NursGuru
    Login/Signup
    Review ModeExam ModePractice Mode

    Exam Review

    1. A nurse is instructing a client who is taking a combined oral contraceptive (COC) about warning signs and symptoms to report to the provider. Which of the following symptoms would the nurse include? Select all that apply
      (SATA)
      A)
      Breast tenderness
      B)
      Chest Pain
      C)
      Anxiety
      D)
      Sudden changes in eye sight
      E)
      Lighter, shorter menstrual cycles
      F)
      Severe sudden abdominal pain
    2. The nurse is assessing a newborn who has Trisomy 21. Which of the following would they expect to find during the assessment
      A)
      Muscular hypertonicity
      B)
      Large ears
      C)
      Protruding tongue
      D)
      Wide set eyes
    3. The following describes the child with common characteristics of attention deficient hyperactivity disorder. Select all that apply
      (SATA)
      A)
      Infantile spasms
      B)
      Bed wetting
      C)
      Impulsivity
      D)
      Poor attention span
      E)
      Talks excessively
    4. A client and their partner are planning to use natural family planning to prevent pregnancy. The client decides the calendar (rhythm) method would work best and monitors their menstrual cycle for 6 months prior to beginning this method. Over the 6 months menstrual cycles lasted from 29-32 days. Based on this information the client knows that if they desire to prevent pregnancy they should avoid intercourse from day ▾ 11 to day ▾ 21 of their cycle.
      Dropdown 1:
      Option 1: 10
      Option 2: 11
      Option 3: 12
      Dropdown 2:
      Option 1: 20
      Option 2: 21
      Option 3: 22
    Page 1 of 13

    Exam Review

    1. The nurse is planning care for the child admitted with signs and symptoms consistent with meningitis. Based on the mode of transmission of this infection, which precautionary intervention would be included in the plan of care?
      A)
      Maintain neutropenic precautions as it might be a viral infection
      B)
      Institute enteric precautions for the length of the illness
      C)
      No precautions are necessary until the cultures are available.
      D)
      Maintain respiratory precautions for at least 24 hours after antibiotics initiated
    2. The nurse is reviewing the charts of four clients in active labor. Which of the clients should the nurse monitor carefully for a potential uterine rupture?
      A)
      22 year old G1P0000 with preeclampsia without severe features
      B)
      15 year old G3P0020 in active labor
      C)
      25 year old G4P3003 undergoing trial of labor after cesarean section (TOLAC)
      D)
      32 year old G2P0100 with a history of fetal demise in last pregnancy
    3. A 13-year-old child has been admitted to the hospital with a diagnosis of pneumococcal pneumonia. The parents are extremely distraught over the child's condition and the fact that the child has not wanted to eat anything for the past 2 days. Which nursing approach would be most important to take to help alleviate the high anxiety level of the parents?
      A)
      Tell the parents that their child is receiving the best care possible
      B)
      Avoid telling the parents unnecessary facts regarding the child's prognosis
      C)
      Allow the parents to remain with the child as much as possible
      D)
      Encourage the parents to return home and get some rest
    4. A nurse in the emergency department is caring for a client who is concerned about an unplanned pregnancy after having unprotected intercourse with a casual acquaintance last evening. Which of the following statements by the nurse regarding emergency contraception is correct?
      A)
      "Emergency contraception will protect you from any possible exposure to STIs"
      B)
      "Emergency contraception is 100% effective"
      C)
      "You are a candidate for emergency contraception since it has been less than 120 hours since intercourse occurred"
      D)
      "If a pregnancy has been established, emergency contraception will terminate the pregnancy"
    Page 2 of 13

    Exam Review

    1. A nurse is educating a client about the menstrual cycle and the monthly hormonal changes that occur. Starting with day 1 of the menstrual cycle, please place the following four hormones into chronological order in which they rise during the menstrual cycle.
      A)
      Luteinizing hormone (LH)
      3
      B)
      Progesterone
      4
      C)
      Follicle-stimulating hormone (FSH)
      1
      D)
      Estrogen
      2
    2. Which nursing action will best assist a 15-year-old client accomplish the developmental task according to Erikson?
      A)
      Allow the client's friends to visit while the client is hospitalized
      B)
      Provide the client with crafts and puzzles to complete independently
      C)
      Permit the client to make decision regarding one's care
      D)
      Praise the client for correctly performing self-care
    3. The nurse is admitting a client at 40 weeks gestation for an induction of labor. The client was seen in the office 1 hour ago and had a Bishop score of 3. Which of the following would the nurse expect to do in preparation for the induction of labor?
      A)
      Educate the client that staying in bed will help her induction go faster
      B)
      Prepare oxytocin as prescribed
      C)
      Prepare misoprostol as prescribed
      D)
      Educate the client that inductions ensure a fast, painless labor
    4. A client's membranes ruptured spontaneously while the nurse was at the bedside. Which of the following factors make the client at increased risk for cord prolapse?
      A)
      Small Fetus
      B)
      Breech presentation
      C)
      Cephalic presentation
      D)
      Polyhydraminos
      E)
      Macrosomic fetus
      F)
      Premature rupture of membranes (PROM)
    Page 3 of 13

    Exam Review

    1. A fertility clinic nurse is providing care to a couple who has been unable to conceive for 24 months. Which of the following data should the nurse assess?
      A)
      Recent blood transfusions
      B)
      History of falls
      C)
      History of pneumonia
      D)
      Frequency of intercourse
    2. The nurse in charge is reviewing the current labor and delivery floor client list. The charge nurse should be prepared for a possible precipitous delivery in which of the following clients?
      A)
      A G1P0000 undergoing induction of labor with oxytocin for preeclampsia with severe features
      B)
      A G1P0000 in active labor contracting every 5 minutes
      C)
      A G1P000 in active labor with twins contracting every 4 minutes
      D)
      A G2P1001 in latent labor for the past 48 hours asking for a cesarean section
    3. A client is noted to have multiple soft warts on their perineum and rectal areas. The nurse suspects that this client is infected with which of the following sexually transmitted infections?
      A)
      Human immunodeficiency virus (HIV)
      B)
      Human papillomavirus (HPV)
      C)
      Syphilis
      D)
      Trichomoniasis
    4. The nurse is caring for a client in the second stage of labor and suddenly the delivering provider yells "shoulder dystocia". What is the priority action by the nurse?
      A)
      Suprapubic pressure
      B)
      McRoberts maneuver
      C)
      Woodscrew maneuver
      D)
      Rubin maneuver
    Page 4 of 13

    Exam Review

    1. A nurse is completing a pre-college assessment for an adolescent. Which of the following immunization does the nurse plan to administer?
      A)
      Meningococcal polysaccharide vaccine
      B)
      Polio Vaccine
      C)
      Pneumococcal Polysaccharide vaccine
      D)
      Bacille Calmette-Geurin (BCG) vaccine
    2. The nurse is caring for a patient that just had a Lumbar Puncture. The laboratory studies reveal the following results that are consistent with bacterial meningitis. Select all that apply
      A)
      Increased protein
      B)
      Decreased glucose
      C)
      Clear fluid
      D)
      Cloudy fluid
      E)
      Elevated glucose
    3. A pregnant client tells the nurse they would like to begin a birth control method immediately postpartum and asks what options are available. As part of the education session the nurse would counsel the client that which of the following methods are contraindicated in the postpartum period? Select all that apply
      A)
      Progestin only pill
      B)
      Combined oral contraceptive
      C)
      Contraceptive implant
      D)
      Contraceptive patch
      E)
      Contraceptive ring
      F)
      Contraceptive injection
    4. The nurse is caring for a child who is having a seizure. What is the appropriate action by the nurse?
      A)
      Attempt to turn the child on their side to prevent aspiration
      B)
      Place a bite block or oral airway into the child's mouth to prevent biting of the tongue
      C)
      Attempt to place oxygen on the child so they don't become cyanotic
      D)
      Hold the child's arms and legs still so they aren't injured
    Page 5 of 13

    Exam Review

    1. An adolescent with type 1 diabetes has been sick at home and call the clinic nurse. The parents report that the child's urine is positive for ketones. The nurse would instruct the parents to take which action?
      A)
      Encourage the child to drink liquids
      B)
      Administer a double dose of insulin along with NPH insulin
      C)
      Hold the next dose of insulin
      D)
      Come to the clinic immediately
    2. The nurse is instructing the mother of a school-age child with a leg cast about cast care at home. What should the nurse include in this teaching? Select all that apply
      A)
      Remind the mother that nothing is to be put down the cast
      B)
      Cover the cast with a plastic bag to bathe
      C)
      Use the cool setting on a hair dryer to ease itchy skin
      D)
      Recommend using magic markers for autographs
      E)
      Encourage usual activities but restrict strenuous actions
    3. The nurse is caring for a 17-year-old client recovering from a failed suicide attempt. Which factor should the nurse recognize as potentially causing the client to reattempt suicide?
      A)
      The client performs in the school band
      B)
      The client is on the honor roll at school
      C)
      The client states feeling sad
      D)
      The client has three other siblings
    4. The nurse is working with a client who reports having four current sexual partners. Which of the following contraceptive methods would be the best method for the nurse to recommend to this client?
      A)
      Condoms (Male or Female)
      B)
      Intrauterine device (IUD)
      C)
      Combined oral contraceptive
      D)
      Vasectomy
    Page 6 of 13