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1538 EXAM 1 PRACTICE EXAM QUESTIONS WITH CORRECT ANSWERS
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1538 EXAM 1 PRACTICE EXAM QUESTIONS WITH CORRECT ANSWERS
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1538 EXAM 1 PRACTICE EXAMQUESTIONS WITH CORRECT ANSWERS
Just above the symphysis pubis - answer-a nurse is caring for a client who is pregnant
and is at the end of her first trimester. The nurse should place the doppler ultrasound
stethoscope in which of the following locations to begin assessing for the fetal heart
tones?
A. Just above the umbilicus.
B. Just above the symphysis pubis.
C. The right lower quadrant.
D. The left lower quadrant.
Decreased platelet count. - answer-a nurse is assessing a client who is postpartum and
has idiopathic thrombocytopenia purpura. Which of the following findings should the
nurse expect?
A. Decreased platelet count.
B. Increased erythrocyte sedimentation rate.
C. Decreased megakaryocytes.
D. Increased wbc.
Jitteriness - answer-a nurse is assessing a newborn for manifestations of hypoglycemia.
Which of the following findings should the nurse expect?
A. Jitteriness.
B. Hypertonia.
C. Abdominal distention.
D. Mottling.
Iron - answer-a nurse in a women's health clinic is providing teaching about nutritional
intake to a client who is at 8 weeks of gestation. The nurse should instruct the client to
increase her daily intake of which of the following nutrients?
A. Calcium.
B. Vitamin e.
C. Iron.
D. Vitamin d.
You can share your room with your baby for the next few weeks. - answer-a nurse is
teaching a new parent about newborn safety. Which of the following instructions should
the nurse include in the teaching?
A. You can share your room with your baby for the next few weeks.
B. Cover your baby with a light blanket while sleeping.
C. Check the temp of your baby's bath water with your hand.
D. It's okay for your baby to sleep in the carseat during the day.
,You should leave the diaphragm in place for at least 6 hr after intercourse. - answer-a
nurse is providing teaching about family planning to a client who has a new prescription
for a diaphragm. Which of the following statements should the nurse include in the
teaching?
A. You should replace the diaphragm every 5 years.
B. You should leave the diaphragm in place for at least 6 hr after intercourse.
C. You should use an oil based product as a lubricant when inserting the diaphragm.
D. You should insert the diaphragm when your bladder is full.
Platelets 50,000/mm3 - answer-a nurse is reviewing the medical record of a client who
is postpartum and has preeclampsia. Which of the following laboratory results should
the nurse report to the provider?
A. Hct 39%
B. Serum albumin 4.5 g/dl
C. Wbc 9,000/mm3
D. Platelets 50,000/mm3.
I will eat foods that taste good instead of balancing my meals. - answer-a nurse is
providing dietary teaching to a client who has hyperemesis gravidarum. Which of the
following statements by the client indicates an understanding of the teaching?
A. I will eat foods that taste good instead of balancing my meals.
B. I will avoid having a snack before i go to bed each night.
C. I will have a cup of hot tea with each meal.
D. I will eliminate products that contain dairy from my diet.
Emotional lability - answer-a nurse in the antepartum clinic is assessing a client's
adaptation to pregnancy. The client states that she is happy one minute and crying the
next. The nurse should interpret the client's statement as an indication of which of the
following?
A. Emotional lability.
B. Focusing phase.
C. Cognitive restructuring.
D. Couvade syndrome.
Transition - answer-a nurse is caring for a client who is in labor and reports increasing
rectal pressure. She is experiencing contractions 2 to 3 min apart, each lasting 80-90
seconds, and a vaginal examination reveals that her cervix is dilated to 9 cm. The nurse
should identify that the client is in which of the following phases of labor?
A. Active.
B. Transition.
C. Latent.
D. Descent.
Bilirubin 9 mg/dl - answer-a nurse is reviewing laboratory results of a newborn who is 4
hr old. Which of the following findings should the nurse report to the provider?
A. Bilirubin 9 mg/dl
,B. Hgb 18 g/dl
C. Platelets 175,000/mm3
D. Hct 45%
Massage the client's fundus - answer-a nurse on a postpartum unit is caring for a client
who is experiencing hypovolemic shock. After notifying the provider, which of the
following actions should the nurse take next?
A. Massage the client's fundus.
B. Insert an indwelling urinary catheter.
C. Administer oxygen at 10 l/min.
D. Elevate the client's right hip.
You can miss your period for several other reasons. Describe your typical menstrual
cycle. - answer-a nurse in a prenatal clinic is caring for a client who reports that her
menstrual period is 2 weeks late. The client appears anxious and asks the nurse if she
is pregnant. Which of the following responses should the nurse make?
A. You can miss your period for several other reasons. Describe your typical menstrual
cycle.
B. If you have been sexually active and haven't used protection, it is likely that you are
pregnant.
C. Let's check to see if you have any other signs of pregnancy. Have you noticed any
abdominal enlargment?
D. Because you have missed your period, you should try taking a home pregnancy test.
Verify the newborn's identification. - answer-a nurse is caring for a newborn who was
transferred to the nursery 30 min after birth because of mild respiratory distress. Which
of the following actions should the nurse take first?
A. Confirm the newborn's apgar score.
B. Verify the newborn's identification.
C. Administer vitamin k to the newborn.
D. Determine obstetrical risk factors.
You will be offered orange juice to drink during the test. - answer-a nurse is teaching a
client who is at 36 weeks of gestation and has a prescription for a nonstress test. Which
of the following statements should the nurse include in the teaching?
A. You will receive iv fluids prior to this test.
B. The procedure will take approximately 10 to 15 minutes.
C. You will be offered orange juice to drink during the test.
D. You will need to sign an informed consent form each time you have this test.
Staff members who take care of your baby will be wearing a photo id. - answer-a nurse
is teaching a postpartum client about steps the nurses will take to promote the security
and safety of the client's newborn. Which of the following statements should the nurse
make?
A. The nurse will carry your newborn to the nursery for procedures.
B. We will document the relationship of visitors in your medical record.
, C. Your baby will stay in the nursery while you are asleep.
D. Staff members who take care of your baby will be wearing a photo id.
Vomiting - answer-a nurse is assessing the newborn of a client who took ssris during
pregnancy. Which of the following manifestations should the nurse identify as an
indication of withdrawal from an ssri?
A. Large for gestational age.
B. Hyperglycemia.
C. Bradypnea.
D. Vomiting.
Chin quivering - answer-a nurse is assessing a newborn following a circumcision. Which
of the following findings should the nurse identify as an indication that the newborn is
experiencing pain?
A. Decreased heart rate.
B. Chin quivering.
C. Pinpoint pupils.
D. Slowed respirations.
Monitor the client's blood pressure every 5 min following the first dose of anesthetic
solution. - answer-a nurse is planning care for a client who is in labor and is requesting
epidural anesthesia for pain control. Which of the following actions should the nurse
include in the plan of care?
A. Place the client in a supine position for 30 min following the first dose of anesthetic
solution.
B. Administer 1,000 ml of dextrose 5% in water prior to the first dose of anesthetic
solution.
C. Monitor the client's blood pressure every 5 min following the first dose of anesthetic
solution.
D. Ensure the client has been npo 4 hr prior to the placement of the epidural.
I will need this medication if i have an amniocentesis. - answer-a nurse is teaching a
client who is rh negative about rh0 immune globulin. Which of the following statements
by the client indicates an understanding of the teaching?
A. I will receive this medication if my baby is rh negative.
B. I will receive this medication when i am in labor.
C. I will need a second dose of this medication when my baby is 6 weeks old.
D. I will need this medication if i have an amniocentesis.
Determine respiratory function. - answer-a nurse is caring for a client who becomes
unresponsive upon delivery of the placenta. Which of the following actions should the
nurse take first?
A. Determine respiratory function.
B. Increase the iv fluid rate.
C. Access emergency medications from cart.
D. Collect a maternal blood sample for coagulation studies.
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