Exam Review
- A multiparous client with active herpes lesions is admitted to the unit with spontaneous rupture of membranes. Which action should the nurse take?A)Cover the lesion with a dressing.B)Obtain blood cultures.C)Prepare for a cesarean section.D)Administer penicillin.
- A client at 6-weeks gestation presents to the office with a report of vaginal bleeding for the last 12 hours without cramping. Which action should the nurse take?A)Check serum human chorionic gonadotropin.B)Verify the date of the last menstrual cycle.C)Inquire about the last occurrence of intercourse.D)Repeat a urine pregnancy test.
- A father watching the admission of his newborn to the nursery notices that eye ointment is placed in the infant's eyes. He asks the nurse what is the purpose of the ointment. Which response by the nurse will best explain the purpose for administering the ointment?A)The ointment will dilate the pupil so the red reflex can be visualized.B)The ointment will prevent a herpes infection.C)The ointment will prevent eye infections.D)The ointment will clear the infants's vision
- The nurse is providing preconception counseling. Which supplement should the nurse recommend to help prevent the occurrence of anencephaly?A)Iron.B)Calcium.C)Vitamin D.D)Folic acid.E)Folic acid.
Exam Review
- The nurse who is working on a pediatric unit receives a shift report for four neonates with congenital heart defects. The neonate with which report requires the most immediate intervention?A)Ventricular septal defect (VSD) has audible murmurs.B)Patent ductus arteriosus is fatigued after feedingC)Coarctation of aorta has an elevated blood pressure in the upper extremity.D)Tetralogy of Fallot (TOF) with hypercyanotic (Tet) spells is crying.
- During the admission process of a school-age child, the child states, "I'm going to have an operation.”. Which response is best for the nurse to provide to this child?A)I'm glad your mother told you why you were coming to the hospital.B)Tell me what an operation is.C)We're going to do everything we can to take very good care of you.D)Are you scared.
- Following a vaginal delivery, the nurse places the neonate under the radiant warmer to elicit spontaneous respirations. The newborn has a heart rate of 100 beats per minute and remains apneic when the nurse flicks the soles of the feet. Which action should the nurse implement next?A)Give blow-by oxygen via cannula.B)Start IV infusion in a scalp vein.C)Assist neonatologist with intubation.D)Provide positive pressure ventilation.E)Provide positive pressure ventilation.
- The mother of a 4-month-old baby girl asks the nurse when she should introduce solid foods to her infant.The mother states, "My mother says I should put rice cereal in the baby's bottle now.”. The nurse should instruct the mother to introduce solid foods when her child exhibits which behavior?A)Stops rooting when hungry.B)Opens mouth when food comes her way.C)Awakens once for nighttime feedings.D)Gives up a bottle for a cup.
Exam Review
- The nurse receives a newborn within the first minutes after a vaginal delivery and intervenes to establish adequate respirations. Which priority issue should the nurse address to ensure the newborn's survival?A)Bleeding tendencies.B)Fluid balance.C)Heat loss.D)Hypoglycemia.
- The nurse is giving instructions to the mother of a 10-year-old boy who is newly diagnosed with type 1 diabetes mellitus (DM). When attempting to teach the mother how to administer subcutaneous insulin injections to the child, the mother tells the nurse that she is afraid of needles and cannot perform the procedure. Which intervention should the nurse implement?A)Determine if the child can administer the insulin.B)Assess the mother's parenting skills.C)Encourage the mother to handle the needles.D)Ask if the father can help with the injections.
- A mother brings her male preschooler to the clinic because he has had diarrhea, vomiting, and high fevers for the past three days. The child begins to cry and cling to his mother when the nurse enters the examination room. Which action should the nurse implement to get the child to cooperate?A)Request extra staff to help with the nursing assessments.B)Explain to the child the reasons an examination is needed.C)Talk to the mother and gradually focus on the child's toy.D)Complete the assessment while allowing the child to cry.
- Upon completion of a 14-day antibiotic treatment for bacterial meningitis in an infant, the nurse prepares the family for discharge. Which information should the nurse include?A)Have the antibiotic trough level drawn within 3 days.B)Continue strict monitoring of daily wet diapers for 1 week.C)Administer antipyretic medication on a continuous basis.D)Monitor the infant for response to auditory stimuli.
Exam Review
- The nurse is caring for an infant admitted with dehydration, irritability, signs of extreme hunger, and a palpable olive-like mass in the upper right abdominal quadrant. When feeding the infant, the nurse should monitor for which development?A)Projectile vomiting.B)Arched back.C)Frequent pauses.D)Coffee-ground emesis.
- A 7-year-old child is admitted to the hospital with a diagnosis of acute rheumatic fever. In obtaining a health history from the child's mother, the recent occurrence of which illness is most significant?A)Sore throat.B)Influenza.C)Chickenpox.D)Mumps.
- Albumin 25% IV is prescribed for a child with nephrotic syndrome. Which assessment finding indicates to the nurse that the medication is having the desired effect?A)Reduction of fever.B)Weight gain.C)Reduction of edema.D)Improved caloric intake.
- An adolescent with pelvic inflammatory disease (PID) is admitted to the hospital after 14 days of taking levofloxacin 500 mg PO daily and metronidazole 500 mg IV piggyback (IVPB) twice daily (BID). She asks the nurse, "Why do I have to be in the hospital? Why can't I get my treatment at home?" Which purpose should the nurse provide that supports an effective outcome?A)Detection of early symptoms of Jarisch-Herxheimer reaction.B)Collection of serial anaerobic cultures of vaginal discharge.C)Administration of a supervised parenteral antibiotic protocol.D)Implementation of contact precautions to prevent spread of infection.
Exam Review
- A 34-week gestation multigravida comes to the clinic for her bimonthly appointment. Which assessment finding should the nurse report to the healthcare provider (HCP)?A)Weight gain of 2 pounds (0.91 kg).B)1+ edema on her lower extremities.C)Fundal height of 30 cm.D)Fetal heart rate of 110 beats/minute.
- A client at 28-weeks gestation whose hemoglobin level is 10.7 g/dL (107 g/L) and hematocrit is 32% (0.32 volume fraction) tells the nurse that she eats plenty of green vegetables. When the client asks the nurse how the low value might affect her pregnancy, which information should the nurse provide?A)Increasing intake of protein might improve these values.B)Plasma volume increases, making the blood count appear low.C)It might be necessary to take an iron supplement twice daily.D)Almost all women at 28-weeks gestation have anemia.
- The nurse is caring for a child with a unilateral long-leg cast applied for the correction of clubfoot. Which action is most important for the nurse to perform?A)Compare the temperature of both legs.B)Monitor capillary refill of the toes.C)Examine for spontaneous movement.D)Palpate femoral pulses.
- The nurse is caring for a primigravida client who delivered vaginally 48-hours ago.The client's laboratory results are: hemoglobin 12 g/dL (125 g/L), hematocrit 34% (0.34 volume fraction), hepatitis B surface antigen negative, rubella non-immune, group B Streptococcus negative. Which prescription should the nurse prepare to administer?A)Blood transfusion.B)Rubella vaccination.C)Penicillin G potassium.D)Hepatitis B immunoglobulin.
Exam Review
- A child who weighs 16 pounds receives a prescription for amoxicillin 25 mg/kg/day by mouth in divided doses every 12 hours. The bottle is labeled, "Amoxicillin for Oral Suspension, USP 200 mg per 5 mL.”. How many mL should the nurse administer with each dose? (Enter numerical value only. If rounding is required, round to the nearest tenth.)
- The nurse is preparing to administer oxytocin IV to a client after the delivery of her infant. Which outcome should the nurse expect from the administration of oxytocin?A)Return of the uterus to prepregnancy size.B)Stimulation of uterine contractions.C)Activation of the let-down reflex.D)Expulsion of the placenta.
- The nurse is providing discharge instructions to the caregiver of an infant with recurrent otitis media. Which statement made by the caregiver should the nurse recognize as needing additional education about minimizing subsequent infections?A)Instill benzocaine otic drops regularly.B)Schedule a visit for the pneumococcal vaccine.C)Give the infant the full course of antibiotics.D)Avoid any smoking inside the house.
- An 8-year-old girl with precocious sexual development is being treated medically with injections of luteinizing hormone-releasing hormone (LHRH) to regulate the pituitary gland. Which statement by the parents indicates that they understand the treatment?A)We should encourage her to dress in clothing that suits her sexual maturity level.B)Sexual maturity differences between my daughter and her peers will disappear within a few years.C)Our daughter will be on this hormone treatment for the rest of her life.D)We should be sure to start our daughter on birth control pills.