NURSING TEST PAPER QUESTIONS
ANSWERS GRADED A+
◉ The nurse is teaching a woman how to use her basal body temperature
(BBT) pattern as a tool to assist her in conceiving a child. Which
temperature pattern indicates the occurrence of ovulation, and therefore,
the best time for intercourse to ensure conception?
A. Between the time the temperature falls and rises.
B. Between 36 and 48 hours after the temperature rises.
C. When the temperature falls and remains low for 36 hours.
D. Within 72 hours before the temperature falls.
Answer: A. Between the time the temperature falls and rises.
- HESI
In most women, the BBT drops slightly 24 to 36 hours before ovulation
and rises 24 to 72 hours after ovulation, when the corpus luteum of the
ruptured ovary produces progesterone.
(Your body temperature falls slightly just before your ovary releases an
egg and rises 24 hours after the egg's release.)
◉ Assessment findings of a 4-hour-old newborn include: axillary
temperature of 96.8°F (35.8°C), heart rate of 150 beats/minute with a
,soft murmur, irregular respiratory rate at 64 breaths/minute, jitteriness,
hypotonic, and weak cry. Based on these findings, which action should
the nurse implement?
A. Swaddle the infant in a warm blanket.
B. Place a pulse oximeter on the heel.
C. Document the findings in the record.
D. Obtain a heel stick blood glucose level.
Answer: D. Obtain a heel stick blood glucose level.
- HESI
◉ A client at 9-weeks gestation tells the nurse that while she has "cut
down," she still has at least one alcoholic drink every evening before
bedtime. Which intervention should the nurse implement?
A. Notify child protective services of the client's illicit drug use and
probable child endangerment.
B. Insist that the client stop all alcohol use and draw a blood alcohol
level at each prenatal visit.
C. Refer the client to an outpatient alcohol abuse program for disulfiram
therapy.
D. Praise the client for her actions and offer to discuss ways to decrease
consumption even more.
Answer: D. Praise the client for her actions and offer to discuss ways to
decrease consumption even more.
,The nurse should educate the client about the risks of alcohol use during
pregnancy and encourage her to stop all alcohol use. The nurse should
praise the client for cutting down on alcohol use and offer support and
resources to help her stop completely.
B and C is not appropriate as drawing a blood alcohol level at each
prenatal visit is not a practical approach and disulfiram therapy is not
recommended for pregnant women. A is not appropriate because the
client's alcohol use does not necessarily constitute child endangerment
and reporting the client to child protective services should not be the
first action.
◉ When reading the obstetrical history of a client who is currently at 36-
weeks gestation, the nurse notes that she has had one full-term infant,
one premature infant born at 32-weeks gestation that survived, and one
miscarriage. What is this client's gravidity?
A. Gravida 2.
B. Gravida 5.
C. Gravida 4.
D. Gravida 3.
Answer: C. Gravida 4.
Gravidity refers to the total number of pregnancies a woman has had,
including both viable and non-viable pregnancies. In this case, the client
has had four pregnancies:
, - One current pregnancy.
- One full-term infant.
- One premature infant born at 32 weeks gestation that survived.
- One miscarriage.
◉ A new mother asks the nurse about an area of swelling on her baby's
head near the posterior fontanel that lies across the suture line. How
should the nurse respond?
A. "That is called caput succedaneum. It will absorb and cause no
problems."
B. "That is called a cephalhematoma. It can cause jaundice as it is
absorbed."
C. "That is called a cephalhematoma. It will cause no problems."
D. "That is called caput succedaneum. It will have to be drained."
Answer: A. "That is called caput succedaneum. It will absorb and cause
no problems."
- HESI
An area of swelling on her baby's head near the posterior fontanel that
crosses a suture line is caput succedaneum. Caput succedaneum is a
common and usually benign condition that occurs due to pressure on the
baby's head during delivery. Caput succedaneum typically resolves on
its own within a few days without causing any long-term complications.