Exam Review
- A nurse is caring for a client who is scheduled for a maternal serum alpha-fetoprotein test at 15 weeks of gestation. The nurse provides which of the following explanations about this test to the client?A)This test identifies an Rh incompatibility between the mother and fetus.B)It assesses various markers of fetal well-being.C)It is a screening test for spinal defects in the fetus.D)This test assesses fetal lung maturity.
- A nurse in the labor and delivery unit is caring for a client who is undergoing external fetal monitoring. The nurse observes that the fetal heart rate begins to slow after the start of a contraction, and the lowest rate occurs after the peak of the contraction. Which of the following actions should the nurse take first?A)Place the client in the lateral position.B)Elevate the client's legs.C)Increase the rate of maintenance IV infusion.D)Administer oxygen using a nonrebreather mask.
- A nurse is providing home safety information for an older adult client who uses a cane. Which of the following statements should the nurse include in the teaching?A)"You should advance the cane 12 to 24 inches before taking a step."B)"You should hold the cane in your weak hand when ambulating."C)"The cane's height should be the exact distance from the floor to mid flank."D)"You should advance your weak leg forward to the cane, then move your strong leg."
- A nurse working in a community health center is preparing a flow sheet detailing essential screenings according to age group. At which developmental stage on the chart should the nurse add scoliosis screening?A)Older AdultB)Pre-adolescent/adolescentC)Toddler/PreschoolerD)Infant
Exam Review
- A nurse is assessing a client who is in active labor and notes that the presenting part is at 0 station. Which of the following is the correct interpretation of this clinical finding?A)The largest fetal diameter has passed through the pelvic outletB)The posterior fontanel is palpableC)The lowermost portion of the fetus is at the level of the ischial spinesD)The fetal head is in the left occiput posterior position
- A nurse is caring for a client who is at 40 weeks gestation and is in active labor. The client has 6 cm of cervical dilation and 100% cervical effacement. The nurse obtains the client's blood pressure reading as 82/52 mm Hg. Which of the following nursing interventions should the nurse perform?A)Prepare for a cesarean birthB)Ask the client to turn onto her sideC)Assist the client to an upright positionD)Prepare for an immediate vaginal delivery
- A nurse has accepted a position on a pediatric unit and is learning about psychosocial development. Place Erikson's stages of psychosocial development in order from birth to adolescence.A)Trust vs. mistrust1B)Autonomy vs. shame and doubt2C)Initiative vs. guilt3D)Industry vs. inferiority4E)Identity vs. role confusion5
- A nurse is caring for a client who has a positive pregnancy test. The nurse is teaching the client about common discomforts in the first trimester of pregnancy as well as warning signs of potential danger. The nurse should instruct the client to call the clinic if she experiences which of the following manifestations?A)Facial edemaB)Nausea and vomitingC)LeukorrheaD)Urinary frequency
Exam Review
- A nurse in labor and delivery is caring for a client. Following delivery of the placenta, the nurse examines the umbilical cord. Which of the following vessels should the nurse expect to observe in the umbilical cord?A)One artery and one veinB)Two veins and one arteryC)Two arteries and one veinD)Two arteries and two veins
- A nurse is developing an education program for a community group about dietary intake of vitamins and minerals in the diet. The nurse should include which of the following foods as sources of vitamin C?(SATA)A)MilkB)StrawberriesC)OrangeD)TomatoesE)Green pepper
- A nurse in a prenatal clinic is caring for a client who is pregnant and asks the nurse for her estimated date of birth (EDB). The client's last menstrual period began on July 27. What is the client's EDB? (State the date in MMDD. For example, July 27 is 0727)
- A nurse is caring for a client at the first prenatal visit who has a BMI of 26.5. The client asks how much weight she should gain during pregnancy. Which of the following responses should the nurse make?A)"A gain of about 25 to 35 pounds is recommended for you."B)"The recommendation for you is about 15 to 25 pounds."C)"A gain of about 1 pound per week is the best pattern for you."D)"It would be best if you gained about 11 to 20 pounds."
Exam Review
- A nurse is assessing an older adult client who reports a sudden onset of urinary incontinence. The nurse should recognize which of the following conditions is most likely to cause incontinence in the older adult client?A)CystitisB)NephrosclerosisC)DiverticulitisD)Uremia
- A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes early decelerations on the monitor strip and interprets them as indicating which of the following?A)Umbilical cord compressionB)Uteroplacental insufficiencyC)Fetal head compressionD)Maternal bradycardia
- A nurse in a prenatal clinic is reviewing the health record of a client who is at 28 weeks of gestation. The history includes one pregnancy terminated by elective abortion at 9 weeks; the birth of twins at 36 weeks; and a spontaneous abortion at 15 weeks. According to the GTPAL system, which of the following describes the client's current status?A)3-0-2-0-2B)4-0-1-2-2C)2-0-0-2-0D)4-2-0-2-2
- Which findings are normal age-related physiological changes? Select all that apply.A)Decline in long-term memoryB)Diminished visual acuityC)Increased heart rateD)Decreased stress responseE)Increased susceptibility to urinary tract infections
Exam Review
- A nurse in a prenatal clinic is completing a skin assessment of a client who is in the second trimester. Which of the following findings should the nurse expect?A)ChloasmaB)Linea nigraC)PsoriasisD)Striae gravidarumE)Eczema
- A nurse is assessing an older adult client who has experienced some loss of bone density. The nurse observes a "hunchback" curvature of the client's spine. The nurse should expect the provider to document which of the following disorders?A)AnkylosisB)ScoliosisC)LordosisD)Kyphosis
- A nurse in a prenatal clinic is caring for a client who is at 7 weeks of gestation. The client reports urinary frequency and asks if this will continue until delivery. Which of the following responses should the nurse make?A)"There is no way to predict how long it will last in each individual client."B)"In most cases it only lasts until the 12th week, but it will continue if you have poor bladder tone."C)"It commonly occurs during the first trimester and near the end of the pregnancy."D)"It's a minor inconvenience, which you should ignore."
- A nurse is caring for a client who is in the first stage of labor, undergoing external fetal monitoring, and receiving IV fluid. The nurse observes variable decelerations in the fetal heart rate on the monitor strip. Which of the following is a correct interpretation of this finding?A)Variable decelerations are caused by uteroplacental insufficiency.B)Variable decelerations are related to fetal head compression.C)Variable decelerations are a result of the administration of IV narcotics.D)Variable decelerations are due to umbilical cord compression.
Exam Review
- A nurse in a prenatal clinic is caring for a client. Using Leopold maneuvers, the nurse palpates a round, firm, moveable part in the fundus of the uterus and a long, smooth surface on the client's right side. In which abdominal quadrant should the nurse expect to auscultate fetal heart tones?A)Left lowerB)Right upperC)Right lowerD)Left upper
- A nurse is providing teaching about Kegel exercises to a group of clients who are in the third trimester of pregnancy. Which of the following statements by a client indicates understanding of the teaching?A)"They can prevent further stretch marks."B)"They can help reduce back aches."C)"These exercises help prevent constipation."D)"These exercises help pelvic muscles to stretch during birth."
- A nurse is providing teaching about nutrition to a client at her first prenatal visit. Which of the following statements by the nurse should be included in the teaching?A)"Vitamin E requirements decline during pregnancy due to the increase in body fat."B)"You will need to double your intake of iron during pregnancy."C)"Prenatal vitamins will meet your need for increased vitamin D during pregnancy."D)"You will need to increase your calcium intake during breastfeeding."
- A nurse in an urgent care clinic is studying the developmental stages of various clients. In which of the following clients should the nurse expect to see manifestations of autism?A)NeonateB)ToddlerC)Middle ageD)Geriatric