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    Exam Review

    1. A nurse is assessing the fundus of a postpartum client one day after delivery and notes that the fundus is soft and spongy. Which is the first nursing intervention to perform?
      A)Notify the healthcare provider.
      B)Document the fundal height and consistency.
      C)Massage the fundus until firm.
      D)Elevate the client's legs.
    2. Which assessment finding would the nurse expect to find in a sexually active adolescent female concerned that she has contracted gonorrhea?
      A)Frothy, white vaginal discharge.
      B)Slight yellow vaginal discharge.
      C)Low-grade fever for three days.
      D)Urinary frequency.
    3. The nurse is preparing a 2-year-old child with cystic fibrosis for discharge home. Which statement made by the parents suggests that additional education is necessary?
      A)A high-protein, high-calorie diet may need to be supplemented with a high-calorie formula.
      B)Pancreatic enzymes will not be necessary if our child has a good appetite and regular bowel movements.
      C)Three to four times a day we will perform chest therapy and postural drainage on our child.
      D)Playing on the backyard swings and running around outside are exercises our child will greatly enjoy.
    4. A nurse is discharging a child who has sickle cell anemia after an acute crisis episode. Which of the following instructions should the nurse include in the teaching?
      A)Restrict outdoor play activity to 1 hour per day.
      B)Apply cold compresses when your child expresses pain.
      C)Offer fluids to your child multiple times every day.
      D)Monitor your child's temperature daily.
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    Exam Review

    1. The nurse places an infant with a tracheoesophageal fistula under a radiant warmer with the infant's head elevated at a 45-degree angle. Which statement by the mother indicates an understanding of the most important reason for this position?
      A)This position allows food to be easily digested by the stomach.
      B)This position helps my baby breathe better by opening the lungs.
      C)This position prevents stomach juice from going into the lungs.
      D)This position keeps pressure off the stomach.
    2. Which statements made by the parent indicate that appropriate care is being provided to a 4-year-old who has spastic type cerebral palsy? (Select All that Apply.)(SATA)
      A)I play games with my child every day to keep them as independent as possible.
      B)I use utensils with large, padded handles to help my child feed themselves more easily.
      C)I give my child carbidopa so that they will stop drooling.
      D)I perform range of motion exercises every 4 hours to help prevent contractures.
      E)I limit my child's interactions with peers to avoid overstimulation and frustration.
    3. When caring for a 13-year-old with muscular dystrophy receiving corticosteroids to slow disease progression, which of the following medication side effects would you assess for? (Select All that Apply.)(SATA)
      A)Mood changes.
      B)Chronic fatigue.
      C)Weight loss.
      D)Osteoporosis.
      E)Weight gain.
    4. As the nurse caring for an infant who has been prescribed Amoxicillin (Amoxil) orally every 6 hours, you need to calculate the dose. The recommended safe dosage is 50 mg/kg/day, divided into multiple doses. If the infant weighs 6 kg, how much Amoxicillin should you administer per dose?
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    Exam Review

    1. A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late decelerations on the monitor strip and interprets them as indicating which of the following?
      A)Fetal head compression.
      B)Umbilical cord compression.
      C)Uteroplacental insufficiency.
      D)Maternal bradycardia.
    2. A 19-year-old goes to a Planned Parenthood clinic with complaints of painful lesions, fever, headache, and vaginal discharge. After testing, she is diagnosed with Herpes simplex virus type 2. What education should the nurse include in a teaching plan? (Select All that Apply.)(SATA)
      A)Perineal care of genital lesions.
      B)Use of barrier protection.
      C)Penicillin.
      D)Gardasil injection.
      E)Handwashing
    3. Identify a complication resulting from a cleft palate, the anatomical changes that lead to the complication, and the priority interventions for care.
      A)Complication: Otitis media; Anatomical Change: Horizontal Eustachian tubes; Priority intervention: Oral antibiotics.
      B)Complication: Hydrocephalus; Anatomical Change: Small external ear structure; Priority intervention: Corticosteroids.
      C)Complication: Otitis externa; Anatomical Change: Enlarged tongue; Priority intervention: Eardrops.
      D)Complication: Pneumonia; Anatomical Change: Opening in palate; Priority intervention: Surgical closure of palate.
    4. Which of the following clients would the nurse report as a suspected abuse case?
      A)A 10-year-old with a burn on the palm of the hand.
      B)A 6-year-old with splash burns on the front torso.
      C)A 4-year-old with circular abrasions around the wrists.
      D)A 2-year-old with a large bruise on the forehead.
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    Exam Review

    1. A nurse in a provider's office is planning care for a client who has a new diagnosis of polycystic ovarian syndrome. The nurse should plan to monitor which of the following laboratory values?
      A)Thyroid-stimulating hormone.
      B)Liver function.
      C)Blood urea nitrogen.
      D)Blood glucose.
    2. A nurse on a postpartum unit is giving discharge instructions to a client whose newborn had a circumcision with a Plastibell technique. Which of the following client statements indicates an understanding of circumcision care?(SATA)
      A)I will make sure his diaper is loose in the front.
      B)I expect the plastic ring to fall off by itself within a week.
      C)The Plastibell will fall off within the first 24 hours after the procedure.
      D)I will call the doctor if I see any bleeding.
    3. A nurse is caring for a client having a biophysical profile. The client asks what the test is for. What should the nurse include in the response?(SATA)
      A)Fetal motion.
      B)Amniotic fluid volume.
      C)Fetal nuchal translucency.
      D)Fetal gender.
      E)Fetal breathing
    4. A nurse is caring for a client who is experiencing menopausal symptoms and asks the nurse about menopausal hormone therapy (HT). The nurse should inform the client that HT is contraindicated due to which of the following findings in the client's medical history?
      A)Multiple hospitalizations for COPD.
      B)Concurrent treatment for GERD.
      C)History of dermatitis.
      D)History of breast cancer.
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    Exam Review

    1. The nurse educates the parents on actions to prevent sudden infant death syndrome. Which observation indicates the teaching has been effective?
      A)The newborn is on an every 2-hour feeding schedule.
      B)Mother removes pacifier from the newborn's mouth.
      C)Newborn is placed in bassinet with blanket draped over them.
      D)Newborn is placed in bassinet on the back.
    2. A nurse is assessing a newborn who has Trisomy 21 (Down Syndrome). Which of the following are common characteristics?(SATA)
      A)Low birth weight.
      B)Hypertonia.
      C)Protruding tongue.
      D)Simian palmar creases.
    3. A nurse is caring for a client who has just delivered her first newborn. The nurse anticipates hyperbilirubinemia due to Rh incompatibility. The nurse should understand that hyperbilirubinemia occurs with Rh incompatibility for which of the following reasons?
      A)The client's anti-A and anti-B antibodies cross the placenta and cause the destruction of the fetal red blood cells.
      B)The client's blood contains the Rh factor and the newborn's does not, and antibodies that destroy red blood cells are formed in the fetus.
      C)The client's blood does not contain the Rh factor, so she produces anti-Rh antibodies that cross the placental barrier and cause hemolysis of red blood cells in newborns.
      D)The client has a history of receiving a transfusion with Rh-negative blood.
    4. A nurse is preparing to measure the baseline fetal heart rate (FHR) on a client in labor. Which of the following statements is NOT accurate regarding baseline fetal heart rates?
      A)The baseline FHR is normal between 110-160 beats per minute.
      B)The baseline FHR can be obtained via ultrasound or auscultation.
      C)The baseline FHR is assessed over a 10-minute period.
      D)The baseline FHR can be obtained during contractions.
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    Exam Review

    1. After receiving instruction on the use of a diaphragm for contraception, which statement by the client indicates that they have understood the teaching?
      A)"Once I am fitted for the diaphragm, it will always be the correct size.”.
      B)"I need to leave the diaphragm in for six hours after the last act of intercourse.”.
      C)"This contraceptive can be used during menstruation.”.
      D)"I can leave the diaphragm in for a day or two.”.
    2. A nurse is discussing postpartum depression with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of this condition?
      A)"It's common for clients who have postpartum depression to exhibit psychotic behavior.”.
      B)"The most common manifestation of postpartum depression is harming the infant.”.
      C)"Postpartum depression usually begins 48 hours after childbirth.”.
      D)"Postpartum depression is more likely to occur in women who have a history of depression.”.
    3. A newborn is admitted with a diagnosis of a spiral fracture of the right femur. The mother states the child received the injury when the baby fell off the changing table. Which would be the priority nursing intervention?
      A)Call the child abuse hotline.
      B)Educate the mother on safety.
      C)Inform the mother to call the nurse for all diaper changes.
      D)Document the mother's statement without further action.
    4. A nurse is planning care for a preterm newborn. Which of the following nursing interventions to promote development should be included in the plan of care?
      A)Cluster the newborn's care activities.
      B)Position the newborn to promote extension of muscles.
      C)Use fingertips when calming the newborn.
      D)Keep the newborn in a well-lit nursery.
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