Gr a ci e ,t hemot he rofa3 mont hol di nf a ntca l l st hec l i ni ca nds t at e st ha the rc hi l d hasadi aperr ash.Whatshoul dt henur seadvi ce? A.“ Swi t c ht oc l ot hdi aper sunt i l t her as hi sgone” B.“ Us eba bywi p eswi t hea c hd i a pe rc h ang e. ” C.“ Le av et hedi a pe ro ffwhi l et hei nf a nts l e eps . ” D.“ Offerex t r afl ui dst ot hei nf antunt i l t her as hi mpr ov es . ” Thenur s ei sa ss es si nga4mo mont hol di nf a nt .Whi c hmot ors ki l lwoul dt henur s e a nt i c i pat efindi ng? A.Hol dar at t l e B.Ba ngt wobl o c k s C.Dr i n kf r o m ac u p D.Wa v e“ b y e b y e ” Thenur s ei sas se ss i ngacl i e ntwhos t a t e she rl a stme ns t r ua lpe r i odwa sMa r c h1 7, andshehasmi mi ssedoneper i od.Sher epor t sepi sodesofnauseaandvomi t i ng. Pr e gna nc yi sconfir me dbyaur i net e st .Wha twi l lt henur s ec al c ul a t east he e st i ma t e dda t eofdel i ver y( EDD) ? A.Nov emb mber8 B.May15 C.Fe br u ar y2 1 D.Decemb mber24 Awoma nwhoi ss i xmo mont hspr e gna nti ss ee ni na nt e pa r t a lc l i ni c .Shes t a t e ss hei s ha vi ngt r oubl ewi t hc ons t i pa t i on.T omi ni mi z et hi sc ondi t i on,t henur s es houl d i nst r ucthert o A.i ncr easeherflui di nt ak et ot hr eel i t er s/ da y. B.r eques tapr es cr i pt i onf oral ax at i v ef r om herphy si c i an. C.s t opt ak i ngi r onsuppl ement s . D.t ak et wot abl es poonsofmi ner al oi l dai l y .
Whe nba t hi ngapa t i e nt ’ se xt r e mi t i e s,t henur s es houl dus el ong,fir ms t r ok e sf r om t hedi s t a lt ot hepr ox i ma la r e as .Thi st ec hni que : A.Pr o v i desano ppor t un i t yf ors k i nas s es s ment B.Av oi dsun dues t r ai nont henur s e C.I nc r e as esv enousbl oodr e t ur n D.Caus esv as oc ons t r i c t i onandi nc r eas esc i r c ul at i on Thena t ur a ls e da t i v ei nme ata ndmi l kpr oduc t s( e spe ci a l l ywa r m mi l k )t ha tc anhe l p i nduc es l e epi s : A.Fl ur az epam B.Temazepam C.Tr ypt ophan D.Me t ho t r i me pr az i ne Af t erha vi nga nI . V.l i nei npl a cef or7 2hour s ,apa t i e ntc ompl a i nsoft e nde r ne ss , bur ni ng,a nds we l l i ng.As se ss me ntoft heI . V.s i t er e v ea l st hati ti swa r ma nd e r y t he ma t ous .Thi sus ua l l yi ndi c at e s: A.I nf ec t i on B.I nfi l t r at i on C.Phl ebi t i s D.Bl eedi ng An example of a subjective data is: A.Feeling of dizziness B.Diaphoresis
C. Cyanosis D.ematoma
Vi vi ddr eami ngoccur si nwhi chst ageofsl eep? A.St a geIn on REM B.Rapi deyemovement( REM)st age C.St a geI In on REM D.Del t as t age
Whe nt e ac hi ngaf e ma l epa t i e nthow t ot a k easubl i ngua lt a bl e t ,t henur s es houl d i nst r uctt hepat i entt opl acet het abl eont he: A.T opoft het ongue B.Ro ofo ft hemo ut h C.Fl ooroft hemout h D.I ns i deoft hec heek Whi chpul seshoul dt henur sepal pat edur i ngr api dassessmentofanunconsci ous ma l eadul t ? A.Ra di a l B.Br ac hi al C.Femor al D.Car ot i d Nur s eNi k kii sr e vi s i ngac l i e nt ’ sc ar epl a n.Dur i ngwhi c hs t e poft henur s i ngpr oc es s doe ss uc hr e v i s i ont a kepl a ce ? A.Ass ess ment B.Pl anni ng C.I mpl ement at i on D.Ev al ua t i on Usi ngAbr aham Masl ow’ shi er ar chyofhumanneeds,anur seassi gnshi ghestpr i or i t y t owhi c hc l i e ntne ed? A.Sec ur i t y B.El i mi nat i on C.Saf et y D.Be l ongi n g I nwhi chphaseoft henur si ngpr ocessdoest henur sedeci dewhet herheract i ons ha vesuc ce ss f ul l yt r e at e dt hecl i e nt ’ she al t hpr obl e m? A.Ass ess ment B.Di agnos i s
C.Pl a nn i n gou t c o me s D.Ev al ua t i on Thenur secal cul at esabodymassi ndex( BMI )of21f orayoungadul twomanwho c ome st ot hephy si c i a n’ soffic ef oracol l e gephy si c al .Thi spa t i e nti scons i de r e d: A.Obese B.Ov e r we i g ht C.Aver age D.Under wei ght Which would you do when caring for a seizure victim? a) Remove nearby objects that might cause injury. b) Place a small object, such as a rolled up piece of cloth, between the ictim!s teeth. c) "ry to hold the person still. d) #ll of the above.
Which of the following should be done for a person e$periencing a heat related illness. a) %eep the victim warm. b) &orce the victim to drin' fluids. c) #pply cool wet cloths. d.) Place the victim in warm water. (ou feel a sudden sharp pain in the bottom of your left foot. (ou loo' at the bottom of your left shoe and see a tac' stic'ing in your shoe. What type of wound do you probably have? a) #vulsion b) ruise
c) *crape d) Puncture
Which should be part of your care for a severely bleeding open wound? a) #llow the wound to bleed in order to minimize infection. b) #pply direct pressure and elevate the injured area. +f no bro'en bones) c) -se a tourniuet to stop all blood flow. d) oth b and c Which is the first step when caring for bleeding woun ds. a) #pply direct pressure with a clean or sterile dressing. b) #pply pressure at the pressure point. c) #dd bul'y dressings to reinforce blood soa'ed bandages. d) /levate the wound. (ou have tried to control a victim0s bleeding with direct pressure and elevation, but the blee ding doesn!t stop. Where would you apply pressure to slow the flow of blood to a wound on the forearm? a) 1utside the arm midway between the shoulder and the elbow. b) 1n the inside of the elbow. c) nside the arm between the shoulder and the elbow. d) #ny of the above will slow the flow of blood Where is the carotid artery located?
a) nside the wrist just above the hand. b) 1n the nec' to the right or left of the windpipe. c) ehind the 'neecap. d) nside the arm between the elbow and shoulder. &or an infant who is cho'ing, you would perform a) "he 2iemlic' maneuver. b) 3PR c) ac' blows and chest thrusts d) 2old the infant upside down and stri'e between the shoulder blades . # wound where there is damage to the soft tissue and blood vessels under the s'in is called4.. a) # scrape b) # cut c) # bruise d) #n avulsion When caring for a victim with a bloody nose you would not a) #pply an ice pac' to the bridge of the nose. b) #pply pressure to upper lip just beneath nose. c) 2ave the victim sit with head tilted slightly bac'ward while pinching the nostrils together. d) 2ave the victim sit with head tilted slightly forward while pinching the nostrils together.
Which symptoms would indicate internal bleeding? a) Rapid wea' pulse, /$cessive thirst. b) *'in that feels cool or moist, or loo's pale or bluish. c) "ender, swollen, bruised, or hard areas of his body, such as the abdomen. d) #ll of the above.
# first degree burn4. a) nvolves only the top layer of s'in. b) s red and blistered. c) 5estroys all layers of s'in. d) s the most serious of burns.
Toensur ehomogeni zat i onwhendi l ut i ngpowder edmedi cat i oni navi al ,t henur se shoul d: A.Shak et hev i al v i gor ous l y B.Rol lt hevi a lge nt l ybe t we ent hepa l ms C.I nv er tt hev i al andl eti ts t andf or1mi nut e D.Donot hi ngaf t eraddi ngt hes ol ut i ont ot hev i al "he accepted treatment for a nose bleed is6 # -se direct pressure, elevation and pressure points to control the bleeding "ilt the head bac' and tightly sueeze the no strils
3 2ave the victim lean forward. #pply gentle pressure on the nostril. #pply cold towels. 5 7ay the victim on his bac' and treat for shoc'. #pply heat if available
!o treat a "rst degree burn you should: A Apply a good #uality burn cream or ointment B Clean the area thoroughly $ith hot soapy $ater C Apply a constricting band bet$een the burn and the heart D Apply cool running $ater until there is little or no remaining pain
!o treat strains and sprains% use the acronym &'C(% $hich means )))))))))))))): A. &est% 'ce% Compress% (levate B. &un 'nside% Call% (*+ C. &escue% 'ncline% Compress% (liminate pain D. &ub% 'ce% Crutches% (levate
,hat type of injury is a cut from bro-en glass li-ely to inict/ a. 0aceration b. 'ncised c. Abrasion d. Contusion e. 1uncture ,hich type of injury involves an open $ound in $hich the bone has torn through the s-in/ A. Dislocation b. 2pen fracture c. +prain
d. +train
3.,hich term describes a pelvis $ith the $idest anterior and posterior diameters as $ell as a pubicarch $ide enough for child birth/ A.1latypelloid B. 4ynecoid C. Anthropoid D. Android 5.First fetal movement felt by the mother are -no$n as: A.0ightening B. 6uic-eningC. Ballottement D. (ngagement 7.A client relates that the "rst day of her last menstruation period $as 8uly 55. !he estimated dateof birth $ould be: A.*ay 39 B. *ay 5C. April 39D. April 5 ;.Anticipatory guidance during the "rst trimester of pregnancy is primarily directed to$ardincreasing the pregnant $oman
9.'n prenatal development% the gro$th is most rapid in the A.'mplanataion period B.First !rimester
C. +econd !rimester
D. !hird !rimester
=.A client as-s the nurse $hy menstruation ceases once pregnancy occurs% the nurse&eduction in the secretion of hormones by the ovaries.? B.>1roduction of estrogen and progesterone by the ovaries.? C.>+ecretion of luteinizing hormone produced by the pituitary.? D.>+ecretion of follicle@stimulating hormone produced by the pituitary.? .!he nurse is a$are that the nausea and vomiting commonly experienced by many $omen duringthe "rst trimester of pregnancy is an adaptation to the increased level of: A.(strogen B.0uteinizing hormone
C. 1rogesterone D. Chorionic gonadotropin
.A client $ho is pregnant as-s the nurse if she can continue to have sexual relations. !he nurse
C. 'ncreased F&
B.4estation of 7 $ee-s or more
D. 1remature rupture of membrane
.!he nurse $ould instruct a pregnant $oman to notify the physician immediately if $hich of thefollo$ing symptoms occur during the pregnancy/ A.+$elling of the face
C. Breast tenderness
B.'ncreased vaginal discharge
D. !he presence of chloasma
3.,hich of the follo$ing changes is a pregnant $oman most li-ely to notice in her breasts/ A.Dar-ening of the areolas% tingling sensations% and engorgement B.0ightening of the areolas% colustrum secretion% and increased size C.Colustrum secretion% tingling sensations% and dar-ening of the areolas D.'ncreased size% engorgement% and attening of the nipple
33.Constipation during pregnancy is best treated by A.&egular use of mild laxative B.'ncreased bul- and uid in the diet C.0imiting excessive $eight gain D.&egular use of bisacodyl DulcolaxE suppositories
35.!he nurse determines that a $oman is in her tenth $ee- of gestation. ,hich of the follo$ingsigns of pregnancy $ould the nurse expect to observe/ A.Breast tenderness B.Dyspnea
C. 6uic-ening
D. Dependent edema
37.A 37@year old female visits the clinic for a routine examination. !he nurse notes that she exhibitschanges in her appearance that commonly occur during pregnancy%
including an increase in breastsize. ,hich hormone is partly responsible for the gro$th and increased vascularity of breasttissue during pregnancy/ A.(strogen
C. 0actoferrin
B.Follicle stimulating hormone
D. Chorionic gonadotropin
3;.*rs .% age 59% suspects she is pregnant and calls the health center. +he tells the nurse she isexperiencing amenorrhea% urinary fre#uency% and nausea and vomiting. !hese signs of pregnancyare: A.1resumptive B. 1robable C. 1ositive D. 1ossible
39.,hich "ndings $ould be considered positive signs of pregnancy/ A.Fatigue% s-in changes B.6uic-ening% breast enlargement C.Fetal heartbeat% fetal movement on palpation D.Abdominal enlargement% Braxton ic-s contractions 3=.*rs. *.% a 7@year@old primiparous patient at 7; $ee-s< gestation% comes to the prenatal clinicconcerned about the increasing reddish strea-s she has developed on her breast and abdomen. +heas-s $hat these s-in changes are and $hether they are permanent. ,hat should the nurse tellher/ A.>!hese strea-s are called linea nigraG they!hese strea-s are called hemangiomasG they are permanent changes of pregnancy.? C.>!hese strea-s are called striae gravidarum% or stretch mar-sG they!hese strea-s are called neviG they
3.A client as-s% >o$ much blood do ' lose during menstruation/? ,hich of the follo$ing $ould be the nurse
A.>Hormal blood loss can be a little or not.?
B.>Hormal blood loss is about 3 cup.? C.>Hormal blood loss is about I cup.? D.>Hormal blood loss is about 3J cup.?
3.During the menstrual cycle% ovulation generally occurs at $hich of the follo$ing times/ A. days after the last day of menstruation B.3; days after the last day of menstruationC. days before the end of menstruation D.3; days before the end of the menstrual cycle
3.,hich of the follo$ing $ould the nurse estimate as the approximate age for a 3@cm fetus expelled by a client/ A.5 months B. 7 months C. ; months D. 9 months
5.An expectant mother as-s the nurse in the prenatal clinic% >,hen can ' expect to feel my babymove/? ,hich of the follo$ing $ould be the nurse
C. At about 7 months
B.At about ; months
D. At about 9 months
55.'n a regular 75@day cycle% the client $ill probably ovulate: A.2n day 3 C. 3 days after the start of the last menses B.2n day 55 D. 2n day 33
o$ many $ee-s is the gestational period of a full@term pregnancy/ A.79 to 7 B. *ore than ;5 C. 7 to ;5 D. 77 to 79
5;.A nurse is teaching a class about the reproductive system. +he explains that fertilization most often ta-es place in the: A.Fallopian tube B. 2vary C. Kagina D. Lterus
,hich male hormone is responsible for maintaining spermatogenesis% increasing sperm production% and producing seminal uid/ A.'nsulin B. !estosterone C. +emen D. C4