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    Exam Review

    1. A clinic nurse is assessing a client with a suspected diagnosis of endometriosis. Which of the following findings in the client's medical history should the nurse identify as consistent with a diagnosis of endometriosis?
      A)Dysmenorrhea that is unresponsive to NSAIDs.
      B)An atypical Papanicolaou smear at her last clinic visit.
      C)A history of pelvic inflammatory disease (PID).
      D)Abdominal bloating starting several days before menses.
    2. When caring for a 13-year-old with muscular dystrophy receiving corticosteroids to slow disease progression, which of the following medication side effects would you assess for? (Select All that Apply.)(SATA)
      A)Chronic fatigue
      B)Mood changes
      C)Weight gain
      D)Osteoporosis
      E)Weight loss
    3. When advising a menopausal woman who opts not to use hormone therapy, which self-care measure should be emphasized as the most important?
      A)Limit alcohol and caffeine intake
      B)Taking vitamin E and B complex vitamin supplements
      C)Decreasing the intake of dairy products
      D)Performing regular weight-bearing exercises
    4. Which task is most appropriate for the nurse to delegate to the unlicensed assistive personnel on a pediatric unit?
      A)Assess the dressing of the infant that is two days post-operative
      B)Calculate the Morse Fall Scale for the preschool child
      C)Weigh the diaper of an infant for output
      D)Assessment of a child's developmental milestones
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    Exam Review

    1. Which three (3) assessment findings indicate that the breastfeeding client has achieved a proper latch?(SATA)
      A)Infants tongue cups under the breast with lips flanged
      B)Audible swallowing
      C)A slurping or clicking sound as the infant sucks
      D)The mother can see a rhythmic sucking pattern
      E)Dimpling of the infant's cheeks while sucking
    2. An 18-hour-old infant with hyperbilirubenemia is placed under phototherapy bank lights. Which of the following is an appropriate intervention for this infant?
      A)Tightly swaddle the infant in blanket
      B)Keep skin moisturized with lotion
      C)Keep eye shields on at all times, including when breastfeeding
      D)Expose as much of the infant's skin to the lights as possible
    3. The nurse places an infant with a tracheoesophageal fistula under a radiant warmer with the infant's head elevated at a 45-degree angle. Which statement by the mother indicates an understanding of the most important reason for this position?
      A)This position prevents stomach juice from going into the lungs
      B)This position allows food to be easily digested by the stomach
      C)This position keeps pressure off the stomach
      D)This position helps my baby breathe better by opening the lungs
    4. Which of the following clients would the nurse report as a suspected abuse case?
      A)A 2-year-old with a large bruise on the forehead
      B)A 6-year-old with splash burns on the front torso
      C)A 4-year-old with circular abrasions around the wrists
      D)A 10-year-old with a burn on the palm of the hand
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    Exam Review

    1. A nurse is discussing postpartum depression with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of this condition?
      A)"The most common manifestation of postpartum depression is harming the infant."
      B)"It's common for clients who have postpartum depression to exhibit psychotic behavior."
      C)"Postpartum depression is more likely to occur in women who have a history of depression."
      D)"Postpartum depression usually begins 48 hours after childbirth."
    2. The nurse is caring for a newborn born at 30 weeks' gestation. Which assessment finding should the nurse anticipate?
      A)Lanugo covering most of the body
      B)Flexion of all four (4) extremities
      C)Plantar creases over the entire sole
      D)Abundance of subcutaneous fat deposits
    3. Which assessment findings would alert the nurse to an infant or child in heart failure? (Select All that Apply.)(SATA)
      A)Difficulty feeding infant
      B)Tachypnea
      C)Wheezes or rales
      D)Increased comfort laying down
      E)Edema in feet and legs
      F)Increased urine output
    4. A nurse on a postpartum unit is giving discharge instructions to a client whose newborn had a circumcision with a Plastibell technique. Which of the following client statements indicates an understanding of circumcision care? (Select All that Apply.)(SATA)
      A)"I'll call the doctor if I see any bleeding"
      B)"I'll make sure his diaper is loose in the front"
      C)"I'll expect the plastic ring to fall off by itself within a week"
      D)"The Plastibell will fall off within the first 24 hours after the procedure."
      E)"I should clean the area with alcohol swabs to prevent infection."
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    Exam Review

    1. Which statement made by a pregnant patient indicates teaching was effective related to an elevated alpha fetoprotein (AFP) level?
      A)The elevated AFP means may baby may have Down Syndrome
      B)The elevated AFP means my baby has Down syndrome
      C)The elevated APR means my baby has spina bifida
      D)The elevated AFP means my baby may have spina bifida
    2. An antenatal client at 32 weeks' gestation has been admitted to the hospital with premature rupture of membranes. She is not exhibiting any signs of labor. What is the priority nursing intervention for this client?
      A)Prepare for delivery
      B)Administer parental antibiotics
      C)Assess cervical dilation every 2 hours
      D)Provide emotional support
    3. The nurse identifies the following assessment findings in a client who is 36 weeks' gestation. Which should be immediately reported to the provider?
      A)Blood pressure 144/94 mm/Hg in left arm
      B)Positive rubella serum antibody titer
      C)Copious leukorrhea
      D)O negative blood type
    4. A nurse is teaching a newborn's parent to care for the umbilical cord stump. Which of the following instructions should the nurse include?
      A)Apply petroleum jelly to the cord stump.
      B)Give a sponge bath until the cord stump falls off.
      C)Wash the cord daily with mild soap and water.
      D)Cover the cord with the diaper.
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    Exam Review

    1. When caring for a postpartum client the nurse notes that the client's perineal pad is saturated with bright red blood. What is the priority question to ask the client?
      A)When was the last time you changed your pad?
      B)Do you have to go to the bathroom?
      C)Are you having any cramping?
      D)Have you passed any clots?
    2. A nursing student is asked to calculate the GTPAL for a client presenting to the OB clinic for a prenatal visit. The client has the following obstetric history: Exhibits Which of the following GTPAL calculations correctly reflects the client's obstetric history?
      A)G5 T1 P2 A1 L4
      B)G4 T2 PO A1 L3
      C)G4 T2 P1 A1 L3
      D)G5 T2 P1 A1 L3
    3. As the nurse caring for an infant who has been prescribed Amoxicillin (Amoxil) orally every 6 hours, you need to calculate the dose. The recommended safe dosage is 50 mg/kg/day, divided into multiple doses. If the infant weighs 6 kg, how much Amoxicillin should you administer per dose?
    4. A nurse is caring for a newborn and assessing newborn reflexes. To elicit the Moro reflex, the nurse should take which of the following actions?
      A)Perform a sharp hand clap near the infant.
      B)Hold the newborn vertically allowing one foot to touch the table surface.
      C)Place a finger at the base of the newborn's toes.
      D)Turn the newborn's head quickly to one side.
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