pre finals
問題一覧
1
Which of the following happens when there is presence of brain edema?
1. Increased capillary permeability
2. Increased capillary pressure
3. Arteriolar dilatation
4. Increased cerebral blood flow
123
2
Which of the following is NOT innervated by the autonomic nervous system?
Striated skeletal muscle cell
3
Which one of the following is the function of parasympathetic nervous system?
Pupil constriction
4
How many pairs of spinal nerves does a normal adult has?
31
5
Which signs best indicate increased intracranial pressure (ICP) in an infant? Select all that apply.
1 Sleeping more the usual
2 Sunken anterior fontanel
3 High-pitched cry
4 Complaints of blurred vision
5 Increased appetite
13
6
Which signs best indicate increased intracranial pressure (ICP) in an infant? Select all that apply.
1 Sleeping more the usual
2 Sunken anterior fontanel
3 High-pitched cry
4 Complaints of blurred vision
5 Increased appetite
13
7
Which of the following is an example of lower motor neuron dysfunction?
An individual is told to lift her arm, and she has difficulty doing so. Her left arm appears shriveled and shorter than her right arm.
8
The nurse is assessing an eight month-old infant with a malfunctioning ventriculoperitoneal shunt. Which one of the following manifestations would the infant be MOST likely to exhibit?
Irritability
9
Which of the following is an example of a basic nervous system function?
Sweating during yoga class
10
Calcium is required for all of the following except:
All of these require calcium
11
Which of the following statements correctly describes the activation of autonomic nervous system function within the circulatory system?
Sympathetic nervous system activation constricts arteries found within the salivary glands.
12
The nurse is caring for a newborn with a neural tube defect. The BEST covering for the lesion is?
Moist sterile non adherent dressing
13
If an individual were to sustain a significant injury to their right cerebral hemisphere, where might somatosensory loss of functioning occur?
Left side of the body
14
Which of the following accurately describes the direction of an impulse moving through a neuron that carries information to the central nervous system (CNS) from the peripheral nervous system (PNS)?
An afferent neuron, impulse moving proximally.
15
A 7-month-old child has been diagnosed with cerebral palsy (CP). Which of the following signs/symptoms would the nurse assess as consistent with the diagnosis?
Positive grasp reflex
16
An infant is born with a sac protruding through the spine, containing cerebrospinal fluid (CSF), a portion of the meninge, and nerve roots. This condition is referred to as:
Myelomeningocele
17
Which of the following complications can be potentially life threatening and can occur in a patient that is given a tocolytic agent?
Pulmonary edema
18
Nurse JS is caring for a patient in the active phase of labor. Upon assessment of the fetal heart tone, it is noted that there is late deceleration. What is the most appropriate action for Nurse JS?
Administer oxygen via face mask
19
Following a renal biopsy, the nurse places the child in bed rest for 24 4hours with no bathroom privileges. The mother is asking the nurse the importance of this. The nurse answers that
Bed rest will ensure that the skin will not be disturbed during activity and decrease bleeding tendencies
20
The student nurse is assessing a 3 year old child admitted for difficult urination. Upon percussion, she heard dullness above the symphysis pubis. What could this finding mean?
Presence of full bladder
21
A child who has diarrhea for 2 days with 8 watery bowel movements was admitted in the pediatric ward for fluid restriction. Her mother was anxious and appears confused on what is happening. Which of the following nursing diagnosis would the nurse prioritized?
Deficient fluid volume
22
A 2-week-old is diagnosed as having hypertrophic pyloric stenosis, and is scheduled for corrective surgery. When palpating the infant’s abdomen, the nurse would expect to find which assessment?
An olive-sized mass in the right upper quadrant
23
A nurse reviews the record of 3-week-old infant and notes that the physician has documented a diagnosis of suspected hirschsprung’s disease. The nurse reviews the assessment finding documented in the record, knowing that which symptoms most likely led the mother to seek healthcare for the infant?
Foul-smelling ribbon-like stools
24
Upon assessment of jenny who was diagnosed with asthma, the nurse heard wheezes during auscultation. What was the rationale behind the wheezing breath sound heard by the nurse?
The sound is caused by the air being pushed forcibly through obstructed bronchi
25
The nurse is reviewing discharge instructions with a parents of a child who has tonsillectomy 24 hours ago. The parents inform the nurse that the child is a big eater and want to know what foods to give the child for the next 24 hours. What is the nurse best response?
The child’s diet should be restricted to soft foods
26
Following complete primary repair, the newborn was endorsed to the pediatrict ward. Which of the following findings would the nurse anticipate upon endorsement?
Blood tinged urine
27
The nurse reviews the record of a newborn infant and notes that a diagnosis of esophageal atresia with tracheoesophageal fistula is suspected. The nurse expects to note which most likely signs of this condition documented in the record?
Choking with feedings
28
The physician ordered the 10-year old client to undergo MRI to view kidneys and associated parts. Which of the following statements of the mother would indicate understanding of the procedure?
My child will be on NPO for 4-6 hours prior to the procedure
29
A toddler is brought to the emergency department with sudden onset of abdominal pain, vomiting and stools that look like red currant jelly. To confirm intussusception, the suspected cause of these findings, the nurse would expect the physician to order which test?
Barium enema
30
Gary, 3-yo, is positive for shick test, with swollen lymph nodes and a temperature of 38 degree C. what is the drug of choice for Fary who have a diagnosis of dipheria, before it releases toxins to the blood?
Penicillin
31
When the corrective surgery for hypertrophic pyloric stenosis to an infant is completed, the infant was returned in stable condition to the pediatric unit with an intravenous infusion and a nasogastric tube in place. Which of the following is the priority nursing action?
Assess the IV site for infiltration
32
The nurse documents that the infant with GERD should be maintained in which position following feeding and at night in order to manage reflux?
60-degree angle when supine
33
Which of the following nursing diagnosis would the nurse prioritize to a newborn with inflamed and dry bladder exstrophy awaiting surgery schedule?
Impaired skin integrity
34
Which of the following disease conditions are included in the HUS triad? Select all that apply
1 Thrombocytopenia
2 Leukopenia
3 Chronic renal failure
4 Hemolytic anemia
5 Acute renal failure
6 Iron deficiency anemia
145
35
Given the GFR, what stage of CKD is the patient most likely to be diagnosed with?
GFR: 36 mL/min/1.73m2
G3B
36
Which of the following health teachings should be given to parents of a newborn with hypospadia?
There should be no circumcision before surgical repair is done
37
Given the GFR, what stage of CKD is the patient most likely to be diagnosed with?
GFR: 75 mL/min/1.73m2
G2
38
Which of the following findings would the nurse anticipate for a child diagnosed with HUS? Select all that apply.
1 Decreased BUN
2 Elevated creatinine
3 Increased bilirubin
4 Hypophosphatemia
5 Hyperkalemia
6 Hyperantremia
235
39
Given the GFR, what stage of CKD is the patient most likely to be diagnosed with?
GFR: 130 mL/min/1.73m2
G1
40
The nurse provides feeding instructions to the parents of an infant diagnosed with gastroesophageal reflux disease. Which instruction should the nurse give to the parent to assist in reducing the episodes of emesis?
Thicken the feedings by adding rice cereal to the formula
41
Mary, on the second day of the disease process complained of earache due to infection of the ear. What is the medical term used for this kind of complication of influenza?
Otitis media
42
Gary received a pentavalent vaccine. What 5 life threatening diseases does this vaccine give protection? Select all that apply.
1 Haemophilus influenza B
2 Diphtheria
3 Mumps
4 Hepatitis B
5 Tetanus
6 Pertussis
12456
43
Agua has just returned to the nursing unit following a surgical repair of a cleft lip located on the right side of the lip. The nurse places the infant in which most appropriate position?
On the left side
44
Which of the following is generally considered to be the first-line imaging modality in suspected pediatric intussusception?
Ultrasonography
45
A child diagnosed with acute glomerulonephritis was interviewed by the student nurse. Which of the following past health history is relevant to the case?
Sore throat in the past week
46
A 6 year old child, accompanied by her mother, was assessed by the nurse for a checkup. She has been feverish for the past week and complains of urinary frequency. Upon palpation, the nurse EXPECTS which normal finding?
Non-palpable kidneys
47
Which of the following are considered the hallmark physical findings in intussusception?
Right hypochondrium sausage-shaped mass and emptiness in the right lower quadrant
48
For prevention of influenza, Mary’s siblings and her classmates should receive which type of vaccine?
Influenza vaccine
49
Which of the following medications for Nephrotic Syndrome addressed problems with edema?
Furosemide (lasix)
50
May, 12 years old, with chest x-ray + for tuberculosis, had mild hemoptysis, was advised to be confined in the medical ward. If you are the nurse on duty, in what area of the medical well you admit May?
Dirty isolation ward
51
What pathophysiologic changes result when there is increased permeability on the glomerular basement membrane?
Massive protein wasting in the urinary tract
52
A client who is scheduled for CS delivery. Which assessment finding need to contact the physician?
FHT 180 bpm
53
What would be the estimated blood loss for C-section delivery to be considered as postpartum hemorrhage?
>1000 mL
54
What is the first sign of pulmonary embolism?
Chest pain
55
The uterus failure to revert to its pre-pregnant state through gradual reduction in size and placement. The condition is also known as:
Subinvolution
56
Which among the following is not a clinical manifestation of retained placental fragments?
Slow reddish oozing blood discharge on the 14th day Postpartum
57
What is the drug of choice for Endometritis?
Clidamycin
58
This is true about fundal massage:
To stimulate uterine contractions and promote uterine tone
59
Which among the following is a drug of choice for postpartum depression?
Sertraline
60
The relationship of the presenting part to a specific quadrant and a side of a woman’s pelvis is termed as?
Fetal position
61
The following are contraindications of amniotomy, except:
Head is not engaged
62
In which of the following situations may oxytocin augmentation of labor be useful (assuming normal fetal size, presentation, and position, abnormal pelvic size is present)?
1 Non-reassuring fetal status in the second stage of labor
2 Hypotonic uterine dysfunction during the active phase
3 Arrested early second stage
23
63
A patient is receiving Pitocin via IV infusion. Which assessment finding indicates that there is a need to discontinue the infusion?
Fetal heart rate of 90 bpm
64
Oxytocin is sometimes used for induction of labor. What is the priority nursing intervention after administration of Pitocin?
Monitor intake and output
65
What is measured from the subpubic angle to the middle of the sacral promontory of the pelvic inlet?
Diagonal conjugate
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問題一覧
1
Which of the following happens when there is presence of brain edema?
1. Increased capillary permeability
2. Increased capillary pressure
3. Arteriolar dilatation
4. Increased cerebral blood flow
123
2
Which of the following is NOT innervated by the autonomic nervous system?
Striated skeletal muscle cell
3
Which one of the following is the function of parasympathetic nervous system?
Pupil constriction
4
How many pairs of spinal nerves does a normal adult has?
31
5
Which signs best indicate increased intracranial pressure (ICP) in an infant? Select all that apply.
1 Sleeping more the usual
2 Sunken anterior fontanel
3 High-pitched cry
4 Complaints of blurred vision
5 Increased appetite
13
6
Which signs best indicate increased intracranial pressure (ICP) in an infant? Select all that apply.
1 Sleeping more the usual
2 Sunken anterior fontanel
3 High-pitched cry
4 Complaints of blurred vision
5 Increased appetite
13
7
Which of the following is an example of lower motor neuron dysfunction?
An individual is told to lift her arm, and she has difficulty doing so. Her left arm appears shriveled and shorter than her right arm.
8
The nurse is assessing an eight month-old infant with a malfunctioning ventriculoperitoneal shunt. Which one of the following manifestations would the infant be MOST likely to exhibit?
Irritability
9
Which of the following is an example of a basic nervous system function?
Sweating during yoga class
10
Calcium is required for all of the following except:
All of these require calcium
11
Which of the following statements correctly describes the activation of autonomic nervous system function within the circulatory system?
Sympathetic nervous system activation constricts arteries found within the salivary glands.
12
The nurse is caring for a newborn with a neural tube defect. The BEST covering for the lesion is?
Moist sterile non adherent dressing
13
If an individual were to sustain a significant injury to their right cerebral hemisphere, where might somatosensory loss of functioning occur?
Left side of the body
14
Which of the following accurately describes the direction of an impulse moving through a neuron that carries information to the central nervous system (CNS) from the peripheral nervous system (PNS)?
An afferent neuron, impulse moving proximally.
15
A 7-month-old child has been diagnosed with cerebral palsy (CP). Which of the following signs/symptoms would the nurse assess as consistent with the diagnosis?
Positive grasp reflex
16
An infant is born with a sac protruding through the spine, containing cerebrospinal fluid (CSF), a portion of the meninge, and nerve roots. This condition is referred to as:
Myelomeningocele
17
Which of the following complications can be potentially life threatening and can occur in a patient that is given a tocolytic agent?
Pulmonary edema
18
Nurse JS is caring for a patient in the active phase of labor. Upon assessment of the fetal heart tone, it is noted that there is late deceleration. What is the most appropriate action for Nurse JS?
Administer oxygen via face mask
19
Following a renal biopsy, the nurse places the child in bed rest for 24 4hours with no bathroom privileges. The mother is asking the nurse the importance of this. The nurse answers that
Bed rest will ensure that the skin will not be disturbed during activity and decrease bleeding tendencies
20
The student nurse is assessing a 3 year old child admitted for difficult urination. Upon percussion, she heard dullness above the symphysis pubis. What could this finding mean?
Presence of full bladder
21
A child who has diarrhea for 2 days with 8 watery bowel movements was admitted in the pediatric ward for fluid restriction. Her mother was anxious and appears confused on what is happening. Which of the following nursing diagnosis would the nurse prioritized?
Deficient fluid volume
22
A 2-week-old is diagnosed as having hypertrophic pyloric stenosis, and is scheduled for corrective surgery. When palpating the infant’s abdomen, the nurse would expect to find which assessment?
An olive-sized mass in the right upper quadrant
23
A nurse reviews the record of 3-week-old infant and notes that the physician has documented a diagnosis of suspected hirschsprung’s disease. The nurse reviews the assessment finding documented in the record, knowing that which symptoms most likely led the mother to seek healthcare for the infant?
Foul-smelling ribbon-like stools
24
Upon assessment of jenny who was diagnosed with asthma, the nurse heard wheezes during auscultation. What was the rationale behind the wheezing breath sound heard by the nurse?
The sound is caused by the air being pushed forcibly through obstructed bronchi
25
The nurse is reviewing discharge instructions with a parents of a child who has tonsillectomy 24 hours ago. The parents inform the nurse that the child is a big eater and want to know what foods to give the child for the next 24 hours. What is the nurse best response?
The child’s diet should be restricted to soft foods
26
Following complete primary repair, the newborn was endorsed to the pediatrict ward. Which of the following findings would the nurse anticipate upon endorsement?
Blood tinged urine
27
The nurse reviews the record of a newborn infant and notes that a diagnosis of esophageal atresia with tracheoesophageal fistula is suspected. The nurse expects to note which most likely signs of this condition documented in the record?
Choking with feedings
28
The physician ordered the 10-year old client to undergo MRI to view kidneys and associated parts. Which of the following statements of the mother would indicate understanding of the procedure?
My child will be on NPO for 4-6 hours prior to the procedure
29
A toddler is brought to the emergency department with sudden onset of abdominal pain, vomiting and stools that look like red currant jelly. To confirm intussusception, the suspected cause of these findings, the nurse would expect the physician to order which test?
Barium enema
30
Gary, 3-yo, is positive for shick test, with swollen lymph nodes and a temperature of 38 degree C. what is the drug of choice for Fary who have a diagnosis of dipheria, before it releases toxins to the blood?
Penicillin
31
When the corrective surgery for hypertrophic pyloric stenosis to an infant is completed, the infant was returned in stable condition to the pediatric unit with an intravenous infusion and a nasogastric tube in place. Which of the following is the priority nursing action?
Assess the IV site for infiltration
32
The nurse documents that the infant with GERD should be maintained in which position following feeding and at night in order to manage reflux?
60-degree angle when supine
33
Which of the following nursing diagnosis would the nurse prioritize to a newborn with inflamed and dry bladder exstrophy awaiting surgery schedule?
Impaired skin integrity
34
Which of the following disease conditions are included in the HUS triad? Select all that apply
1 Thrombocytopenia
2 Leukopenia
3 Chronic renal failure
4 Hemolytic anemia
5 Acute renal failure
6 Iron deficiency anemia
145
35
Given the GFR, what stage of CKD is the patient most likely to be diagnosed with?
GFR: 36 mL/min/1.73m2
G3B
36
Which of the following health teachings should be given to parents of a newborn with hypospadia?
There should be no circumcision before surgical repair is done
37
Given the GFR, what stage of CKD is the patient most likely to be diagnosed with?
GFR: 75 mL/min/1.73m2
G2
38
Which of the following findings would the nurse anticipate for a child diagnosed with HUS? Select all that apply.
1 Decreased BUN
2 Elevated creatinine
3 Increased bilirubin
4 Hypophosphatemia
5 Hyperkalemia
6 Hyperantremia
235
39
Given the GFR, what stage of CKD is the patient most likely to be diagnosed with?
GFR: 130 mL/min/1.73m2
G1
40
The nurse provides feeding instructions to the parents of an infant diagnosed with gastroesophageal reflux disease. Which instruction should the nurse give to the parent to assist in reducing the episodes of emesis?
Thicken the feedings by adding rice cereal to the formula
41
Mary, on the second day of the disease process complained of earache due to infection of the ear. What is the medical term used for this kind of complication of influenza?
Otitis media
42
Gary received a pentavalent vaccine. What 5 life threatening diseases does this vaccine give protection? Select all that apply.
1 Haemophilus influenza B
2 Diphtheria
3 Mumps
4 Hepatitis B
5 Tetanus
6 Pertussis
12456
43
Agua has just returned to the nursing unit following a surgical repair of a cleft lip located on the right side of the lip. The nurse places the infant in which most appropriate position?
On the left side
44
Which of the following is generally considered to be the first-line imaging modality in suspected pediatric intussusception?
Ultrasonography
45
A child diagnosed with acute glomerulonephritis was interviewed by the student nurse. Which of the following past health history is relevant to the case?
Sore throat in the past week
46
A 6 year old child, accompanied by her mother, was assessed by the nurse for a checkup. She has been feverish for the past week and complains of urinary frequency. Upon palpation, the nurse EXPECTS which normal finding?
Non-palpable kidneys
47
Which of the following are considered the hallmark physical findings in intussusception?
Right hypochondrium sausage-shaped mass and emptiness in the right lower quadrant
48
For prevention of influenza, Mary’s siblings and her classmates should receive which type of vaccine?
Influenza vaccine
49
Which of the following medications for Nephrotic Syndrome addressed problems with edema?
Furosemide (lasix)
50
May, 12 years old, with chest x-ray + for tuberculosis, had mild hemoptysis, was advised to be confined in the medical ward. If you are the nurse on duty, in what area of the medical well you admit May?
Dirty isolation ward
51
What pathophysiologic changes result when there is increased permeability on the glomerular basement membrane?
Massive protein wasting in the urinary tract
52
A client who is scheduled for CS delivery. Which assessment finding need to contact the physician?
FHT 180 bpm
53
What would be the estimated blood loss for C-section delivery to be considered as postpartum hemorrhage?
>1000 mL
54
What is the first sign of pulmonary embolism?
Chest pain
55
The uterus failure to revert to its pre-pregnant state through gradual reduction in size and placement. The condition is also known as:
Subinvolution
56
Which among the following is not a clinical manifestation of retained placental fragments?
Slow reddish oozing blood discharge on the 14th day Postpartum
57
What is the drug of choice for Endometritis?
Clidamycin
58
This is true about fundal massage:
To stimulate uterine contractions and promote uterine tone
59
Which among the following is a drug of choice for postpartum depression?
Sertraline
60
The relationship of the presenting part to a specific quadrant and a side of a woman’s pelvis is termed as?
Fetal position
61
The following are contraindications of amniotomy, except:
Head is not engaged
62
In which of the following situations may oxytocin augmentation of labor be useful (assuming normal fetal size, presentation, and position, abnormal pelvic size is present)?
1 Non-reassuring fetal status in the second stage of labor
2 Hypotonic uterine dysfunction during the active phase
3 Arrested early second stage
23
63
A patient is receiving Pitocin via IV infusion. Which assessment finding indicates that there is a need to discontinue the infusion?
Fetal heart rate of 90 bpm
64
Oxytocin is sometimes used for induction of labor. What is the priority nursing intervention after administration of Pitocin?
Monitor intake and output
65
What is measured from the subpubic angle to the middle of the sacral promontory of the pelvic inlet?
Diagonal conjugate