Practice Question
A few minutes after delivering a full-term infant, the birth mother is concerned that the infant's hands and feet look blue and asks the nurse if something is wrong with the newborn. Which response does the nurse provide?
Answer Choices:
Correct Answer:
"Your baby is experiencing acrocyanosis, and this is normal."
Rationale:
♦️Acrocyanosis (bluish hands/feet with pink trunk) is common and normal in the first 24–48 hours of newborn life.
♦️It results from immature circulation and peripheral vasoconstriction, not from respiratory distress.
♦️The baby should be otherwise pink, warm, and vigorous with normal respirations.
♦️No intervention beyond parent reassurance is required.
♦️Nurses should still monitor for central cyanosis, which would indicate pathology.
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This question is from PN Exit-Retake- September 2025 which contains 148 questions.
More Questions from This Exam
The nurse reviews the results of a healthy, older adult client's cardiovascular status after diagnostic testing. Which normal age-related finding does the nurse expect to identify?
Answer Choices:
A. Maximum heart rate of 145 beats per minute with exercise
B. Improved baroreceptor sensitivity to position changes
C. Enhanced cardiac output during physical activity
D. Decreased peripheral vascular resistance at rest
The nurse takes the vital signs of a school-aged client diagnosed with obesity. The parent voices concern for the child's elevated blood pressure. Which response does the nurse provide to address the parent's concern?
Answer Choices:
A. "Do not worry, your child is too young to have chronic high blood pressure."
B. "High blood pressure can start early in life due to obesity, but can be reversed with some positive changes."
C. "High blood pressure in children can lead to heart or kidney problems. We can do further testing."
D. "High blood pressure is hereditary. Do you or the biological father have hypertension?"
While caring for a client, the client states, "The family would be better off without my child and me." The nurse knows that the client has a teenage child with severe disabilities requiring constant care. Which statement does the nurse provide? Select all that apply.
Answer Choices:
A. "Why would you say that? Has your family told you this?"
B. "It sounds as though you are sad and exhausted from providing the care your child needs."
C. "Are you thinking of hurting your child or yourself after discharge?"
D. "Have you discussed this with anyone else?"
E. "How would you kill yourself or your child?"
The nurse assesses a client who had a perinatal loss. Which finding indicates to the nurse that the client is experiencing complicated grief?
Answer Choices:
A. A request for an autopsy of the deceased infant is made from the parent
B. Round-the-clock assistance from family members is required by the client
C. Advice from family and friends is given to not dwell on the loss
D. A return to a demanding job 1 week after the loss is planned
Which nursing action effectively demonstrates the delegation responsibility of the registered nurse for supervision and evaluation?
Answer Choices:
A. Assign an unlicensed assistive personnel on the team to assist a client with oral hygiene and bathing
B. Provide coaching to the licensed practical nurse to use a safety gait strap while ambulating a client using a cane
C. Provide clear direction on how to complete a task when delegating to a staff member
D. Ensure the care delegated is within the knowledge and scope of expertise of the team member's practice
Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exit Exam(s)
- Domain: Exit Exam(s)~2025
- Answer Choices: 4