FINAL practice questions .
1. Which of the following types of cerebral palsy causes increased abnormal
involuntary movements during periods of stress?
a. Spastic
b. Hypertonic
c. Athetoid (dyskinetic)
d. Myoclonic
2. Which of the following types of pain assessment would be most appropriate
to measure pain in young infants?
a. None. Pain in infants cannot be measured.
b. Physiologic measures
c. Behavioral measures
d. Self-report measures
3. A nurse is preparing for the admission of an infant with a diagnosis of
bronchiolitis caused by RSV. Choose the interventions that would be included
in the plan of care. Select all that apply.
a. Provide cool humidified oxygen as needed to the infant.
b. The infant should be placed on contact precautions.
c. Ensure that the infant’s head is in a flexed position.
d. Provide the infant with larger less frequent feedings to help conserve
energy.
e. Position the infant side-lying with the head lower than the chest.
4. It is confirmed that a newborn has respiratory distress syndrome. Which of
the following would be appropriate nursing interventions in caring for this
patient? Select all that apply.
a. Constant stimulation
b. Gavage feedings
c. Oxygen via a hood
d. Maintaining body temperature
5. A nurse is assessing a client diagnosed with mild preeclampsia. The nurse
suspects that the client has developed severe preeclampsia based on which
finding?
a. Proteinuria of 300 mg/24 hours
b. BP 145/92
c. Oliguria or urine output of less than 400ml/24 hours
d. Mild facial edema
6. The nurse is performing effleurage for a primigravid client in early labor.
Which technique should the nurse use?
a. Light stroking of the skin surface
b. Deep kneading of superficial muscles
c. Secure grasping of muscular tissues
d. Prolonged pressure on specific sites
7. A thirteen year old just returned from surgery for scoliosis. Which nursing
interventions are most appropriate in the first 24 hours? Select all that apply.
a. Get the teen to the bathroom 12 to 24 hours after surgery.
b. Check neuromuscular status.
c. Monitor BP
d. Assess for pain
e. Logroll to change positions
8. After assessment and fundal massage of your postpartum patient who
delivered 30 hours ago, you discover her Hgb has changed from 9.8 to 6.9.
,FINAL practice questions .
The peripads in the trash can from today look saturated. Her fundus is now
firm and U-2. Her 3rd degree laceration is intact, well approximated, and her
bladder is not distended. Based on this data, this patient probably
experienced: (Perfusion)
a. Early postpartum hemorrhage
b. Normal estimated blood loss of 500 mL
c. Late postpartum hemorrhage
d. Postpartum infection
9. After teaching a class on the stages of fetal development, the instructor
determines that the teaching was successful when the students identify
which of the following as a stage? Select all that apply. (Sexuality)
a. Embryonic.
b. Placental
c. Pre-embryonic
d. Fetal
e. Umbilical
10. A woman is being admitted to your hospital unit for severe preeclampsia.
When deciding on where to place her, which of the following areas would be
most appropriate? (Perfusion)
a. Near the elevator so she can be transported quickly
b. Near the nurse’s station so she can be observed closely
c. In the back hallway where there is a quiet private room
d. By the nursery so she can maintain hope she will have a child
11. Rh incompatibility can occur if the woman is Rh negative and her: (Perfusion)
a. Husband is Rh positive
b. Fetus is Rh positive
c. Fetus is Rh negative
d. Husband and fetus are both Rh negative
12. A newborn has been on phototherapy for 14 hours. The nurse is giving a
report to the night shift nurse and gives the newborn’s history. The night shift
nurse asks if the jaundice is improving. What is the best way for the day shift
nurse to determine this? (Perfusion)
a. Obtain the serum bilirubin level
b. Obtain the indirect coombs level
c. Analyze the total intake and output for the newborn over the last 12
hours
d. Obtain the direct coombs level
13. A multiparous client, 28 hours after cesarean birth, who is breastfeeding has
severe cramps or afterpains. The nurse explains that these are caused by:
a. A release of oxytocin during breastfeeding session
b. Healing of the abdominal incision after cesarean birth
c. Adverse effects of the medications administered after birth
d. Flatulence accumulation after a cesarean birth
14. Which practice should a nurse recommend to a client who has had a
cesarean birth? (Sexuality)
a. Doing sit-ups 2 weeks after birth
b. Side-rolling exercises to get out of bed and minimize pain
c. Coughing and deep-breathing exercises
d. Frequent douching after she’s discharged
,FINAL practice questions .
15. The nurse is caring for a toddler hospitalized after a MVA. Based on Erickson’s
developmental model, which behavior would you anticipate to occur as a
result of the hospitalization?
a. Loss of independence
b. Regression to a previous behavior
c. Fear of bodily mutilation
d. The belief that they are being punished
16. What types of stress are common in hospitalized toddlers? Select all that
apply. (Pediatric Success-Growth & Development)
a. Social isolation
b. Self-concept disturbances
c. Sleep disturbances
d. Interrupted routines
e. Fear of being hurt
17. Which of the following suggestions would be most helpful to the parents of a
2-year-old child when managing separation anxiety during hospitalization?
a. Tell the child the time they are leaving and returning
b. Keep the visit time short
c. Bring the child’s favorite toys from home
d. Leave while the child is sleeping
18. The nurse knows that the following is true about CP. Select all.
a. There is a large variation in symptoms and disabilities.
b. It is characterized by abnormal coordination and muscle tone.
c. It is caused by a neurologic lesion that continues to grow throughout
childhood
d. It is the most common movement disorder in childhood
e. Therapy is primarily preventative and symptomatic.
19. A 6 month-old was admitted with RSV. The infant’s vital signs in the morning
were 140 (HR), 40 (Respirations), The nurse should: (Oxygenation)
a. Call the physician immediately
b. Retake the vital signs in 15 minutes
c. Document the findings
d. Administer the ordered pain medication
20. A client is admitted to the labor and birthing suite in early labor. On review
of her medical record, the nurse determines that the client’s pelvic shape as
identified in the antepartal progress notes is the most favorable one for a
vaginal delivery. Which pelvic shape would the nurse have noted? (Sexuality)
a. Android
b. Gynecoid
c. Platypelloid
d. Anthropoid
21. The nurse places a newborn with jaundice under the phototherapy lights in
the nursery to achieve which goal? (Perfusion)
a. Prevent cold stress
b. Promote respiratory stability
c. Increase surfactant to the lungs
d. Decrease serum bilirubin levels
, FINAL practice questions .
1. A nurse is caring for a client who is postpartum. The nurse should identify
which of the following findings as an early indicator of hypovolemia caused
by hemorrhage? (
a. Altered mental status and LOC
b. Dizziness and increasing respiratory rate
c. Cool, clammy skin, and pale mucous membranes
d. Increased pulse and decreased blood pressure
2. During a vaginal exam a fetus is assessed at 2 cm above the ischial spines.
The nurse would document fetal station as: (Sexuality)
a. 0
b. +4
c. +2
d. -2
3. A client at 40+ weeks’ gestation visits the ED because she thinks she is in
labor. Which is the best indication that the client is in false labor? (Sexuality)
a. Discomforts begin in the back and radiate to the abdomen
b. Interval between contractions is shortening
c. Regular contractions every 3 to 5 minutes
d. No cervical change over a 2 hour time period
1. A client in the first trimester of pregnancy comes to the facility for a routine
prenatal visit. She tells the nurse she doesn’t know whether she’s ready to have
a baby, even though this was a planned pregnancy. Which response should the
nurse offer?
a. “You need to share these feelings with your partner.”
b. “You may want to discuss these concerns with a social worker.”
c. “You may want to consider having an abortion.”
A) “You’re feeling ambivalent, which is normal during the first
trimester.”
2. A client who is 4 months pregnant is at the prenatal clinic for her initial visit.
Her history reveals she has 7-year-old twins who were born at 34 weeks
gestation, a 2-year-old son born at 39 weeks gestation, and a spontaneous
abortion 1 year ago at 6 weeks gestation. Using the GTPAL method, the nurse
would document her OB history as: (Sexuality)
d. G4 T2 P1 A3 L1
e. G3 T1 P2 A2 L3
A) G4 T1 P1 A1 L3
f. G3 T2 P1 A0 L3
3. What is the most important piece of information that the nurse must ask the
parents of a child in status asthmaticus? (Oxygenation)
A) “Has your child been exposed to any usual asthma triggers?”
g. “When was your child’s last dose of medication?”
h. “When was your child last admitted to the hospital for asthma?”
i. “What time did your child last eat?”
1. Which of the following types of cerebral palsy causes increased abnormal
involuntary movements during periods of stress?
a. Spastic
b. Hypertonic
c. Athetoid (dyskinetic)
d. Myoclonic
2. Which of the following types of pain assessment would be most appropriate
to measure pain in young infants?
a. None. Pain in infants cannot be measured.
b. Physiologic measures
c. Behavioral measures
d. Self-report measures
3. A nurse is preparing for the admission of an infant with a diagnosis of
bronchiolitis caused by RSV. Choose the interventions that would be included
in the plan of care. Select all that apply.
a. Provide cool humidified oxygen as needed to the infant.
b. The infant should be placed on contact precautions.
c. Ensure that the infant’s head is in a flexed position.
d. Provide the infant with larger less frequent feedings to help conserve
energy.
e. Position the infant side-lying with the head lower than the chest.
4. It is confirmed that a newborn has respiratory distress syndrome. Which of
the following would be appropriate nursing interventions in caring for this
patient? Select all that apply.
a. Constant stimulation
b. Gavage feedings
c. Oxygen via a hood
d. Maintaining body temperature
5. A nurse is assessing a client diagnosed with mild preeclampsia. The nurse
suspects that the client has developed severe preeclampsia based on which
finding?
a. Proteinuria of 300 mg/24 hours
b. BP 145/92
c. Oliguria or urine output of less than 400ml/24 hours
d. Mild facial edema
6. The nurse is performing effleurage for a primigravid client in early labor.
Which technique should the nurse use?
a. Light stroking of the skin surface
b. Deep kneading of superficial muscles
c. Secure grasping of muscular tissues
d. Prolonged pressure on specific sites
7. A thirteen year old just returned from surgery for scoliosis. Which nursing
interventions are most appropriate in the first 24 hours? Select all that apply.
a. Get the teen to the bathroom 12 to 24 hours after surgery.
b. Check neuromuscular status.
c. Monitor BP
d. Assess for pain
e. Logroll to change positions
8. After assessment and fundal massage of your postpartum patient who
delivered 30 hours ago, you discover her Hgb has changed from 9.8 to 6.9.
,FINAL practice questions .
The peripads in the trash can from today look saturated. Her fundus is now
firm and U-2. Her 3rd degree laceration is intact, well approximated, and her
bladder is not distended. Based on this data, this patient probably
experienced: (Perfusion)
a. Early postpartum hemorrhage
b. Normal estimated blood loss of 500 mL
c. Late postpartum hemorrhage
d. Postpartum infection
9. After teaching a class on the stages of fetal development, the instructor
determines that the teaching was successful when the students identify
which of the following as a stage? Select all that apply. (Sexuality)
a. Embryonic.
b. Placental
c. Pre-embryonic
d. Fetal
e. Umbilical
10. A woman is being admitted to your hospital unit for severe preeclampsia.
When deciding on where to place her, which of the following areas would be
most appropriate? (Perfusion)
a. Near the elevator so she can be transported quickly
b. Near the nurse’s station so she can be observed closely
c. In the back hallway where there is a quiet private room
d. By the nursery so she can maintain hope she will have a child
11. Rh incompatibility can occur if the woman is Rh negative and her: (Perfusion)
a. Husband is Rh positive
b. Fetus is Rh positive
c. Fetus is Rh negative
d. Husband and fetus are both Rh negative
12. A newborn has been on phototherapy for 14 hours. The nurse is giving a
report to the night shift nurse and gives the newborn’s history. The night shift
nurse asks if the jaundice is improving. What is the best way for the day shift
nurse to determine this? (Perfusion)
a. Obtain the serum bilirubin level
b. Obtain the indirect coombs level
c. Analyze the total intake and output for the newborn over the last 12
hours
d. Obtain the direct coombs level
13. A multiparous client, 28 hours after cesarean birth, who is breastfeeding has
severe cramps or afterpains. The nurse explains that these are caused by:
a. A release of oxytocin during breastfeeding session
b. Healing of the abdominal incision after cesarean birth
c. Adverse effects of the medications administered after birth
d. Flatulence accumulation after a cesarean birth
14. Which practice should a nurse recommend to a client who has had a
cesarean birth? (Sexuality)
a. Doing sit-ups 2 weeks after birth
b. Side-rolling exercises to get out of bed and minimize pain
c. Coughing and deep-breathing exercises
d. Frequent douching after she’s discharged
,FINAL practice questions .
15. The nurse is caring for a toddler hospitalized after a MVA. Based on Erickson’s
developmental model, which behavior would you anticipate to occur as a
result of the hospitalization?
a. Loss of independence
b. Regression to a previous behavior
c. Fear of bodily mutilation
d. The belief that they are being punished
16. What types of stress are common in hospitalized toddlers? Select all that
apply. (Pediatric Success-Growth & Development)
a. Social isolation
b. Self-concept disturbances
c. Sleep disturbances
d. Interrupted routines
e. Fear of being hurt
17. Which of the following suggestions would be most helpful to the parents of a
2-year-old child when managing separation anxiety during hospitalization?
a. Tell the child the time they are leaving and returning
b. Keep the visit time short
c. Bring the child’s favorite toys from home
d. Leave while the child is sleeping
18. The nurse knows that the following is true about CP. Select all.
a. There is a large variation in symptoms and disabilities.
b. It is characterized by abnormal coordination and muscle tone.
c. It is caused by a neurologic lesion that continues to grow throughout
childhood
d. It is the most common movement disorder in childhood
e. Therapy is primarily preventative and symptomatic.
19. A 6 month-old was admitted with RSV. The infant’s vital signs in the morning
were 140 (HR), 40 (Respirations), The nurse should: (Oxygenation)
a. Call the physician immediately
b. Retake the vital signs in 15 minutes
c. Document the findings
d. Administer the ordered pain medication
20. A client is admitted to the labor and birthing suite in early labor. On review
of her medical record, the nurse determines that the client’s pelvic shape as
identified in the antepartal progress notes is the most favorable one for a
vaginal delivery. Which pelvic shape would the nurse have noted? (Sexuality)
a. Android
b. Gynecoid
c. Platypelloid
d. Anthropoid
21. The nurse places a newborn with jaundice under the phototherapy lights in
the nursery to achieve which goal? (Perfusion)
a. Prevent cold stress
b. Promote respiratory stability
c. Increase surfactant to the lungs
d. Decrease serum bilirubin levels
, FINAL practice questions .
1. A nurse is caring for a client who is postpartum. The nurse should identify
which of the following findings as an early indicator of hypovolemia caused
by hemorrhage? (
a. Altered mental status and LOC
b. Dizziness and increasing respiratory rate
c. Cool, clammy skin, and pale mucous membranes
d. Increased pulse and decreased blood pressure
2. During a vaginal exam a fetus is assessed at 2 cm above the ischial spines.
The nurse would document fetal station as: (Sexuality)
a. 0
b. +4
c. +2
d. -2
3. A client at 40+ weeks’ gestation visits the ED because she thinks she is in
labor. Which is the best indication that the client is in false labor? (Sexuality)
a. Discomforts begin in the back and radiate to the abdomen
b. Interval between contractions is shortening
c. Regular contractions every 3 to 5 minutes
d. No cervical change over a 2 hour time period
1. A client in the first trimester of pregnancy comes to the facility for a routine
prenatal visit. She tells the nurse she doesn’t know whether she’s ready to have
a baby, even though this was a planned pregnancy. Which response should the
nurse offer?
a. “You need to share these feelings with your partner.”
b. “You may want to discuss these concerns with a social worker.”
c. “You may want to consider having an abortion.”
A) “You’re feeling ambivalent, which is normal during the first
trimester.”
2. A client who is 4 months pregnant is at the prenatal clinic for her initial visit.
Her history reveals she has 7-year-old twins who were born at 34 weeks
gestation, a 2-year-old son born at 39 weeks gestation, and a spontaneous
abortion 1 year ago at 6 weeks gestation. Using the GTPAL method, the nurse
would document her OB history as: (Sexuality)
d. G4 T2 P1 A3 L1
e. G3 T1 P2 A2 L3
A) G4 T1 P1 A1 L3
f. G3 T2 P1 A0 L3
3. What is the most important piece of information that the nurse must ask the
parents of a child in status asthmaticus? (Oxygenation)
A) “Has your child been exposed to any usual asthma triggers?”
g. “When was your child’s last dose of medication?”
h. “When was your child last admitted to the hospital for asthma?”
i. “What time did your child last eat?”
