MATERNAL CHILD Nursing CARE COMPREHENSIVE TEST
BANK FINAL EXAM 2025 UPDATED QUESTIONS AND
DETAILED ACCURATE ANSWERS VERIFIED 100%
COMPLETE DOCUMENT FOR STUDY
A patient with erectile dysfunction is on long-term morphine (Avinza)
therapy for relief of priapism (penis pain). After a few months, the
patient reports severe penis pain. The primary health care provider
increases the dosage of morphine instead of prescribing pentazocine
(Talwin). What is the reason for not prescribing pentazocine? The
medication:
1
lacks analgesic activity and increases pain.
2
causes sickle cell anemia.
3
precipitates withdrawal syndrome.
4
is contraindicated in erectile dysfunction.
3
Pentazocine is a mixed opioid agonist and tends to precipitate
withdrawal symptoms. Therefore, this medication is avoided in patients
who are treated with opioids such as morphine for a long time.
Pentazocine has an analgesic action; it does not increase penis pain.
Sickle cell anemia is a hereditary disorder and is not caused by
medications such as pentazocine. Pentazocine is not contraindicated in
patients with erectile dysfunction.
,The nurse is caring for a 12-year-old child who sustained major burns
when putting charcoal lighter on a campfire. The nurse observes that
the child is "very brave" and appears to accept pain with little or no
response. What is the most appropriate nursing action?
1
Request a psychological consultation.
2
Ask why the child does not have pain.
3
Praise the child for the ability to withstand pain.
4
Encourage continued bravery as a coping strategy.
1
A psychological consultation will assist the child in verbalizing fears. This
age-group is very concerned with physical appearance. The psychologist
can help integrate the issues the child is facing. It is likely that the child
is having pain but not acknowledging the pain. Speaking with a
psychologist might assist the child in relaying fear and pain. If the child
is feeling pain, the nurse should not offer praise for hiding the pain. The
nurse should encourage the child to speak up during painful episodes so
that the pain can be managed appropriately. Bravery may not be an
effective coping strategy if the child is in severe pain.
The mother of a circumcised infant reports to the nurse that while she
is cleaning her child's penis, he cries out loudly. What question does
the nurse ask the patient to understand the reason behind this?
1
"Are you applying A&D ointment while cleaning?"
2
"Are you cleaning the penis with lukewarm water?"
,3
"Are you applying fresh petrolatum while cleaning?"
4
"Are you cleaning with prepackaged commercial wipes?"
"Are you cleaning with prepackaged commercial wipes?"
Do not use prepackaged commercial baby wipes for cleaning the
circumcised site because they can contain alcohol. Alcohol delays
healing and also causes discomfort to the infant. The infant cries out
loudly because of the discomfort. Washing the penis gently with
lukewarm water is recommended to remove urine and feces. Fresh
petrolatum is applied to reduce pain after each diaper change. The
application of A&D ointment while cleaning is done to prevent the
sticking of the penis to the discharge, as well as to increase the infant's
comfort.
The nurse is taking care of a newborn. The nurse finds out that the
infant weighs 1800 g and the mother's HBsAg status is unknown.
When should the nurse administer the hepatitis B immune globulin
(HGIB) vaccine to the infant?
1
9 hours after the infant is born
2
13 hours after the infant is born
3
14 hours after the infant is born
4
18 hours after the infant is born
9 hours after the infant is born
, If the mother's HBsAg status is unknown, then the infant's weight is
considered to determine the time for the administration of the HBIG
vaccine. The infant weighs 1800 g, so the HBIG vaccine is given within
12 hours after the infant's birth. Therefore the HBIG vaccine should be
administered 9 hours after birth, not 13, 14, or 18 hours after. If the
mother's HBsAg status is known and the baby weighs more than 2000 g,
then the HBIG vaccine can be administered within a week of the
newborn's birth. In such a situation, the vaccine can be administered at
13, 14, or 18 hours after the birth of the infant.
When placing a newborn under a radiant heat warmer to stabilize the
temperature after birth, the nurse should:
1
place the thermistor probe on the left side of the chest.
2
cover the probe with a nonreflective material.
3
recheck the temperature by periodically taking a rectal temperature.
4
prewarm the radiant heat warmer and place the undressed newborn
under it.
prewarm the radiant heat warmer and place the undressed newborn
under it.
The radiant warmer should be prewarmed so the infant does not
experience more cold stress. The thermistor probe should be placed on
the upper abdomen away from the ribs. It should be covered with
reflective material. Rectal temperatures should be avoided because
rectal thermometers can perforate the intestine, and the temperature
may remain normal until cold stress is advanced.
BANK FINAL EXAM 2025 UPDATED QUESTIONS AND
DETAILED ACCURATE ANSWERS VERIFIED 100%
COMPLETE DOCUMENT FOR STUDY
A patient with erectile dysfunction is on long-term morphine (Avinza)
therapy for relief of priapism (penis pain). After a few months, the
patient reports severe penis pain. The primary health care provider
increases the dosage of morphine instead of prescribing pentazocine
(Talwin). What is the reason for not prescribing pentazocine? The
medication:
1
lacks analgesic activity and increases pain.
2
causes sickle cell anemia.
3
precipitates withdrawal syndrome.
4
is contraindicated in erectile dysfunction.
3
Pentazocine is a mixed opioid agonist and tends to precipitate
withdrawal symptoms. Therefore, this medication is avoided in patients
who are treated with opioids such as morphine for a long time.
Pentazocine has an analgesic action; it does not increase penis pain.
Sickle cell anemia is a hereditary disorder and is not caused by
medications such as pentazocine. Pentazocine is not contraindicated in
patients with erectile dysfunction.
,The nurse is caring for a 12-year-old child who sustained major burns
when putting charcoal lighter on a campfire. The nurse observes that
the child is "very brave" and appears to accept pain with little or no
response. What is the most appropriate nursing action?
1
Request a psychological consultation.
2
Ask why the child does not have pain.
3
Praise the child for the ability to withstand pain.
4
Encourage continued bravery as a coping strategy.
1
A psychological consultation will assist the child in verbalizing fears. This
age-group is very concerned with physical appearance. The psychologist
can help integrate the issues the child is facing. It is likely that the child
is having pain but not acknowledging the pain. Speaking with a
psychologist might assist the child in relaying fear and pain. If the child
is feeling pain, the nurse should not offer praise for hiding the pain. The
nurse should encourage the child to speak up during painful episodes so
that the pain can be managed appropriately. Bravery may not be an
effective coping strategy if the child is in severe pain.
The mother of a circumcised infant reports to the nurse that while she
is cleaning her child's penis, he cries out loudly. What question does
the nurse ask the patient to understand the reason behind this?
1
"Are you applying A&D ointment while cleaning?"
2
"Are you cleaning the penis with lukewarm water?"
,3
"Are you applying fresh petrolatum while cleaning?"
4
"Are you cleaning with prepackaged commercial wipes?"
"Are you cleaning with prepackaged commercial wipes?"
Do not use prepackaged commercial baby wipes for cleaning the
circumcised site because they can contain alcohol. Alcohol delays
healing and also causes discomfort to the infant. The infant cries out
loudly because of the discomfort. Washing the penis gently with
lukewarm water is recommended to remove urine and feces. Fresh
petrolatum is applied to reduce pain after each diaper change. The
application of A&D ointment while cleaning is done to prevent the
sticking of the penis to the discharge, as well as to increase the infant's
comfort.
The nurse is taking care of a newborn. The nurse finds out that the
infant weighs 1800 g and the mother's HBsAg status is unknown.
When should the nurse administer the hepatitis B immune globulin
(HGIB) vaccine to the infant?
1
9 hours after the infant is born
2
13 hours after the infant is born
3
14 hours after the infant is born
4
18 hours after the infant is born
9 hours after the infant is born
, If the mother's HBsAg status is unknown, then the infant's weight is
considered to determine the time for the administration of the HBIG
vaccine. The infant weighs 1800 g, so the HBIG vaccine is given within
12 hours after the infant's birth. Therefore the HBIG vaccine should be
administered 9 hours after birth, not 13, 14, or 18 hours after. If the
mother's HBsAg status is known and the baby weighs more than 2000 g,
then the HBIG vaccine can be administered within a week of the
newborn's birth. In such a situation, the vaccine can be administered at
13, 14, or 18 hours after the birth of the infant.
When placing a newborn under a radiant heat warmer to stabilize the
temperature after birth, the nurse should:
1
place the thermistor probe on the left side of the chest.
2
cover the probe with a nonreflective material.
3
recheck the temperature by periodically taking a rectal temperature.
4
prewarm the radiant heat warmer and place the undressed newborn
under it.
prewarm the radiant heat warmer and place the undressed newborn
under it.
The radiant warmer should be prewarmed so the infant does not
experience more cold stress. The thermistor probe should be placed on
the upper abdomen away from the ribs. It should be covered with
reflective material. Rectal temperatures should be avoided because
rectal thermometers can perforate the intestine, and the temperature
may remain normal until cold stress is advanced.
