PAPER QUESTIONS AND ANSWERS SURE A+
✔✔A nurse is assisting with the care of a client who is in labor. Following spontaneous
rupture of membranes, the nurse visualizes the umbilical cord protruding from the
vagina and the fetal heart rate is 50/min. After calling for assistance and notifying the
provider, which of following is the priority action by the nurse?
Wrap the cord in a towel saturated with 0.9% sodium chloride
Apply oxygen via face mask
Place client in knee-chest position
Increase IV fluid rate - ✔✔place client in knee-chest position
Placing the client in a knee-chest position will aid in keeping the pressure of the
presenting part of the fetus off the cord.
✔✔How is borderline personality disorder is characterized? - ✔✔interpersonal
relationships, emotional instability, impulsitivity, unstable mood, and self image
distortions
✔✔What are the symptoms of acute alcohol withdrawal? - ✔✔tachycardia,
hypertension, diaphoresis, disorientation, hand tremors; can progress visual or tactile
hallucinations, paranoid delusions, agitation, hyperthermia, grand mal seizures
, ✔✔A nurse is working with administration to enhance the quality of care provided to
clients during the prenatal period. In which of the following roles in the nurse
functioning?
Advocate
Clinician
Educator
Manager - ✔✔Advocate
✔✔A nurse is reinforcing teaching about methods to decrease nausea to a client who is
receiving chemotherapy. Which of the following statements by the client indicates a
need for further teaching?
I should eat frequently
I should avoid eating 1-2 hours prior to my treatment
I should eat foods served cold
I should eat low carb foods - ✔✔I should eat low carbohydrate foods.
Clients who are experiencing nausea should eat foods high in carbohydrates, such as
crackers, yogurt, toast, bananas, and sherbet.
✔✔A nurse is reinforcing teaching regarding foods containing complete protein to a
client. Which of the following should be included in the teaching?
Lentils
Soybeans
Broccoli
Oatmeal - ✔✔Soybeans; food sources of complete proteins contain sufficient quantities
of all nine essential amino acids to support body growth and maintenance
✔✔A nurse is collecting data on a child who is diagnosed with bacterial epiglottitis.
Which of the following clinical findings are associated with the illness? (Select all that
apply)
Drooling
Stridor
Difficulty Swallowing
Croupy Cough
High-Grade Fever - ✔✔Drooling, stridor, difficulty swallowing, high-grade fever
✔✔A nurse is caring for a client who is from a culture different than his own. Which
action by the nurse is most important in the provision of culturally competent care?
Include the family in the client's care
identify one's own beliefs and values
determine the client's cultural beliefs
encourage the client to discuss the influence of illness on cultural practices - ✔✔Identify
one's own beliefs and values
✔✔Rheumatic Fever - ✔✔disease that affects heart, joints, brain, and skin. Can develop
if strep throat and scarlet fever if not treated