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RECALLS 4 - NP2
100問 • 5ヶ月前
  • CILENEY
  • 通報

    問題一覧

  • 1

    Which hormone released by the ovary during the proliferative phase stimulates endometrial thickening?

    Estrogen

  • 2

    Which hormone released by the pituitary gland is active early in the cycle and is responsible for maturation of the ovum?

    Follicular-stimulating hormone

  • 3

    Which hormone released by the pituitary gland is most active at the midpoint of the cycle and is responsible ovulation?

    Luteinizing hormone

  • 4

    Which of the following hormones is released by the ovary during the second half of the menstrual cycle?

    Progesterone

  • 5

    The nurse is performing an assessment on a female client who is suspected of having mittelschmerz. Which subjective finding supports the possibility of this condition?

    Has sharp pelvic pain during ovulation

  • 6

    A female client asks the nurse when ovulation usually occurs. The instructor correctly answers:

    14 days before menstruation

  • 7

    Which of the following best describes the natural odor of menstrual blood in a healthy individual?

    Slightly musky or similar to marigolds

  • 8

    A nurse teaches a woman who wishes to become pregnant that if she assesses for spinnbarkeit she will be able closely to predict her time of ovulation. Which technique should the client be taught to assess for spinnbarkeit?

    Assess her vaginal discharge for elasticity and slipperiness.

  • 9

    During the menstrual phase the _________ layer of the endometrium is shed.

    Stratum functionalis

  • 10

    A woman is menstruating. If hormonal studies were to be done at this time, which of the following hormonal levels would the nurse expect to see?

    Both estrogen and progesterone are low

  • 11

    The nurse plans to provide anticipatory guidance to a 10-week gravid client who is being seen in the prenatal clinic. Which of the following information should be a priority for the nurse to provide?

    Methods to relieve backaches.

  • 12

    A client is in the 10th week of her pregnancy. Which of the following symptoms would the nurse expect the client to exhibit? Select all that apply.

    Urinary frequency., Fatigue.

  • 13

    A client states that she is a strong believer in vitamin supplements to maintain her health. Nurse Marimar advises the woman that it is recommended to refrain from consuming excess quantities of which of the following vitamins during pregnancy?

    Vitamin D.

  • 14

    A client asks the nurse what was meant when the physician told her she had a positive Chadwick’s sign. Which of the following information about the finding would be appropriate for the nurse to convey at this time?

    It is a bluish coloration of your cervix and vagina.

  • 15

    The pregnant mother for prenatal check up is 10 weeks AOG, together with her husband, is excited to know their baby’s sex. They ask the nurse when the earliest time is to determine their baby’s sex via ultrasound. The nurse is correct when she said ______.

    16 weeks AOG

  • 16

    Nurse Bea is preparing to measure the fundal height of a client whose fetus is 28 weeks’ gestation. In what position should the nurse place the client to perform the procedure?

    Supine with her head on a pillow and knees slightly flexed

  • 17

    Nurse Bea has just palpated the fundal height at the level of umbilicus. It is likely that the client is how many weeks pregnant?

    20.

  • 18

    After doing Leopold’s maneuvers, the nurse determines that the fetus is in the ROP position. To best auscultate the fetal heart tones, the Doppler is placed:

    Below the umbilicus on the right side

  • 19

    Which piece of equipment will the nurse routinely use to assess the fetal heart rate of a woman at 16 weeks’ gestation?

    Ultrasound fetoscope

  • 20

    The nurse in the prenatal clinic is monitoring a client who is pregnant with twins. The nurse monitors the client closely for which priority complication that is associated with a twin pregnancy?

    Maternal anemia

  • 21

    Maris mentioned that she is experiencing nausea and vomiting each morning that she wakes up. Which of the following should not be included when giving health teachings to Maris?

    Take antiemetic

  • 22

    Maris also complains of urinary frequency. Which of the following should Nurse Loisa not instruct Maris to do?

    Increase intake of tea to control voiding

  • 23

    Maris will undergo Alpha-fetoprotein level determination. Which of the following specimen us required?

    Maternal blood sample

  • 24

    She asks Nurse Loisa, “What does the alpha fetoprotein test indicate?” The nurse bases a response on the knowledge that this test can detect:

    Neural Tube defects

  • 25

    Nurse Loisa is giving health teaching to Maris on how to prevent neural tube defects to her baby. What supplement is needed to be taken by a pregnant women to prevent NTD?

    Folate

  • 26

    Which of the following exercises should be taught to a pregnant woman who complains of backaches?

    Pelvic tilting.

  • 27

    A 36-week gestation gravid client is complaining of dyspnea when lying flat. Which of the following is the likely clinical reason for this complaint?

    Fundal height.

  • 28

    During a prenatal visit, a gravid client is complaining of ptyalism. Which of the following nursing interventions is appropriate?

    Encourage the woman to brush her teeth carefully.

  • 29

    The nurse is measuring the fundal height on a client who is 36 weeks’ gestation when the client reports feeling lightheaded. What finding should the nurse expect to note when assessing the client?

    Compression of the vena cava

  • 30

    Which of the following skin changes should the nurse highlight for a pregnant woman’s health care practitioner?

    Petechiae.

  • 31

    The client is in active labor. Fetal heart monitoring is done. Bradycardia is noted at the start of uterine contraction. The nurse correctly interprets this finding as indicative of

    Head compression

  • 32

    The nurse is caring for a client in labor. The external fetal monitor shows a pattern of variable decelerations in fetal heart rate. What should the nurse do first?

    Change the client’s position

  • 33

    The nurse, caring for a client in the active stage of labor, is monitoring the fetal status and notes that the monitor strip shows a late deceleration. Based on this observation, which action should the nurse plan to take immediately?

    Administer oxygen to the client via face mask

  • 34

    The pregnant client tells the nurse that se felt wetness on her peripad and found some clear fluid. The nurse inspects the perineum and notes the present of umbilical cord. What is the immediate nursing action?

    Place the client in a Trendelenburg position

  • 35

    A laboring client has external electronic fetal monitoring in place. Which of the following assessment data can be determined by examining the fetal heart rate strip produced by the external electronic fetal monitor?

    Oxygenation

  • 36

    The clinic nurse is caring for a client with a suspected diagnosis of gestational hypertension. The nurse assesses the client, expecting to note which set of findings if gestational hypertension is present?

    Elevated blood pressure and proteinuria

  • 37

    Which of the following lab values should the nurse report to the physician as being consistent with the diagnosis of HELLP syndrome?

    Platelets 75,000.

  • 38

    The nurse is caring for a pregnant client with preeclampsia who is receiving a prescribed intravenous (IV) infusion of magnesium sulfate. To provide a safe environment, the nurse should ensure that which priority item is available?

    Calcium gluconate injection

  • 39

    Nurse Davis is monitoring a pregnant patient receiving magnesium sulfate for preeclampsia management. During her assessment, Nurse Davis suspects that the patient may be experiencing magnesium sulfate toxicity. Which of the following findings would most likely confirm her concern?

    Respiratory rate of 10 breaths per minute

  • 40

    Nurse Harris is caring for a pregnant patient in her third trimester who has been admitted with severe preeclampsia. While monitoring for potential complications, what should Nurse Harris assess for?

    Signs of bleeding, such as in the gums, presence of petechiae, and purpura.

  • 41

    A new mother was administered methylergonovine maleate intramuscularly after delivery. The nurse understands that this medication was administered for which action?

    Prevent postpartum hemorrhage

  • 42

    A postpartum nurse caring for a client who delivered vaginally 2 hours ago palpates the fundus and notes the character of the lochia. Which characteristic of the lochia should indicate to the nurse that the client’s recovery is normal?

    Dark red-colored lochia

  • 43

    Twelve hours after delivery, the nurse assesses the client for uterine involution. The nurse determines that the uterus is progressing normally towards its prepregnant state when palpation of the clients fundus is at which level?

    At the umbilicus

  • 44

    A 10-day postpartum breast-feeding client telephones the postpartum unit reporting a reddened, painful breast and elevated temperature. Based on assessment of the client’ s complaints, which action should the nurse tell the client to do?

    Notify your health care provider because you may need medication.

  • 45

    The postpartum client who delivered her newborn 4 days ago has been observed by the nurse to have started assuming tasks of mothering. She has started doing tasks for herself, not asking assistance. In which postpartum stage of regeneration is the client?

    Taking hold phase

  • 46

    A pregnant client tests positive for the hepatitis B virus. The client asks the nurse if she will be able to breast-feed the baby as planned after delivery. Which therapeutic response should the nurse communicate to the client?

    Breast-feeding is allowed if the baby receives prophylaxis treatment at birth and scheduled immunizations.

  • 47

    The mother had breastfed her newborn. Which of the following actions of the mother indicates the need for further teaching?

    The mother places the baby on the left side after feeding

  • 48

    Which of the following factors might result in a decreased supply of breastmilk in a PP mother?

    Supplemental feedings with formula

  • 49

    A postpartum mother who chose not to breastfeed asks the nurse, "When will my menstrual period return?" The nurse correctly responds that:

    It may resume as early as 6 to 8 weeks after delivery.

  • 50

    During a postpartum examination, the nurse notes that a client’s left calf is warm and swollen. Which of the following actions by the nurse is appropriate at this time?

    Notify the client’s physician.

  • 51

    An ultrasound has identified that a client’s pregnancy is complicated by oligohydramnios. The nurse would expect that an ultrasound may show that the baby has which of the following structural defects?

    Dysplastic kidneys.

  • 52

    An ultrasound has identified that a client’s pregnancy is complicated by hydramnios. The nurse would expect that an ultrasound may show that the baby has which of the following structural defects?

    Tracheoesophageal fistula.

  • 53

    Which of the following signs/symptoms would the nurse expect to see in a woman with abruptio placentae?

    Increasing fundal height measurements.

  • 54

    The client is diagnosed to have placenta previa. What warning signs should be placed by the nurse in client’s unit?

    No vaginal examination

  • 55

    Which of the following complications may be indicated by continuous seepage of blood from the vagina of a PP client, when palpation of the uterus reveals a firm uterus 1 cm below the umbilicus?

    Cervical laceration

  • 56

    Nurse Kathy is collecting data on the different categories of wounds (e.g., surgical, traumatic, pressure ulcers). What type of data is this?

    Nominal

  • 57

    Nurse Kathy records the pain levels of patients on a scale from 1 to 10. What type of data is this?

    Ordinal

  • 58

    Nurse Kathy measures the weight of patients before and after implementing the new wound care protocol. What type of data is ‘weight’?

    Ratio

  • 59

    Nurse Kathy collects data on patients' ages to determine the average age of those participating in the study. What type of data is age?

    Ratio

  • 60

    Nurse Kathy uses a thermometer to measure patients' body temperatures. What type of data is body temperature in Celsius?

    Interval

  • 61

    A 12-month-old boy weighed 8 lb 2 oz at birth. Understanding developmental milestones, what should the nurse caring for the child expect the current weight to be?

    24 lb 6 oz

  • 62

    Nurse May is educating a mother on the proper sequence of food introduction for her 6-month-old infant. Which of the following reflects the correct order of introducing complementary foods?

    Cereal, Vegetables, Fruits, Meat, Egg,

  • 63

    Which finding would the nurse consider abnormal when performing a physical assessment on a 6-month-old?

    Posterior fontanel is open.

  • 64

    Which type of play is most appropriate for a 10-month-old infant?

    Solitary play

  • 65

    Which of the following activities would best support a 7-month-old’s development of fine motor skills?

    transfer objects between hands

  • 66

    The nurse is caring for a 14-year-old with celiac disease. The nurse knows that the patient understands the diet instructions by ordering which of the following meals?

    Cheese, banana slices, rice cakes, and whole milk.

  • 67

    Based on the diagnosis above, the nurse expects that the child’s stool will have which characteristic?

    Malodorous

  • 68

    The mother explains that after meals her infant has been vomiting, and now it is becoming more frequent and forceful. During the assessment, the nurse notes visible peristaltic waves moving from left to right across the infant’s abdomen. On the basis of these findings, which condition should the nurse suspect?

    Pyloric stenosis

  • 69

    Which of the following signs would MOST LIKELY suggest Hirschsprung disease in a newborn?

    Failure to pass meconium within 48 hours after birth

  • 70

    Which of the following is the classic sign of Hirschsprung disease?

    Ribbon-like stools

  • 71

    A client with gastroesophageal reflux disease (GERD) reports chest discomfort that feels like heartburn, especially following each meal. After teaching the client to take antacids as prescribed, the nurse suggests that the client lie in which position during sleep?

    With the head of the bed elevated 8 to 12 inches

  • 72

    A client with a diagnosis of gastroesophageal reflux disease (GERD) has just received a breakfast tray. The nurse notices that which is the only food that will increase the lower esophageal sphincter (LES) pressure and thus lessen the client’s symptoms?

    Nonfat milk

  • 73

    A client diagnosed with gastritis asks at a screen clinic about analgesic that will not cause epigastric distress. The nurse should tell the client to take which medication?

    Acetaminophen

  • 74

    The nurse has given client directions for the proper use of aluminum hydroxide tablets. The client indicates an understanding of the medication when which statement is made?

    I should chew the tablet thoroughly and then drink 4 ounces of water.

  • 75

    A client in a long-term care facility has had a series of gastrointestinal (GI) diagnostic tests, including an upper and lower GI series and endoscopies. Upon return to the long-term care facility, which priority assessment should the nurse focus on?

    The hydration and nutrition status

  • 76

    Which personality type is most associated with an increased risk of developing peptic ulcer disease due to traits such as perfectionism, competitiveness, and chronic stress?

    Type A

  • 77

    A patient arrives to the clinic for evaluation of epigastric pain. The patient describes the pain to be relieved by food intake. In addition, the patient reports awaking in the middle of the night with a gnawing pain in the stomach. Based on the patient's description this appears to be what type of peptic ulcer?

    Duodenal

  • 78

    A client manages peptic ulcer disease (PUD) with excessive amounts of oral antacids. Signs/symptoms of which acid–base imbalance should the nurse assess for?

    Metabolic alkalosis

  • 79

    A patient reports pain 1–2 hours after eating, often worsened by meals. Which type of ulcer does the nurse suspect?

    Gastric ulcer

  • 80

    The nurse is caring for a client with a diagnosis of peptic ulcer disease. When monitoring the client for possible gastrointestinal perforation, the nurse identifies the importance of what assessment data?

    Sudden, severe abdominal pain

  • 81

    Which of the following best describes a democratic leadership style?

    The leader encourages participation and collaborative decision-making

  • 82

    A registered nurse has received the assignment for the day shift. After making initial rounds and checking all the assigned clients, which will the RN plan to care first?

    A client who has fever and restless

  • 83

    The hospital decides to hire underboard nurses in place of registered nurses in an effort to cut down on expenses. The hospital is held liable for those actions performed by the employees within the scope of their employment. This is based on which of the following doctrines?

    Respondeat superior

  • 84

    In the hospital, your department is using the functional method of patient care modality. What is it all about?

    One nurse is responsible for giving bedside care, another one for administering medications and another one for treatment and so on.

  • 85

    What are the qualities that define a leader who uses delegative leadership? (Laissez-faire)

    She tends to be passive and puts the responsibility of decision making to others.

  • 86

    The client is to undergo appendectomy, who is responsible for obtaining the informed consent?

    Surgeon

  • 87

    During surgery, who is primarily responsible for monitoring the patient’s vital signs such as blood pressure, pulse, and respiration, and supervising the patient’s overall condition throughout the procedure?

    Anesthesiologist

  • 88

    The person(s) responsible for accounting for all sponges, needles, and instruments to ensure patient safety is/are?

    Both Scrub nurse and Circulating nurse

  • 89

    According to the degree of urgency, operation for ruptured appendicitis is classified as:

    Emergency

  • 90

    A postoperative client has been placed on a clear liquid diet. The nurse provides the client with which items that are allowed to be consumed on this diet?

    Bouillon

  • 91

    Nurse Mariel is assessing a child admitted with a diagnosis of rheumatic fever. Which significant question should the nurse ask the child’s parent during the assessment?

    Has any family member had a sore throat within the past few weeks?

  • 92

    A school-age client with a rheumatic fever is on long term aspirin therapy. Which client statement most indicates that the client is experiencing a serious adverse reaction to aspirin?

    I hear ringing in my ears

  • 93

    Nurse Mariel is teaching the parents of a child with sickle cell disease. What information should the nurse give the family on how to prevent sickle cell crisis?

    Drink at least 2 liters of fluids per day

  • 94

    The nurse teaches the family of a child with leukemia about preventing infections. How should the nurse explain to the parents why their child is at risk for infections?

    Immature white blood cells are incapable of handling an infectious process

  • 95

    Which action indicates that the parents of 12-month-old with iron deficiency anemia understand how to administer iron supplements?

    Brushing the child’s teeth after administering the iron supplements

  • 96

    A nurse tells a confused patient, 'If you don’t take this medication now, I’ll have to inject you whether you like it or not.' This is an example of:

    Assault

  • 97

    A nurse physically holds down a client to insert a catheter against the client's will. This act is best described as:

    Battery

  • 98

    A nurse spreads false and damaging rumors about a colleague's alleged substance abuse during break time. This is an example of:

    Slander

  • 99

    A nurse writes false statements in a patient's chart accusing a co-nurse of stealing medications. This is a case of:

    Libel

  • 100

    A nurse posts on social media about a specific patient’s medical condition using identifiable details. This could result in a charge of:

    Libel

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    問題一覧

  • 1

    Which hormone released by the ovary during the proliferative phase stimulates endometrial thickening?

    Estrogen

  • 2

    Which hormone released by the pituitary gland is active early in the cycle and is responsible for maturation of the ovum?

    Follicular-stimulating hormone

  • 3

    Which hormone released by the pituitary gland is most active at the midpoint of the cycle and is responsible ovulation?

    Luteinizing hormone

  • 4

    Which of the following hormones is released by the ovary during the second half of the menstrual cycle?

    Progesterone

  • 5

    The nurse is performing an assessment on a female client who is suspected of having mittelschmerz. Which subjective finding supports the possibility of this condition?

    Has sharp pelvic pain during ovulation

  • 6

    A female client asks the nurse when ovulation usually occurs. The instructor correctly answers:

    14 days before menstruation

  • 7

    Which of the following best describes the natural odor of menstrual blood in a healthy individual?

    Slightly musky or similar to marigolds

  • 8

    A nurse teaches a woman who wishes to become pregnant that if she assesses for spinnbarkeit she will be able closely to predict her time of ovulation. Which technique should the client be taught to assess for spinnbarkeit?

    Assess her vaginal discharge for elasticity and slipperiness.

  • 9

    During the menstrual phase the _________ layer of the endometrium is shed.

    Stratum functionalis

  • 10

    A woman is menstruating. If hormonal studies were to be done at this time, which of the following hormonal levels would the nurse expect to see?

    Both estrogen and progesterone are low

  • 11

    The nurse plans to provide anticipatory guidance to a 10-week gravid client who is being seen in the prenatal clinic. Which of the following information should be a priority for the nurse to provide?

    Methods to relieve backaches.

  • 12

    A client is in the 10th week of her pregnancy. Which of the following symptoms would the nurse expect the client to exhibit? Select all that apply.

    Urinary frequency., Fatigue.

  • 13

    A client states that she is a strong believer in vitamin supplements to maintain her health. Nurse Marimar advises the woman that it is recommended to refrain from consuming excess quantities of which of the following vitamins during pregnancy?

    Vitamin D.

  • 14

    A client asks the nurse what was meant when the physician told her she had a positive Chadwick’s sign. Which of the following information about the finding would be appropriate for the nurse to convey at this time?

    It is a bluish coloration of your cervix and vagina.

  • 15

    The pregnant mother for prenatal check up is 10 weeks AOG, together with her husband, is excited to know their baby’s sex. They ask the nurse when the earliest time is to determine their baby’s sex via ultrasound. The nurse is correct when she said ______.

    16 weeks AOG

  • 16

    Nurse Bea is preparing to measure the fundal height of a client whose fetus is 28 weeks’ gestation. In what position should the nurse place the client to perform the procedure?

    Supine with her head on a pillow and knees slightly flexed

  • 17

    Nurse Bea has just palpated the fundal height at the level of umbilicus. It is likely that the client is how many weeks pregnant?

    20.

  • 18

    After doing Leopold’s maneuvers, the nurse determines that the fetus is in the ROP position. To best auscultate the fetal heart tones, the Doppler is placed:

    Below the umbilicus on the right side

  • 19

    Which piece of equipment will the nurse routinely use to assess the fetal heart rate of a woman at 16 weeks’ gestation?

    Ultrasound fetoscope

  • 20

    The nurse in the prenatal clinic is monitoring a client who is pregnant with twins. The nurse monitors the client closely for which priority complication that is associated with a twin pregnancy?

    Maternal anemia

  • 21

    Maris mentioned that she is experiencing nausea and vomiting each morning that she wakes up. Which of the following should not be included when giving health teachings to Maris?

    Take antiemetic

  • 22

    Maris also complains of urinary frequency. Which of the following should Nurse Loisa not instruct Maris to do?

    Increase intake of tea to control voiding

  • 23

    Maris will undergo Alpha-fetoprotein level determination. Which of the following specimen us required?

    Maternal blood sample

  • 24

    She asks Nurse Loisa, “What does the alpha fetoprotein test indicate?” The nurse bases a response on the knowledge that this test can detect:

    Neural Tube defects

  • 25

    Nurse Loisa is giving health teaching to Maris on how to prevent neural tube defects to her baby. What supplement is needed to be taken by a pregnant women to prevent NTD?

    Folate

  • 26

    Which of the following exercises should be taught to a pregnant woman who complains of backaches?

    Pelvic tilting.

  • 27

    A 36-week gestation gravid client is complaining of dyspnea when lying flat. Which of the following is the likely clinical reason for this complaint?

    Fundal height.

  • 28

    During a prenatal visit, a gravid client is complaining of ptyalism. Which of the following nursing interventions is appropriate?

    Encourage the woman to brush her teeth carefully.

  • 29

    The nurse is measuring the fundal height on a client who is 36 weeks’ gestation when the client reports feeling lightheaded. What finding should the nurse expect to note when assessing the client?

    Compression of the vena cava

  • 30

    Which of the following skin changes should the nurse highlight for a pregnant woman’s health care practitioner?

    Petechiae.

  • 31

    The client is in active labor. Fetal heart monitoring is done. Bradycardia is noted at the start of uterine contraction. The nurse correctly interprets this finding as indicative of

    Head compression

  • 32

    The nurse is caring for a client in labor. The external fetal monitor shows a pattern of variable decelerations in fetal heart rate. What should the nurse do first?

    Change the client’s position

  • 33

    The nurse, caring for a client in the active stage of labor, is monitoring the fetal status and notes that the monitor strip shows a late deceleration. Based on this observation, which action should the nurse plan to take immediately?

    Administer oxygen to the client via face mask

  • 34

    The pregnant client tells the nurse that se felt wetness on her peripad and found some clear fluid. The nurse inspects the perineum and notes the present of umbilical cord. What is the immediate nursing action?

    Place the client in a Trendelenburg position

  • 35

    A laboring client has external electronic fetal monitoring in place. Which of the following assessment data can be determined by examining the fetal heart rate strip produced by the external electronic fetal monitor?

    Oxygenation

  • 36

    The clinic nurse is caring for a client with a suspected diagnosis of gestational hypertension. The nurse assesses the client, expecting to note which set of findings if gestational hypertension is present?

    Elevated blood pressure and proteinuria

  • 37

    Which of the following lab values should the nurse report to the physician as being consistent with the diagnosis of HELLP syndrome?

    Platelets 75,000.

  • 38

    The nurse is caring for a pregnant client with preeclampsia who is receiving a prescribed intravenous (IV) infusion of magnesium sulfate. To provide a safe environment, the nurse should ensure that which priority item is available?

    Calcium gluconate injection

  • 39

    Nurse Davis is monitoring a pregnant patient receiving magnesium sulfate for preeclampsia management. During her assessment, Nurse Davis suspects that the patient may be experiencing magnesium sulfate toxicity. Which of the following findings would most likely confirm her concern?

    Respiratory rate of 10 breaths per minute

  • 40

    Nurse Harris is caring for a pregnant patient in her third trimester who has been admitted with severe preeclampsia. While monitoring for potential complications, what should Nurse Harris assess for?

    Signs of bleeding, such as in the gums, presence of petechiae, and purpura.

  • 41

    A new mother was administered methylergonovine maleate intramuscularly after delivery. The nurse understands that this medication was administered for which action?

    Prevent postpartum hemorrhage

  • 42

    A postpartum nurse caring for a client who delivered vaginally 2 hours ago palpates the fundus and notes the character of the lochia. Which characteristic of the lochia should indicate to the nurse that the client’s recovery is normal?

    Dark red-colored lochia

  • 43

    Twelve hours after delivery, the nurse assesses the client for uterine involution. The nurse determines that the uterus is progressing normally towards its prepregnant state when palpation of the clients fundus is at which level?

    At the umbilicus

  • 44

    A 10-day postpartum breast-feeding client telephones the postpartum unit reporting a reddened, painful breast and elevated temperature. Based on assessment of the client’ s complaints, which action should the nurse tell the client to do?

    Notify your health care provider because you may need medication.

  • 45

    The postpartum client who delivered her newborn 4 days ago has been observed by the nurse to have started assuming tasks of mothering. She has started doing tasks for herself, not asking assistance. In which postpartum stage of regeneration is the client?

    Taking hold phase

  • 46

    A pregnant client tests positive for the hepatitis B virus. The client asks the nurse if she will be able to breast-feed the baby as planned after delivery. Which therapeutic response should the nurse communicate to the client?

    Breast-feeding is allowed if the baby receives prophylaxis treatment at birth and scheduled immunizations.

  • 47

    The mother had breastfed her newborn. Which of the following actions of the mother indicates the need for further teaching?

    The mother places the baby on the left side after feeding

  • 48

    Which of the following factors might result in a decreased supply of breastmilk in a PP mother?

    Supplemental feedings with formula

  • 49

    A postpartum mother who chose not to breastfeed asks the nurse, "When will my menstrual period return?" The nurse correctly responds that:

    It may resume as early as 6 to 8 weeks after delivery.

  • 50

    During a postpartum examination, the nurse notes that a client’s left calf is warm and swollen. Which of the following actions by the nurse is appropriate at this time?

    Notify the client’s physician.

  • 51

    An ultrasound has identified that a client’s pregnancy is complicated by oligohydramnios. The nurse would expect that an ultrasound may show that the baby has which of the following structural defects?

    Dysplastic kidneys.

  • 52

    An ultrasound has identified that a client’s pregnancy is complicated by hydramnios. The nurse would expect that an ultrasound may show that the baby has which of the following structural defects?

    Tracheoesophageal fistula.

  • 53

    Which of the following signs/symptoms would the nurse expect to see in a woman with abruptio placentae?

    Increasing fundal height measurements.

  • 54

    The client is diagnosed to have placenta previa. What warning signs should be placed by the nurse in client’s unit?

    No vaginal examination

  • 55

    Which of the following complications may be indicated by continuous seepage of blood from the vagina of a PP client, when palpation of the uterus reveals a firm uterus 1 cm below the umbilicus?

    Cervical laceration

  • 56

    Nurse Kathy is collecting data on the different categories of wounds (e.g., surgical, traumatic, pressure ulcers). What type of data is this?

    Nominal

  • 57

    Nurse Kathy records the pain levels of patients on a scale from 1 to 10. What type of data is this?

    Ordinal

  • 58

    Nurse Kathy measures the weight of patients before and after implementing the new wound care protocol. What type of data is ‘weight’?

    Ratio

  • 59

    Nurse Kathy collects data on patients' ages to determine the average age of those participating in the study. What type of data is age?

    Ratio

  • 60

    Nurse Kathy uses a thermometer to measure patients' body temperatures. What type of data is body temperature in Celsius?

    Interval

  • 61

    A 12-month-old boy weighed 8 lb 2 oz at birth. Understanding developmental milestones, what should the nurse caring for the child expect the current weight to be?

    24 lb 6 oz

  • 62

    Nurse May is educating a mother on the proper sequence of food introduction for her 6-month-old infant. Which of the following reflects the correct order of introducing complementary foods?

    Cereal, Vegetables, Fruits, Meat, Egg,

  • 63

    Which finding would the nurse consider abnormal when performing a physical assessment on a 6-month-old?

    Posterior fontanel is open.

  • 64

    Which type of play is most appropriate for a 10-month-old infant?

    Solitary play

  • 65

    Which of the following activities would best support a 7-month-old’s development of fine motor skills?

    transfer objects between hands

  • 66

    The nurse is caring for a 14-year-old with celiac disease. The nurse knows that the patient understands the diet instructions by ordering which of the following meals?

    Cheese, banana slices, rice cakes, and whole milk.

  • 67

    Based on the diagnosis above, the nurse expects that the child’s stool will have which characteristic?

    Malodorous

  • 68

    The mother explains that after meals her infant has been vomiting, and now it is becoming more frequent and forceful. During the assessment, the nurse notes visible peristaltic waves moving from left to right across the infant’s abdomen. On the basis of these findings, which condition should the nurse suspect?

    Pyloric stenosis

  • 69

    Which of the following signs would MOST LIKELY suggest Hirschsprung disease in a newborn?

    Failure to pass meconium within 48 hours after birth

  • 70

    Which of the following is the classic sign of Hirschsprung disease?

    Ribbon-like stools

  • 71

    A client with gastroesophageal reflux disease (GERD) reports chest discomfort that feels like heartburn, especially following each meal. After teaching the client to take antacids as prescribed, the nurse suggests that the client lie in which position during sleep?

    With the head of the bed elevated 8 to 12 inches

  • 72

    A client with a diagnosis of gastroesophageal reflux disease (GERD) has just received a breakfast tray. The nurse notices that which is the only food that will increase the lower esophageal sphincter (LES) pressure and thus lessen the client’s symptoms?

    Nonfat milk

  • 73

    A client diagnosed with gastritis asks at a screen clinic about analgesic that will not cause epigastric distress. The nurse should tell the client to take which medication?

    Acetaminophen

  • 74

    The nurse has given client directions for the proper use of aluminum hydroxide tablets. The client indicates an understanding of the medication when which statement is made?

    I should chew the tablet thoroughly and then drink 4 ounces of water.

  • 75

    A client in a long-term care facility has had a series of gastrointestinal (GI) diagnostic tests, including an upper and lower GI series and endoscopies. Upon return to the long-term care facility, which priority assessment should the nurse focus on?

    The hydration and nutrition status

  • 76

    Which personality type is most associated with an increased risk of developing peptic ulcer disease due to traits such as perfectionism, competitiveness, and chronic stress?

    Type A

  • 77

    A patient arrives to the clinic for evaluation of epigastric pain. The patient describes the pain to be relieved by food intake. In addition, the patient reports awaking in the middle of the night with a gnawing pain in the stomach. Based on the patient's description this appears to be what type of peptic ulcer?

    Duodenal

  • 78

    A client manages peptic ulcer disease (PUD) with excessive amounts of oral antacids. Signs/symptoms of which acid–base imbalance should the nurse assess for?

    Metabolic alkalosis

  • 79

    A patient reports pain 1–2 hours after eating, often worsened by meals. Which type of ulcer does the nurse suspect?

    Gastric ulcer

  • 80

    The nurse is caring for a client with a diagnosis of peptic ulcer disease. When monitoring the client for possible gastrointestinal perforation, the nurse identifies the importance of what assessment data?

    Sudden, severe abdominal pain

  • 81

    Which of the following best describes a democratic leadership style?

    The leader encourages participation and collaborative decision-making

  • 82

    A registered nurse has received the assignment for the day shift. After making initial rounds and checking all the assigned clients, which will the RN plan to care first?

    A client who has fever and restless

  • 83

    The hospital decides to hire underboard nurses in place of registered nurses in an effort to cut down on expenses. The hospital is held liable for those actions performed by the employees within the scope of their employment. This is based on which of the following doctrines?

    Respondeat superior

  • 84

    In the hospital, your department is using the functional method of patient care modality. What is it all about?

    One nurse is responsible for giving bedside care, another one for administering medications and another one for treatment and so on.

  • 85

    What are the qualities that define a leader who uses delegative leadership? (Laissez-faire)

    She tends to be passive and puts the responsibility of decision making to others.

  • 86

    The client is to undergo appendectomy, who is responsible for obtaining the informed consent?

    Surgeon

  • 87

    During surgery, who is primarily responsible for monitoring the patient’s vital signs such as blood pressure, pulse, and respiration, and supervising the patient’s overall condition throughout the procedure?

    Anesthesiologist

  • 88

    The person(s) responsible for accounting for all sponges, needles, and instruments to ensure patient safety is/are?

    Both Scrub nurse and Circulating nurse

  • 89

    According to the degree of urgency, operation for ruptured appendicitis is classified as:

    Emergency

  • 90

    A postoperative client has been placed on a clear liquid diet. The nurse provides the client with which items that are allowed to be consumed on this diet?

    Bouillon

  • 91

    Nurse Mariel is assessing a child admitted with a diagnosis of rheumatic fever. Which significant question should the nurse ask the child’s parent during the assessment?

    Has any family member had a sore throat within the past few weeks?

  • 92

    A school-age client with a rheumatic fever is on long term aspirin therapy. Which client statement most indicates that the client is experiencing a serious adverse reaction to aspirin?

    I hear ringing in my ears

  • 93

    Nurse Mariel is teaching the parents of a child with sickle cell disease. What information should the nurse give the family on how to prevent sickle cell crisis?

    Drink at least 2 liters of fluids per day

  • 94

    The nurse teaches the family of a child with leukemia about preventing infections. How should the nurse explain to the parents why their child is at risk for infections?

    Immature white blood cells are incapable of handling an infectious process

  • 95

    Which action indicates that the parents of 12-month-old with iron deficiency anemia understand how to administer iron supplements?

    Brushing the child’s teeth after administering the iron supplements

  • 96

    A nurse tells a confused patient, 'If you don’t take this medication now, I’ll have to inject you whether you like it or not.' This is an example of:

    Assault

  • 97

    A nurse physically holds down a client to insert a catheter against the client's will. This act is best described as:

    Battery

  • 98

    A nurse spreads false and damaging rumors about a colleague's alleged substance abuse during break time. This is an example of:

    Slander

  • 99

    A nurse writes false statements in a patient's chart accusing a co-nurse of stealing medications. This is a case of:

    Libel

  • 100

    A nurse posts on social media about a specific patient’s medical condition using identifiable details. This could result in a charge of:

    Libel