EXAM QUESTIONS CORRECTLY
ANSWERED A+ GRADED.
A 36-week-pregnant woman awakens to find she is having profuse, red
vaginal bleeding. A nurse should prepare the woman to have an
immediate sonogram to determine the:
a. location of the placenta.
b. uterine response to labor.
c. the fetus's current weight.
d. condition of the uterine vascular bed.
Verified Answer -a. location of the placenta.
A nurse is planning to interview a client who speaks limited English.
Which of these strategies should the nurse include?
a. Smile frequently during the interview interview to reduce the client's
anxiety.
b. Observe the client for indicators of confusion or not understanding
questions.
c. Maintain constant eye contact throughout the interview.
d. Keep the interview short to decrease the client's fatigue.
Verified Answer -b. Observe the client for indicators of confusion or not
understanding questions.
A nurse takes the weight of a normal 2-year-old child who comes in to the
pediatric clinic for a well-child visit. If the child weighted 7 lbs, 2 oz. at
birth, how much should the nurse expect the child to weight at this visit?
a. 14 lbs, 2 oz.
,b. 18 lbs, 6 oz.
c. 28 lbs, 8 oz.
d. 45 lbs, 10 oz.
Verified Answer -c. 28 lbs, 8 oz.
A nurse has been discussing the nutritional needs of children with a group
of parents in a clinic. Which of these statements, if made by the parent of a
2-year-old child, should the nurse follow up?
a. "I give my child slices of cheese as an afternoon snack."
b. "I give my child a cup of skim milk as an afternoon snack."
c. "I give my child some popcorn as an afternoon snack."
d. "I give my child some yogurt as an afternoon snack."
Verified Answer -c. "I give my child some popcorn as an afternoon
snack."
Which of these client care situations has the greatest potential for
presenting an ethical dilemma for a nurse?
a. Participating in pregnancy termination procedures.
b. Counseling a client who is terminally ill with AIDS.
c. Discussing contraception options with adolescents.
d. Caring for a client who is from a different culture than the nurse.
Verified Answer -a. Participating in pregnancy termination procedures.
Which assessment information should a nurse obtain first when a pregnant
woman and her husband arrive at the Labor and Delivery Unit?
a. Whether the couple attended birthing classes.
b. The frequency and intensity of labor contractions.
c. The number of previous pregnancies and outcomes.
,d. The amount and time of the client's last food intake.
Verified Answer -b. The frequency and intensity of labor contractions.
A client who has Parkinson's disease has been identified as being at risk
for falls. Which of these actions by a nurse is most likely to reduce the
client's risk of falling?
a. Monitor the client's blood pressure after ambulation.
b. Ensure the client wears socks when ambulating.
c. Encourage frequent weight-bearing exercise.
d. Assign an assistant to remain with the client when ambulating.
Verified Answer -d. Assign an assistant to remain with the client when
ambulating.
A nurse determines that the therapeutic effectiveness of magnesium
sulfate (MgSO4) for client who has preeclampsia is achieved when there is
increased:
a. urinary output.
b. blood pressure.
c. respiratory rate.
d. uterine movement.
Verified Answer -a. urinary output.
Which of these assessments is the initial priority of a client who is one-
hour postoperative after an exploratory laparotomy?
a. The appearance of the client's surgical incision.
b. The client's level consciousness.
c. The adequacy of the client's respiratory function.
, d. The client's fluid and electrolyte status.
Verified Answer -c. The adequacy of the client's respiratory function.
Which of these client reports should a nurse recognize as suggestive of
hypothyroidism?
a. "My hands shake whenever I reach for anything."
b. "I feel cold and tired all the time."
c. "I sweat whenever I walk more than one block."
d. "My head aches each evening."
Verified Answer -b. "I feel cold and tired all the time."
A nurse is monitoring a client who is taking acetylsalicylic acid (Aspirin)
975 mg daily for adverse effects, which include:
a. loss of joint mobility.
b. increased serum calcium levels.
c. increasing heart failure.
d. occult blood in the stools.
Verified Answer -d. occult blood in the stools.
Which of these rationales explains the purpose of nasogastric tube with
suction for a client who had abdominal surgery?
a. Prevention of gastric decompression.
b. Removal of secretions from the stomach.
c. Provision of postoperative nutrition.
d. Promotion of abdominal distention.
Verified Answer -b. Removal of secretions from the stomach.