Professional Documents
Culture Documents
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25. A primigravida at 8 weeks gestation tells the nurse that the nurse has been experiencing excessive
saliva production since becoming pregnant. The nurse should instruct the patient to
a. Eat starchy foods such as potatoes.
b. Use mouthwash.
c. Suck on popsicles or ice cream.
d. Eat only three large meals.
26. If constipation is a problem for a woman during pregnancy, which of the following would be best to
recommend?
a. Mineral oil.
b. Increased roughage in the diet.
c. Stopping prenatal vitamins temporarily.
d. Eating more meat products.
27. Early in pregnancy, frequent urination results mainly from which of the following?
a. Pressure on the bladder from the uterus.
b. Increased concentration of urine.
c. Addition of fetal urine to maternal urine.
d. Decreased glomerular selectivity
28. A primigravida at 35 weeks gestation tells the nurse that she gets an occasional cramp in her legs.
The nurse should assess the patients initial intake of:
a. Zinc
c. Calcium
b. Iron
d. Niacin
29. Which of the following food will you advise to relieve her leg cramps?
a. Mongo, cheese, dilis
b. Pechay, squash, malunggay
c. Nuts, legumes, eggs
d. Rice bread, rootcrops
30. During an initial assessment, another woman who thinks she is pregnant because she urinates
frequently and experience fatigue
a. Negative sign
c. Positive sign
b. Presumptive sign
d. Probable sign
31. Irregular scar lines may be observed on the abdomen of a pregnant woman as a result of stretching
of the skin. This refers to:
a. Linea nigra
c. Striae gravidarum
b. Chloasma
d. Melasma.
32. The nurse is answering questions during a womans prenatal visit at week 24. What information would
be most significant?
a. At this time, the fetus is most sensitive to teratogens
b. Vomiting is common
c. Survival is possible if the fetus is born
d. Fetus is beginning to store iron to the liver
33. A probable sign of pregnancy characterized by painless, irregular, abdominal, false labor contractions
is called:
a. Goodels sign
b. Hegars sign
c. Braxton hicks contraction
d. Ballottement
34. You care for a woman in a prenatal clinic who thinks she might be pregnant. Which of the following
assessments is a probable sign of pregnancy?
a. Chloasma
b. Nausea and vomiting.
c. A positive pregnancy test.
d. Amenorrhea
35. A danger sign of pregnancy that needs to be reported during antenatal period to prevent fetal
compromise is
a. Constipation
b. Leaking amniotic fluid
c. Nasal stuffiness
d. Breast tenderness
36. Chloasma are irregular brown patches usually found on the nose and cheeks related to?
a. Increased estrogen
b. Increased progesterone
c. Increased Hcg
d. Increased MSH
37. Which of the following tasks is the most important task of the first trimester of pregnancy?
a. Accepting the pregnancy.
b. Accepting a coming child.
c. Preparing for birth
d. Responsible parenthood
38. A universal feeling expressed by most women upon learning they are pregnant is:
a. Acceptance
c. Jealousy
b. Depression
d. Ambivalence
39. A woman you care for in a prenatal clinic tells you that her pregnancy was unplanned and unwanted.
At what point in pregnancy does the average woman change her mind about an unwanted
pregnancy?
a. Around the third month
b. When quickening occurs.
c. After lightening happens.
d. After the seventh month.
40. Which of the following terms refer to the total number of viable pregnancy?
a. Gravidity
c. obstetric history
b. Parity
d. viability
41. A pregnant client comes to her prenatal visit. She reports a pregnancy history of two babies born near
the due date, a twin born prematurely, and a miscarriage in the first trimester. Using the GTPAL
notation, how would her pregnancy history be recorded
a. Gravida 4 Para 2 1 1 4
b. Gravida 4 Para 2 2 1 4
c. Gravida 5 Para 2 1 1 4
d. Gravida 5 Para 2 2 1 4
42. A woman who once delivered a fetus that reached the age of viability but was delivered as a stillborn
is called?
a. Primigravida
c. Nullipara
b. Primipara
d. Nulligravida
43. Mau, 15 weeks AOG, is experiencing vaginal bleeding and abdominal cramping pain with no passage
of meaty material, on IE, her cervix is 7 cm dilated. What type of abortion is this?
a. Incomplete
c. Inevitable
b. Complete
d. Threatened
44. A mother asks you why her newborn baby was called stillborn. How would you define stillbirth?
a. An infant born after 20-24 weeks without signs of life
b. An infant less than 20 weeks but dies inside the uterus
PEDIATRIC NURSING
1. When completing an assessment of a healthy adolescent client, which of the following
would be most appropriate
a. Obtain a detailed account of the adolescents prenatal and early developmental
history
b. Discuss sexual preference and behaviors with the parents present for legal reasons
c. Discuss the clients smoking with parents present in the room
d. Assess the adolescent in private; gather additional information from the parents
2. During the assessment of a small infant admitted with a diagnosis of meningitis, the
infant becomes less responsive to stimuli and exhibits bradycardia, slight hypertension,
irregular respirations and a temperature of 39.5 C. The infants fontanel also seems
tense. What will the nurse do first?
a. Ask the nurse to verify the findings
b. Notify the physician of the findings
c. Raise the head of the head
d. Administer antipyretics
3. Which of the following would be best to help prepare a preschool aged child for an
injection?
a. Having an older child explain that shots do not hurt
b. Helping the child to imagine she is in a different place
c. Giving the child a play syringe and a bandage to give a doll injections
d. Giving the child a pounding board to encourage expressions of anger
4. A 4 year old child asks the nurse if it will hurt to have the tonsils and adenoids taken
out. Which is the best response of the nurse?
a. It wont hurt because you are going to put you to sleep
b. It wont hurt because you are such a big boy
c. It will hurt because of the incisions made in the throat
d. It will hurt, but we have medicine to help you feel better
5. When preparing to give a neonate the first feeding by nipple, for which of the following
reasons would the nurse anticipate using a 5 ml feeding of sterile water first?
a. Ascertain the patency of the neonates esophagus
b. Determine if the neonate can retain the feeding
c. Ensure that the neonate has the energy to take oral feedings
d. Ensure that the mother will be able to feed the neonate
6. An 18 year old senior tells the nurse, everyone does it, so its all right, to justify rule
breaking behavior. The nurse realizes this is an example of which level or stage of moral
reasoning development as described by Kohlberg?
a. Preconventional
c. Postconventional
b. Conventional
d. Autonomous
7. Parents ask for advice about handling their 2 year olds negativism. Which of the
following would be the best recommendation.
a. Ignore this behavior because it is a stage the child is going through
b. Set realistic limits for the child, then be sure to stick to them
c. Encourage the grandmother to visit frequently to relieve them
d. Punish the child for misbehaving or violating set, strict limits.
8. Which of the following suggestions would be most appropriate in helping parents to
prepare their children for starting school?
a. Have an older sibling tell the child about school
b. Orient the child to the schools physical environment
c. Offer to stay with the child for the first few days of school
d. Discuss school with the child if he or she asks about it
9. A parent group is discussing different types of punishment. The parents ask the nurse to
discuss corporal punishment. The nurse tells the group that corporal punishment:
a. Does not physically harm the child
b. Can result in children becoming accustomed to spanking
c. Reinforces the idea that violence is not acceptable
d. Can be beneficial in teaching children what they do
10. When discussing the appropriate iron rich food selections with the mother of an 11
month old infant with iron deficiency anemia, which of the following choices verbalized
by the mother indicates successful teaching?
a. Eggs, fortified cereals, meats and green vegetables
b. Fruits, cereals, milk, and yellow vegetables
c. Eggs, fruits, milk and mixed vegetables
d. Juices, fruits, fortified cereals and milk
11. A mother brings her 2 year old child to the clinic because of her concerns about the
childs nutritional status. For the last week, he has refused to eat anything except
crackers and peanut butter. Which of the following measures would be most appropriate
for the nurse to suggest.
a. Giving the child a small reward if he eats extra food given to him
b. Consulting a physician because this behavior could lead to nutritional deficiency
c. Not worrying about this behavior food fads last only a short time and common in
toddlers
d. Insisting the child eat small portions of the familys meal to maintain adequate
nutrition
12. The adolescent client who is very body conscious asks the nurse that he would like to
lose weight and asks the nursess opinion on how to accomplish his goal. Which of the
following suggestions would be most appropriate?
a. Exercising more often
b. Severely limiting caloric intake
c. Participating in an adolescent weight reduction program
d. Cutting down on sweets and other snacks
13. Which of the following activities would the nurse include in the teaching plan for a
mother to help channel her 4 year old childs energy?
a. Participation in parallel play
b. Play involving a game such as Simon says
c. Bicycle riding
d. Stringing of large beads
14. Which of the following behaviors absent in an 18 th month old child would cause the nurse
to be concerned?
a. Copying a circle
b. Playing with pull toys
c. Playing tag with other children
d. Building a tower of 8 blocks
15. Which of the following nursing diagnoses would the nurse identify as the priority for a 4
month infant with heart failure and congenital heart disease?
a. Activity Intolerance
b. Risk for Infection
c. Impaired Mobility
d. Ineffective Health Maintenance
16. Mark 9 years old conceives death as:
a. A person
b. Temporary
c. A form of sleep
d. Cessation of corporal life
17. The nurse is instructing a mother about the nutritional needs of her full-term
breastfeeding infant at age 2 months. Which of the following responses show that the
mother understands the infants dietary needs?
a. We wont start any new foods now.
b. Well start any new foods now.
c. Well introduce cereal into the diet now.
d. We should add new fruits to the diet one at a time.
18. Which of the following characterize the rate of growth during this period?
a. Most rapid period of growth
b. A decline in growth rate
c. Growth spurt
d. Slow and uniform growth rate
19. You typically gag children to inspect the back of their throat. When is it important not to
elicit a gag reflex?
a. When children are under 5 years of age
b. When a child has symptoms of epiglottitis
c. When a boy has a possible inguinal hernia
d. When a girl has a geographic tongue
20. Which of the following statements by the parents of a child with school phobia would
indicate the need for further teaching?
a. Well keep him at home until the phobia subsides
b. Well work with his teachers and counselors at school
c. Well try to encourage him to talk about his problems
d. Well discuss possible solutions with him and a counselor
21. In choosing toys for an infant, what criteria should be considered a priority?
a. Educational Purposes
b. Development Function
c. Safety
d. Recreation use
22. A recently hospitalized 2 years old client scream and shouts he wants a bottle. His
parents are puzzled and state he has drunk from a cup for the past year. The nurse
explains that:
a. Irritability is exhibited in all age groups.
b. Temper tantrums often represent the childs need for parental attention
c. Various forms of punishment are necessary when such behavior occur
d. Regression to an earlier behavior often helps the child cope with stress and anxiety
23. In choosing an appropriate toy for a 9 year old asthmatic child the nurse would choose:
a. A board game
b. Sponge Bob the movie
c. A coloring book
d. A set of building blocks
24. The mother discusses with the nurse that her toddlers asks every night for a bedtime
story. The mother asks
why the child does this. The nurse would explain that this
behavior
demonstrates.
a. Ritualism
b. Object permanence
c. Dependency
d. Conservation
25. When caring for a child and family with a different cultural background, the nurse will
conceive which of the following as an appropriate goal?
a. Strive to keep the background from interfering with health needs
b. Discourage continuation of cultural practices in the hospital
a.
b.
c.
d.
34. As a schooler what psychological task should be developed by him at his age?
a. Intimacy vs. isolation
b. Initiative vs. guilt
c. Industry vs. inferiority
d. Identity vs. role diffusion
35. The mother of one of the children was told to have her daughter confined. One of the
effects of hospitalization for children is separation. At what stage are children most
likely to experience separation anxiety?
a. Pre-school age
c. Toddler
b. Adolescence
d. Newborn
36. The primary nursing intervention that can be used to help a 1 month old infant tolerate
hospitalization?
Using consistent caregivers
Providing sensorimotor stimulation
Following home schedule as closely as possible
Keeping the infant warm and dry
37. After teaching a group of parents of preschoolers attending a well-child clinic about oral
hygiene and teeth brushing, the nurse determines that the teaching has been successful
when the parents state that the children can begin to brush their teeth with minimum
help at which of the following ages?
a. 3 years
c. 7 years
b. 5 years
d. 9 years
38. An infants blood pressure is reported to be very high. What is the most appropriate
nursing action to take?
a. Take it again in 20 minutes.
b. Call the house officer.
c. Measure the cuff width to the infants arm.
d. Prepare to give an antihypertensive.
39. An 18-month-old presents with nasal flaring, intercostals and substernal retractions, and
a respiratory rate of 50. What is the most appropriate nursing diagnosis?
a. Knowledge deficit.
b. Ineffective breathing pattern.
c. Ineffective
d. High risk for altered body temperature
40. In counseling parents about controlling fever in their child, a nurse should advise them
to do all of the following EXCEPT
a. Give fluids every two hours
b. Keep the environmental temperature at 32C (80F) or more
c. Dress the child in light clothing
d. Take the childs temperature every two hours when the fever is above 37C (100F)