Nursing 304 Exam 3 Quizzes Questions With Complete
Solutions
1. The nurse is caring for a neonate who has a provider
prescription to apply erythromycin 0.5% ophthalmic ointment to
the neonate's eyes in the first hour after birth. In which order
would the nurse perform these interventions? correct answers a.
Don gloves and cleanse the eyes if necessary
b. Place a thumb and finger at the corner of each lid
c. Press gently on the periorbital bridges to open the eyes
d. Squeeze the tube to apply ointment to the lower conjunctival
sac
e. Spread the ointment from the inner canthus to the outer
canthus
f. Observe the eyes for irritation
A 28-year-old multipara delivered a 9 lb. 3 oz baby girl 1 hour
ago after a 22-hour labor with a forceps-assisted birth. As the
client is holding her daughter, she keeps shifting position and is
becoming increasingly irritable and annoyed with everyone in
the room. Which action would the nurse initially take?
a. Massage the fundus
b. Check the perineum
c. Assess VS
d. Check the tone of the fundus correct answers b
A client at 39 weeks of gestation with a history of preeclampsia
is admitted to the L&D unit. She suddenly experiences increase
contraction frequency every one to two minutes; dark red
vaginal bleeding; and a tense painful abdomen. the nurse would
suspect the onset of which client condition?
,a. Eclamptic seizure
b. Uterine rupture
c. Placenta previa
d. Abruptio placentae correct answers d
A nurse has the responsibility of managing a patient's
postmortem care. What is the proper order for completing
postmortem care when there is no autopsy ordered?
a. Bathe the body of the deceased.
b. Collect any needed specimens.
c. Remove all tubes and indwelling lines.
d. Position the body for family viewing.
e. Speak to the family members about their possible
participation.
f. Ensure that the request for organ/tissue donation and/or
autopsy was completed.
g. Notify support person (e.g., spiritual care provider,
bereavement specialist) for the family.
h. Accurately tag the body, including the identity of the
deceased and safety issues regarding infection control.
i. Elevate the head of the bed. correct answers f, i, b, e, g, c, a,
d, h
A nurse is making rounds on a client who had a vaginal
delivery, and suspects that the client is having excessive
postpartum bleeding. Which would be the priority intervention
at this time?
a. Call the primary HCP
b. Massage the uterine fundus
c. Increase the rate of IV fluids
, d. Monitor pad count, and perform catheterization correct
answers b
A parent tells the nurse, "My 2-year-old child doesn't do what I
tell him." Which suggestion would the nurse make to the parent?
a. Encourage the toddler's independence
b. Ask the toddler to follow your instructions
c. Limit the opportunities for a 'no' answer
d. Wait until the toddler looks for instructions correct answers c
A patient is receiving palliative care for symptom management
related to anxiety and pain. A family member asks whether the
patient is dying and now in "hospice." What does the nurse tell
the family member about palliative care? (Select all that apply.)
a. Palliative care and hospice are the same thing.
b. Palliative care is for any patient, at any time, with any disease,
in any setting.
c. Palliative care strategies are primarily designed to treat the
patient's illness.
d. Palliative care relieves the symptoms of illness and treatment.
e. Palliative care is started at the end of life. correct answers b,
d
A pregnant client experienced preterm labor at 30 weeks of
gestation. On assessing the client, the nurse finds that the
newborn is at risk for having cerebral palsy. Which medication
administration would the nurse performed to prevent cerebral
palsy in the newborn?
a. Calcium gluconate
b. Magnesium sulfate
c. Glucocorticoid drugs
Solutions
1. The nurse is caring for a neonate who has a provider
prescription to apply erythromycin 0.5% ophthalmic ointment to
the neonate's eyes in the first hour after birth. In which order
would the nurse perform these interventions? correct answers a.
Don gloves and cleanse the eyes if necessary
b. Place a thumb and finger at the corner of each lid
c. Press gently on the periorbital bridges to open the eyes
d. Squeeze the tube to apply ointment to the lower conjunctival
sac
e. Spread the ointment from the inner canthus to the outer
canthus
f. Observe the eyes for irritation
A 28-year-old multipara delivered a 9 lb. 3 oz baby girl 1 hour
ago after a 22-hour labor with a forceps-assisted birth. As the
client is holding her daughter, she keeps shifting position and is
becoming increasingly irritable and annoyed with everyone in
the room. Which action would the nurse initially take?
a. Massage the fundus
b. Check the perineum
c. Assess VS
d. Check the tone of the fundus correct answers b
A client at 39 weeks of gestation with a history of preeclampsia
is admitted to the L&D unit. She suddenly experiences increase
contraction frequency every one to two minutes; dark red
vaginal bleeding; and a tense painful abdomen. the nurse would
suspect the onset of which client condition?
,a. Eclamptic seizure
b. Uterine rupture
c. Placenta previa
d. Abruptio placentae correct answers d
A nurse has the responsibility of managing a patient's
postmortem care. What is the proper order for completing
postmortem care when there is no autopsy ordered?
a. Bathe the body of the deceased.
b. Collect any needed specimens.
c. Remove all tubes and indwelling lines.
d. Position the body for family viewing.
e. Speak to the family members about their possible
participation.
f. Ensure that the request for organ/tissue donation and/or
autopsy was completed.
g. Notify support person (e.g., spiritual care provider,
bereavement specialist) for the family.
h. Accurately tag the body, including the identity of the
deceased and safety issues regarding infection control.
i. Elevate the head of the bed. correct answers f, i, b, e, g, c, a,
d, h
A nurse is making rounds on a client who had a vaginal
delivery, and suspects that the client is having excessive
postpartum bleeding. Which would be the priority intervention
at this time?
a. Call the primary HCP
b. Massage the uterine fundus
c. Increase the rate of IV fluids
, d. Monitor pad count, and perform catheterization correct
answers b
A parent tells the nurse, "My 2-year-old child doesn't do what I
tell him." Which suggestion would the nurse make to the parent?
a. Encourage the toddler's independence
b. Ask the toddler to follow your instructions
c. Limit the opportunities for a 'no' answer
d. Wait until the toddler looks for instructions correct answers c
A patient is receiving palliative care for symptom management
related to anxiety and pain. A family member asks whether the
patient is dying and now in "hospice." What does the nurse tell
the family member about palliative care? (Select all that apply.)
a. Palliative care and hospice are the same thing.
b. Palliative care is for any patient, at any time, with any disease,
in any setting.
c. Palliative care strategies are primarily designed to treat the
patient's illness.
d. Palliative care relieves the symptoms of illness and treatment.
e. Palliative care is started at the end of life. correct answers b,
d
A pregnant client experienced preterm labor at 30 weeks of
gestation. On assessing the client, the nurse finds that the
newborn is at risk for having cerebral palsy. Which medication
administration would the nurse performed to prevent cerebral
palsy in the newborn?
a. Calcium gluconate
b. Magnesium sulfate
c. Glucocorticoid drugs
