NursingPlex
    Sign In
    Review ModeExam ModePractice Mode

    Exam Review

    1. A 7-year-old girl is receiving IV antibiotics for osteomyelitis in the left femur. After 72 hours of treatment, she continues to have fever, elevated WBC, and increased pain at the infection site. What is the nurse's priority action?
      A)Notify the provider of the lack of therapeutic response.
      B)Request an order for oral analgesics to reduce discomfort.
      C)Encourage intake of calcium-rich foods to support bone healing.
      D)Reassure the family that antibiotic therapy can take several days to show improvement.
    2. Which of the following is a common symptom of depression in younger children?
      A)Increased energy levels.
      B)Decreased irritability.
      C)Improved concentration.
      D)Changes in appetite and sleep patterns.
    3. A nurse is reinforcing teaching about nutritional needs with a client who is pregnant. Which of the following nutrients should the nurse instruct the client to increase during pregnancy?(SATA)
      A)Iron.
      B)Calcium.
      C)Vitamin D.
      D)Vitamin E.
    4. What is the difference between multigravida and primigravida?
      A)Multigravida refers to a woman who is pregnant for the first time, while primigravida refers to a woman who has been pregnant more than once.
      B)There is no difference between multigravida and primigravida; they both refer to a woman who is pregnant for the first time.
      C)Multigravida refers to a woman who has never been pregnant, while primigravida refers to a woman who has been pregnant more than once.
      D)Multigravida refers to a woman who has been pregnant more than once, while primigravida refers to a woman who is pregnant for the first time.
    Page 1 of 21

    Exam Review

    1. A school nurse notices a sudden drop in grades and increased absenteeism in a previously high-achieving student. When approached, the student avoids eye contact and has flat affect. What is the nurse's next best action?
      A)Refer the student to the school social worker for a mental health evaluation.
      B)Encourage the student to take academic breaks.
      C)Contact the child's teacher to discuss tutoring.
      D)Notify the parent to request a medical workup.
    2. A nurse is assessing a client to identify contraindications of hormonal contraceptive use. Which of the following Questions should the nurse ask the client? (Select All that Apply.)(SATA)
      A)"Do you have a family or personal history of breast cancer?"
      B)"Are you taking any medications?"
      C)"Do you smoke?"
      D)"Do you have high blood pressure?"
    3. Which of the following is the primary method used during a scoliosis screening to detect abnormal spinal curvature?
      A)Phalen's Maneuver.
      B)Romberg Test.
      C)Adam's Forward Bend Test.
      D)Lasegue's Sign Test.
    4. A nurse is assisting in the discharge planning of a postpartum client. Which of the following teaching points about car seat safety should the nurse reinforce in the teaching?
      A)Ensure that the car seat is securely installed and properly buckled.
      B)Use a car seat that is expired or has been involved in a previous accident.
      C)Always place the car seat in the front seat, facing forward.
      D)Place the car seat in the middle of the back seat, facing forward.
    Page 2 of 21

    Exam Review

    1. The nurse is planning care for a child with muscular dystrophy. What is an appropriate nursing goal?
      A)Cure the disease.
      B)Prevent injury.
      C)Promote rapid ambulation.
      D)Reverse muscle weakness.
    2. A nurse is collecting data from a fetal monitor strip and recognizes late decelerations. Which of the following actions should the nurse expect to be taken at this time?
      A)Reposition the client to a left lateral position.
      B)Document the findings in the electronic health record.
      C)Adjust the fetal monitor sensors.
      D)Insert a fetal scalp electrode.
    3. A nurse is caring for a postpartum client who saturates a perineal pad in 10 minutes. Which of the following actions should the nurse take first?
      A)Massage the client's fundus.
      B)Check the client's blood pressure.
      C)Observe for pooling of blood under the buttocks.
      D)Administer oxytocin.
    4. A nurse is caring for a primigravid client who is at 36 weeks of gestation and asks, "How will I know if I am in labor?" Which of the following manifestations of true labor should the nurse discuss with the client? (Select All that Apply.)(SATA)
      A)Contractions that increase in intensity.
      B)Leakage of fluid from the vagina.
      C)Increased bladder pressure.
      D)Blood-tinged vaginal mucus.
      E)Uterine contractions that decrease with rest.
    Page 3 of 21

    Exam Review

    1. A nurse in a prenatal clinic is determining a client's estimated date of delivery using Naegele's rule. The first day of her last menstrual period was May 4. Which of the following dates should the nurse tell the client is her estimated date of delivery?
      A)February 27.
      B)February 11.
      C)April 27.
      D)April 11.
    2. A nurse collecting data on a client who is 38 weeks of gestation during a weekly prenatal visit. Which of the following findings should the nurse report to the provider?
      A)Report of insomnia.
      B)Blood-tinged mucous vaginal discharge.
      C)Blood pressure 134/80 mm Hg.
      D)Weight gain of 2.2 kg (4.8 lbs).
    3. A nurse is collecting data from a client at their first prenatal appointment. The client reports that the first day of their last menstrual period was September 17. Which of the following accurately represents the client's estimated date of delivery using Naegele's Rule?
      A)June 24.
      B)June 10.
      C)June 20.
      D)June 14.
    4. A nurse is reinforcing teaching with a newly licensed nurse about the structures of fetal circulation. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
      A)The placenta is located between the left and the right atrium.
      B)The ductus arteriosus is located on the uterine wall.
      C)The ductus venosus is between the pulmonary artery and the aorta.
      D)The umbilical vein is located within the umbilical cord.
    Page 4 of 21

    Exam Review

    1. A school counselor refers a teen for evaluation after she gives away personal belongings and writes about death in her journal. What is the nurse's priority action?
      A)Encourage journaling to express feelings.
      B)Assess for suicide risk and initiate safety measures.
      C)Notify the teen's teacher to monitor behavior.
      D)Provide the teen with information on grief support.
    2. A practical nurse is reinforcing education with a client on the benefits of support during labor. Which of the following benefits should the nurse include in their teaching reinforcement? (Select All that Apply.)(SATA)
      A)Decrease in pain.
      B)Improved experience.
      C)Better fetal outcomes.
      D)Improved client outcomes.
    3. A 15-year-old high school student named Emily has been consistently bullied by her peers for the past year. She has become withdrawn, avoids social interactions, and her academic performance has declined. What psychological effect is Emily most likely experiencing as a result of the bullying?
      A)Depression.
      B)Increased self-esteem.
      C)Enhanced social skills.
      D)Improved academic performance.
    4. A practical nurse is reinforcing education with a client on the benefits of support during labor. Which of the following benefits should the nurse include in their teaching reinforcement? (Select All that Apply.)(SATA)
      A)Decrease in pain.
      B)Improved experience.
      C)Better fetal outcomes.
      D)Improved client outcomes.
    Page 5 of 21

    Exam Review

    1. A nurse is collecting data from a client who gave birth 12 hours ago. The nurse notes the fundus is deviated to the right, boggy, and 2 cm above the umbilicus. Which of the following actions should the nurse take first?
      A)Assist the client to void.
      B)Obtain a stat hemoglobin level.
      C)Administer methylergometrine to the client.
      D)Insert an indwelling urinary catheter.
    2. The client is 16 weeks pregnant. If the pregnancy is progressing as expected, where would the healthcare provider be able to palpate the uterine fundus?
      A)At the umbilicus.
      B)The uterine fundus would not be palpable at 16 weeks.
      C)Halfway between the pubic bone and the umbilicus.
      D)Just above the pubic bone.
    3. A woman presents to the clinic in the first trimester of pregnancy. She has three children living at home. One of them was born prematurely at 34 weeks. The other two were full-term at birth. She has a history of one miscarriage. How do you record her obstetric history on the chart using GTPAL format?
      A)G4 T3 P0 A1 L3.
      B)G4 T2 P1 A1 L3.
      C)G3 T2 P1 A1 L3.
      D)G5 T2 P1 A1 L3.
    4. Which is a common psychosocial issue for adolescents, according to Erikson's theory?
      A)Identity versus role confusion.
      B)Autonomy versus shame.
      C)Trust versus mistrust.
      D)Industry versus inferiority.
    Page 6 of 21