1. 4hr postpartum, boggy uterus with heavy lochia. Which of the
following actions should the nurse take?
Massage the uterus to expel clots
Rationale: ABC approach, priority is to massage uterus to
expel clots and increase uterine firmness, resulting in
decreased bleeding
2. Deficit in Cranial nerve 2: results in visual impairment and lead to
falls
clear objects from the walking area
3. indicate the progression of labor and are a benign finding
-nurse should continue to monitor FHR
4. Review ABGs
5. A nurse is interviewing a client who has just lost her home due to a
natural disaster. After ensuring the client's safety, which of the
following actions should the nurse take first?
, Determine the client's perception of the personal impact of
the crisis
First thing in the nursing process is assessment so assess
client’s feelings and understanding of the natural disaster and
its personal impact
6. An assistive personnel (AP) and a nurse are turning a client on to
her right side. Which of the following actions by the AP requires
the nurse to intervene?
Places a pillow under the client's right arm
7. A nurse in a community center is providing an educational session
to a group of women about ovarian cancer. For which of the
following manifestations should the nurse instruct the women to
contact their providers?
Abd bloating
The nurse should include the presence of abdominal bloating
as an early indication of ovarian cancer as well as other
manifestations which include an increase in abdominal girth,