MC NURSING Final Review | QUESTIONS AND
ANSWERS
Save
Terms in this set (136)
A nurse is caring for a middle adult d. Postmenopausal bleeding
client who has just received the
diagnosis of endometrial cancer. In
taking a nursing history, which of the
following manifestations is likely to
be reported by this client?
a. Unilateral swelling on the posterior
of the vulva
b. Extreme abdominal pain with
intercourse
c. Green, malodorous vaginal
discharge
d. Postmenopausal bleeding
,A nurse is caring for a preterm b. Necrotizing enterocolitis
newborn who has a nasogastric tube
and who recently began intermittent
gavage feedings of formula. The
nurse notes increased abdominal
distention, lethargy, bloody stools,
and increasing gastric residuals
before feedings. The nurse should
suspect which of the following?
a. Overstimulation
b. Necrotizing enterocolitis
c. Need for placement of a
gastrostomy tube
d. Intraventricular hemorrhage
A nurse is teaching a client who is a. It prevents the formation of Rh antibodies in
postpartum and has a new mothers who are Rh negative.
prescription for an injection of Rho
(D) immunoglobulin. Which of the
following should be included in the
teaching?
a. It prevents the formation of Rh
antibodies in mothers who are Rh
negative.
b. It destroys Rh antibodies in
mothers who are Rh negative.
c. It destroys Rh antibodies in
newborns who are Rh positive.
d. It prevents the formation of Rh
antibodies in newborns who are Rh
positive.
,A nurse is caring for an adolescent d. Deep tendon reflexes of +1
client who is gravida 1 and para 0.
The client was admitted to the
hospital at 38 weeks of gestation with
a diagnosis of preeclampsia. Which
of the following findings should the
nurse identify as inconsistent with
preeclampsia?
a. 1+ pitting sacral edema
b. 3+ protein in the urine
c. Blood pressure 148/98 mm Hg
d. Deep tendon reflexes of +1
A nurse in a clinic is teaching d. Postcoital bleeding may occur.
information about cervical polyps
with a client who has a new
diagnosis. Which of the following
information should the nurse include
in the teaching?
a. Avoid using tampons during
menstruation.
b. Cervical polyps are a precursor to
the development of cervical cancer.
c. Cervical polyps affect women
before the age of 40.
d. Postcoital bleeding may occur.
, A nurse is assessing a client who is 3 b. Additional interventions are not indicated at this
days postpartum and is time.
breastfeeding. The nurse notes that
the fundus is three fingerbreadths
below the umbilicus, lochia rubra is
moderate, and the breasts are hard
and warm to palpation. Which of the
following interpretations of these
findings should the nurse make?
a. The client is exhibiting early
indications of mastitis.
b. Additional interventions are not
indicated at this time.
c. Application of a heating pad to the
breasts is indicated.
d. The client should be advised to
remove her nursing bra.
A nurse is preparing to administer d. Respiratory rate
magnesium sulfate IV to a client who
is experiencing preterm labor. Which
of the following is the priority nursing
assessment for this client?
a. Temperature
b. Fetal heart rate (FHR)
c. Bowel sounds
d. Respiratory rate
ANSWERS
Save
Terms in this set (136)
A nurse is caring for a middle adult d. Postmenopausal bleeding
client who has just received the
diagnosis of endometrial cancer. In
taking a nursing history, which of the
following manifestations is likely to
be reported by this client?
a. Unilateral swelling on the posterior
of the vulva
b. Extreme abdominal pain with
intercourse
c. Green, malodorous vaginal
discharge
d. Postmenopausal bleeding
,A nurse is caring for a preterm b. Necrotizing enterocolitis
newborn who has a nasogastric tube
and who recently began intermittent
gavage feedings of formula. The
nurse notes increased abdominal
distention, lethargy, bloody stools,
and increasing gastric residuals
before feedings. The nurse should
suspect which of the following?
a. Overstimulation
b. Necrotizing enterocolitis
c. Need for placement of a
gastrostomy tube
d. Intraventricular hemorrhage
A nurse is teaching a client who is a. It prevents the formation of Rh antibodies in
postpartum and has a new mothers who are Rh negative.
prescription for an injection of Rho
(D) immunoglobulin. Which of the
following should be included in the
teaching?
a. It prevents the formation of Rh
antibodies in mothers who are Rh
negative.
b. It destroys Rh antibodies in
mothers who are Rh negative.
c. It destroys Rh antibodies in
newborns who are Rh positive.
d. It prevents the formation of Rh
antibodies in newborns who are Rh
positive.
,A nurse is caring for an adolescent d. Deep tendon reflexes of +1
client who is gravida 1 and para 0.
The client was admitted to the
hospital at 38 weeks of gestation with
a diagnosis of preeclampsia. Which
of the following findings should the
nurse identify as inconsistent with
preeclampsia?
a. 1+ pitting sacral edema
b. 3+ protein in the urine
c. Blood pressure 148/98 mm Hg
d. Deep tendon reflexes of +1
A nurse in a clinic is teaching d. Postcoital bleeding may occur.
information about cervical polyps
with a client who has a new
diagnosis. Which of the following
information should the nurse include
in the teaching?
a. Avoid using tampons during
menstruation.
b. Cervical polyps are a precursor to
the development of cervical cancer.
c. Cervical polyps affect women
before the age of 40.
d. Postcoital bleeding may occur.
, A nurse is assessing a client who is 3 b. Additional interventions are not indicated at this
days postpartum and is time.
breastfeeding. The nurse notes that
the fundus is three fingerbreadths
below the umbilicus, lochia rubra is
moderate, and the breasts are hard
and warm to palpation. Which of the
following interpretations of these
findings should the nurse make?
a. The client is exhibiting early
indications of mastitis.
b. Additional interventions are not
indicated at this time.
c. Application of a heating pad to the
breasts is indicated.
d. The client should be advised to
remove her nursing bra.
A nurse is preparing to administer d. Respiratory rate
magnesium sulfate IV to a client who
is experiencing preterm labor. Which
of the following is the priority nursing
assessment for this client?
a. Temperature
b. Fetal heart rate (FHR)
c. Bowel sounds
d. Respiratory rate
