patient how to do deep breathing exercises.
  2. Stay with the client until the level of anxiety decreases.
  3. Place the patient in a quiet room alone to decrease stimulation.
  4. Encourage the client to verbalize her feelings and fears.
85. A client undergoes a radical mastectomy of the right breast. The nurse interprets that the client is beginning to adjust to the physical change if which of the following behaviors is noted?
  1. The client refuses to look at her chest.
  2. The client is actively participating in caring for the surgical drain.
  3. The client is surfing on her laptop and reading about breast reconstruction surgery on the Internet.
  4. The client asks for pain medications.

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