Exam Review
- The parents of a 6-week-old boy come to the clinic for evaluation because the infant has been vomiting. The parents report that the vomiting has been increasing in frequency and forcefulness over the last week. The mother says, "Sometimes, it seems like it just bursts out of his mouth." A diagnosis of hypertrophic pyloric stenosis is suspected. When performing the physical examination, what would the nurse most likely find?A)Sausage-shaped mass in the upper mid-abdomenB)Hard, moveable, olive-shaped mass in the right upper quadrantC)Tenderness over the McBurney point in the right lower quadrantD)Abdominal pain in the epigastric or umbilical region
- A nurse is caring for a client who experience a vaginal birth 3 hr ago. Upon palpation, the fundus is displaced to the right of midline, is firm, and is two fingerbreadths above the umbilicus. Which of the following actions should the nurse complete at this time?A)Massage the fundus.B)Insert a urinary catheter.C)Have the client urinate.D)Administer an analgesic
- After teaching a woman who has had an evacuation for gestational trophoblastic disease (hydatidiform mole or molar pregnancy! about her condition, which statement indicates that the nurse's teaching was successful?A)"I will be sure to avoid getting pregnant for at least 1 year"B)"My intake of iron will have to be closely monitored for 6 months."C)"My blood pressure will continue to be increased for about 6 more months."D)“I won't use my birth control pills for at least a year or two."
- Which change in status should alert the nurse to increased intracranial pressure (ICP) in a child with a head Injury?A)Rapid, shallow breathingB)Irregular, rapid heart rateC)Increased diastolic pressure with narrowing pulse pressureD)Confusion and altered mental status
Exam Review
- A patient asks about contraception and using an IUD. The nurse explains the IUD best prevents conception by:A)Blocking the opening to the cervixB)Increasing the mobility of the uterusC)Preventing sperm from reaching the fallopian tubesD)keeps sperm from reaching the egg by creating a hostile environment within the uterus
- The nurse assesses a postpartum patient's discharge as being moderate in amount. How should the nurse document the appearance of the lochia?A)Lochia albaB)lochia rubraC)Lochie serosaD)Lochia normalia
- The nurse is assessing a 13-year-old boy with type 2 diabetes mellitus. What would the nurse correlate with disorder?A)The parents report that their child had 'a cold or flu" recently.B)Blood pressure is decreased when checking vital signs.C)The parents report that their son "can't drink enough water."D)Auscultation reveals Kussmaul breathing.
- A postpartum woman has been diagnosed with postpartum psychosis. Which of the following is essential to be included in the family teaching of this client?A)The woman should never be left alone with her infantB)Symptoms rarely last more than one weekC)Clinical response to medications is usually poorD)The woman must have her vitals assessed every two days
Exam Review
- A nurse is providing family planning counselling. Which action is most appropriate?A)fitting contraceptive device for the clientB)providing detailed education to the clientC)offering emergency contraception to the clientD)discussing preferences with the client's partner
- A child with persistent otitis media with effusion is to undergo insertion of pressure- equalizing tubes via a myringotomy. The child is to be discharged later that day. After teaching the parents about caring for their child after discharge, which statement indicates that the teaching was successful?A)"The tubes will stay in place for about a month and then fall out on their own."B)"His chances for ear infections now have dramatically decreased."C)"He should wear earplugs when swimming in a pool or a lake."D)"We should keep the ears protected with cotton balls for the first 24 hours."
- The nurse is assisting low-income families to access health care. The nurse is aware that, in today's society, this most accurately defines the diversity of a modern family.A)A family consists of parents and their offspring living together.B)A family is two or more genetically related persons living together with separate roles.C)A family is whatever the child and family say it is.D)A family is two or more people related or unrelated who are living together.
- A neonate is admitted, and the nurse notes the blood glucose level is 35 mg/dL. The nurse should monitor the neonate for:A)jaundiceB)erythema toxicumC)jitters, tremorsD)subconjunctival hemorrhage
Exam Review
- The adolescent continues to develop self-concept and self-esteem. Which of the following is the most important to a teen’s self-esteem?A)SpiritualityB)ConfirmationC)Strong authority figuresD)Morals and valuesE)Body image
- The laboratory test to screen for gestational diabetes is:A)Hemoglobin A1cB)Urine glucoseC)Glucose Tolerance TestD)Random blood glucose level
- The physician orders insulin Novalog 17 units subcutaneous. The medication is supplied in 100 units/mL. How many units will be administered to the patient?
- After teaching a group of parents about ear infections in children, which statement indicates that the teaching was successful?A)Infants with congenital deformities have an increased risk for ear infections.B)Ear infections typically increase as the child gets older.C)The shorter and wider eustachian tubes of an infant increase the risk.D)Adenoids shrink as the child grows, allowing more bacteria to enter.
Exam Review
- The nurse is discussing discharge instructions with the parents of a 6-year-old who had a tonsillectomy. What is the most important thing to stress?A)Administer analgesics.B)Encourage the child to drink liquids.C)Inspect the throat for bleeding.D)Apply an ice collar.
- A husband is scheduled for a vasectomy in two (2) days. The nurse is reviewing the education with him and his wife. Which of the following statements by the husband indicates a need for further instructions?A)"If I change my mind later, I know this procedure can be reversed"B)"I should limit my usual activities for about a week'C)"We will need to use additional contraception initially?"D)"I will use an ice pack to help with swelling"
- The nurse is caring for a 2-month-old with a cleft palate. The child will undergo corrective surgery at age 3 months. The mother would like to continue breastfeeding the baby after surgery and wonders if it is possible. How should the nurse respond?A)"There is a good chance that you will be able to breastfeed almost immediately.”B)"Breastfeeding is likely to be possible, but check with the surgeon."C)“After the suture line heals, breastfeeding can resume."D)"We will have to wait and see what happens after the surgery."
- The client's last menstrual period (LMP) was December 17th, 2016 According to Nägele's Rule her expected cate of delivery (EDD) is:A)September 17th, 2017B)September 24th, 2017C)October 10th, 2016D)October 24th, 2017
Exam Review
- Which maternal condition is considered a contraindication for the application of internal monitoring devices?A)Unruptured membranesB)Cervix is dilated to 4 cmC)External monitors are currently being usedD)Fetus has a known heart defect
- A group of nursing students are reviewing the components of the endocrine system. The students demonstrate understanding of the review when they identify what as the primary function of this system?A)Regulation of water balanceB)Hormonal secretionC)Cellular metabolismD)Growth stimulation
- The nurse is watching toddlers at play. Which normal behavior would the nurse observe?A)Toddlers engage in parallel play.B)Toddlers engage in cooperative play.C)Toddlers do not engage in play outside the home.D)Toddlers engage in solitary play.
- The nurse is performing a cultural assessment of an Asian family that has a child hospitalized for leukemia. What is the best technique for providing culturally competent care for this familyA)Research the culture and base care on findings.B)Ask other Asians to explain their culture.C)Just ask the family about their culture and listen.D)Hire an interpreter to explain the family culture.