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    Exam Review

    1. A nurse is caring for a client who has a suspected ectopic pregnancy at 8 weeks of gestation. Which of the following manifestations should the nurse expect to identify as consistent with the diagnosis?
      A)
      Uterine enlargement greater than expected for gestational age.
      B)
      Severe nausea and vomiting.
      C)
      Unilateral, cramp-like abdominal pain.
      D)
      Large amount of vaginal bleeding.
    2. A nurse is preparing to administer medications to several clients. Which of the following actions demonstrates adherence to the six rights of medication administration?
      A)
      Administering a medication a few hours later if the client was asleep during the scheduled time.
      B)
      Giving a medication that looks similar to the prescribed drug when the correct one is unavailable.
      C)
      Verifying the client’s identity using two identifiers before giving the medication.
      D)
      Documenting the medication after completing all client care for the shift.
    3. A nurse is admitting a client who is at 33 weeks of gestation and has a diagnosis of placenta previa. Which of the following is the priority nursing action?
      A)
      Monitor vaginal bleeding.
      B)
      Insert an IV catheter.
      C)
      Administer glucocorticoids.
      D)
      Apply an external fetal monitor.
    4. Which diagnostic tool is used to identify children who may have an infection or inflammatory process?
      A)
      Arterial blood gas analysis
      B)
      Gastric lavage
      C)
      Erythrocyte sedimentation rate (ESR)
      D)
      Blood culture
    Page 1 of 16

    Exam Review

    1. Parents usually ask when their child can return to school after having chickenpox. The correct answer would be:
      A)
      as soon as the temperature is normal.
      B)
      not until all lesions have completely faded.
      C)
      as soon as all lesions are crusted.
      D)
      10 days after the initial lesions appear.
    2. A nurse in a physician's office receives a telephone call from the mother of a child who tells the nurse that the child was just stung by a bee. The mother asks the nurse for instructions regarding removal of the stinger. Which of the following instructions should the nurse provide to the mother?
      A)
      Squeeze the stinger out of the skin.
      B)
      Wash the area with soap and water and apply heat to help the stinger move out of the skin.
      C)
      Remove the stinger by carefully scraping it out horizontally.
      D)
      Leave the stinger alone because it will dissolve.
    3. A child has small red macules and vesicles that become pustules around the child's mouth and cheek. Older lesions are crusted and honey-colored. What should the nurse teach the parents about this condition?
      A)
      Notify the physician for any itching.
      B)
      Keep the child home from school for 24 hours after starting antibiotics.
      C)
      Keep the child home from school until the lesions are healed.
      D)
      Clean the rash vigorously with Betadine three times a day.
    4. 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)
      Two veins and one artery
      B)
      One artery and one vein
      C)
      Two arteries and one vein
      D)
      Two arteries and two veins
    Page 2 of 16

    Exam Review

    1. A nurse is preparing a class for parents of infants about managing diaper dermatitis. What advice would the nurse include in the presentation? Select all that apply.
      (SATA)
      A)
      Using scented diaper wipes to clean the area
      B)
      Refraining from using rubber pants over diapers
      C)
      Washing the diaper area with an antibacterial soap
      D)
      Applying topical nystatin to the diaper area
      E)
      Using a blow dryer on warm to dry the diaper area
    2. A nurse is caring for a client who is at 36 weeks of gestation and who has a suspected placenta previa. Which of the following findings support this diagnosis?
      A)
      Intermittent abdominal pain following passage of bloody mucus
      B)
      Abdominal pain with scant red vaginal bleeding
      C)
      Painless red vaginal bleeding
      D)
      Increasing abdominal pain with a nonrelaxed uterus
    3. A nurse is instructing a woman who is contemplating pregnancy about nutritional needs. To reduce the risk of giving birth to a newborn who has a neural tube defect, which of the following information should the nurse include in the teaching?
      A)
      Increase intake of iron-rich foods.
      B)
      Avoid foods containing aspartame.
      C)
      Limit alcohol consumption.
      D)
      Consume foods fortified with folic acid.
    4. The physician orders 400mL D5W to infuse at 50ml/hr via a pump. How much fluid will infuse in the next 3 hours? Whole number.
    Page 3 of 16

    Exam Review

    1. The nurse is educating parents of a child admitted to the hospital with rubella (German measles). Which statement by the parents indicates the further education is needed?
      A)
      "Family members should wear a mask when coming to visit us."
      B)
      "Acetaminophen or ibuprofen can be given to help with pain."
      C)
      "Antibiotics are needed to help our child recover from rubella."
      D)
      "Our child is contagious for 1 week after the rash appeared."
    2. A young client in the clinic has a rash, cough, coryza, and fever that the parent says spiked on day 5 of the rash. The client also had conjunctivitis. What illness would the nurse expect the health care provider to diagnose?
      A)
      Chickenpox
      B)
      Scarlet fever
      C)
      Measles
      D)
      Rubella
    3. A nurse in is caring for a client who is to undergo an amniotomy. Which of the following is the priority nursing action following this procedure?
      A)
      Assess the client's temperature.
      B)
      Assess the fetal heart rate pattern.
      C)
      Observe color and consistency of fluid.
      D)
      Evaluate client for the presence of chills and increased uterine tenderness using palpation.
    4. A nurse is caring for a client during a nonstress test (NST). At the end of a 30-min period of observation, the nurse notes the following findings: The fetal heart rate baseline is 120/min with minimal variability and no accelerations. There are two decelerations of 15 /min in the fetal heart rate during a period of fetal movement, each lasting 20 seconds. Which of the following interpretations of these findings should the nurse make?
      A)
      A negative test.
      B)
      A positive test.
      C)
      A reactive test.
      D)
      A nonreactive test.
    Page 4 of 16

    Exam Review

    1. A nurse in the antepartum unit is caring for a client who is at 36 weeks of gestation and has pregnancy-induced hypertension. Suddenly, the client reports continuous abdominal pain and vaginal bleeding. The nurse should suspect which of the following complications?
      A)
      Abruptio placentae.
      B)
      Placenta previa.
      C)
      Incompetent cervix.
      D)
      Prolapsed cord.
    2. While reviewing various studies about the use of antipyretics possibly prolonging illness, the nurse notes that there are benefits to their use for the child with fever. What would the nurse identify as the best explanation related to the benefits of antipyretics in children?
      A)
      They increase neutrophil production.
      B)
      They help decrease fluid requirements.
      C)
      They slow the growth of bacteria.
      D)
      They encourage T-cell proliferation.
    3. A child with diabetes reports that he is feeling a little shaky. Further assessment reveals that the child is coherent but with some slight tremors and sweating. A fingerstick blood glucose level is 70 mg/dL. What would the nurse do next?
      A)
      Offer 15 to 20 g of a complex carbohydrate snack.
      B)
      Administer glucagon intramuscularly.
      C)
      Administer a sliding-scale dose of insulin.
      D)
      Give 10 to 15 g of a simple carbohydrate.
    4. A nurse is caring for a client who is in her first trimester of pregnancy and asks the nurse if she can continue to exercise during pregnancy. Which of the following responses by the nurse is appropriate?
      A)
      "exercise during pregnancy is not recommended."
      B)
      "Daily jogging for up to 30 minutes is fine throughout pregnancy."
      C)
      "Activities that raise the body temperature, such as saunas and hot tubs, are safe until the third trimester."
      D)
      "It is recommended that pregnant clients limit their exercise routine to stretching activities on a mat several times a week."
    Page 5 of 16

    Exam Review

    1. The physician orders insulin Novolog 17 units subcutaneous. The medication is supplied in 100 units/mL. How many units will be administered to the patient? Whole number.
    2. A nurse is teaching parents of a child with a nursing diagnosis of pain related to pruritus from skin lesions. Which of the following would the nurse include in the instructions? Select all that apply.
      A)
      "Bathe the child in lukewarm water and oatmeal."
      B)
      "Avoid having your child wear cotton clothing."
      C)
      "Wrap your child up snugly with blankets."
      D)
      "Have the child press on the itching area instead of scratching it."
      E)
      "Keep the child's fingernails short."
    3. A nurse admits a woman who is at 38 weeks of gestation and in early labor with ruptured membranes. The nurse determines that the client's oral temperature is 38.9° C (102° F). Besides notifying the provider, which of the following is an appropriate nursing action?
      A)
      Assess the odor of the amniotic fluid.
      B)
      Recheck the client's temperature in 4 hours.
      C)
      Administer glucocorticoids intramuscularly.
      D)
      Prepare the client for emergency cesarean section.
    4. A child is diagnosed with hyperthyroidism. Which agent would the nurse expect the healthcare provider to prescribe?
      A)
      Mineralocorticoid
      B)
      Levothyroxine
      C)
      Dexamethasone
      D)
      Methimazole
    Page 6 of 16