Exam 2 Maternity and medsurge second semester questions
with complete solutions
A 15-month-old girl is having her first health visit at a clinic.
The mother has no
immunization record but says the child was immunized 3
months ago at the local health
department. Which of the following is the best action for the
nurse to take?
A) Ask the mother to bring the records to the next health
maintenance visit.
B) Start the catch-up schedule since there are no immunization
records.
C) Keep the child at the facility while the mother returns home
for the records.
D) Call the local health department and verify the child's
immunization status Correct Answer D) Call the local health
department and verify the child's immunization status
A 2-week-old child responds to a bell during an initial health
supervision examination. The child's records do not show that a
newborn hearing screening was done. Which of the following is
the best action for the nurse to take?
A) Do nothing because responding to the bell proves he does not
have a hearing deficit.
B) Immediately schedule the infant for a newborn hearing
screening.
C) Ask the mother to observe for signs that the infant is not
hearing well.
,D) Screen again with the bell at the 2-month-old health
supervision visit Correct Answer B) Immediately schedule the
infant for a newborn hearing screening.
A 21-year-old patient is positioned on the OR bed prior to knee
surgery to correct a sports-related injury. The anesthesiologist
administers the appropriate anesthetic. The OR nurse should
anticipate which of the
following events as the teams next step in the care of this
patient?
A) Grounding
B) Making the first incision
C) Giving blood
D) Intubating Correct Answer D) Intubating
A 3-year-old child is scheduled for a hearing screening. The
nurse would prepare the child
for screening by which method?
A) Auditory brain stem response
B) Evoked otoacoustic emissions
C) Visual reinforcement audiometry
D) Conditioned play audiometry Correct Answer D)
Conditioned play audiometry
A 59-year-old male patient is scheduled for a
hemorrhoidectomy. The OR nurse should anticipate
assisting the other team members with positioning the patient in
what manner?
A) Dorsal recumbent position
B) Trendelenburg position
C) Sims position
,D) Lithotomy position Correct Answer D) Lithotomy position
A 68-year-old patient is scheduled for a bilateral mastectomy.
The OR nurse has come out to the holding
area to meet the patient and quickly realizes that the patient is
profoundly anxious. What is the most
appropriate intervention for the nurse to apply?
A) Reassure the patient that modern surgery is free of significant
risks.
B) Describe the surgery to the patient in as much detail as
possible.
C) Clearly explain any information that the patient seeks.
D) Remind the patient that the anesthetic will render her
unconscious. Correct Answer C) Clearly explain any
information that the patient seeks.
A 77-year-old mans coronary artery bypass graft has been
successful and discharge planning is
underway. When planning the patients subsequent care, the
nurse should know that the postoperative
phase of perioperative nursing ends at what time?
A) When the patient is returned to his room after surgery
B) When a follow-up evaluation in the clinical or home setting
is done
C) When the patient is fully recovered from all effects of the
surgery
D) When the family becomes partly responsible for the patients
care Correct Answer B) When a follow-up evaluation in the
clinical or home setting is done
, A 90-year-old female patient is scheduled to undergo a partial
mastectomy for the treatment of breast
cancer. What nursing diagnosis should the nurse prioritize when
planning this patients postoperative
care?
A) Risk for Delayed Growth and Development related to
prolonged hospitalization
B) Risk for Decisional Conflict related to discharge planning
C) Risk for Impaired Memory related to old age
D) Risk for Infection related to reduced immune function
Correct Answer D) Risk for Infection related to reduced
immune function
A circulating nurse provides care in a surgical department that
has multiple surgeries scheduled for the
day. The nurse should know to monitor which patient most
closely during the intraoperative period
because of the increased risk for hypothermia?
A) A 74-year-old woman with a low body mass index
B) A 17-year-old boy with traumatic injuries
C) A 45-year-old woman having an abdominal hysterectomy
D) A 13-year-old girl undergoing craniofacial surgery Correct
Answer A) A 74-year-old woman with a low body mass index
A client has not received any medication during her labor. She is
having frequent contractions
every 1 to 2 minutes and has become irritable with her coach
and no longer will allow the nurse
to palpate her fundus during contractions. Her cervix is 8 cm
dilated and 90% effaced. The nurse
interprets these findings as indicating:
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