NUR166 Final Review Questions with Answers, Exams of Nursing

Download NUR166 Final Review Questions with Answers and more Exams Nursing in PDF only on Docsity! NUR166 FINAL REVIEW QUESTIONS WITH ANSWERS 1. At what age is a child able to take care of a pet? a. 7 years old 2. Erickson the adolescent stage for adolescent a. Identity vs. role confusion 3. What is a common accident for adolescents? a. Driving a car 4. APGAR a. Heart rate b. Respiratory rate c. Skin color d. Response to stimulation e. Muscle tone 5. Newborn born 6 hours ago, what is a concern? a. Fan toes b. Mold in caput c. Mongolian spot d. Skin tag by ear 6. Postpartum day 1, mom is concerned baby is not getting enough milk a. K 7. Priority action at 36 weeks: a. Group B beta strep 8. 2-year-old playing in the waiting room, mom is concerned that child is antisocial a. Parallel play is normal 9. Birth weight is 8 lb. 8 oz, what did they weigh at 6 months? a. 17 lb. 10. Kohlberg moral development (Kohlberg is conventional) a. List the development stages 11. Mom is concerned that her baby a. The infant is protected from illness b. Baby is not protected from immunity at any point c. Don't worry about infant not getting sick d. They will be protected from illness for up to year 12. Mom brings in 6 mo. old and 22 mo. old, concerned that teeth are not erupting in normal manner, how should we educate? a. Months of age minus 6 13. What should we discuss for nutrition for 8 mo. old? a. Foods 1 at a time b. Dilute cereal with water c. Don’t give a whole plate of food, a teaspoon at a time 14. Calculate EDC using naegele's rule, May 8th, 2016 was last period. a. February 15th, 2017 15. Mom is at her 2-month OB visit, not taking folic acid (400mcg) because she didn’t know why to take it a. Good for neural tube defects, spina bifida 16. 6 wk. postpartum visit, mom has feelings of fatigue, not eating and can’t sleep: a. Mom may have postpartum and should talk with dr. 17. You are looking at newborn and you are doing 5 min Apgar, what would be signs that require further assessment for immediate intervention? a. Cyanosis of hands and feet b. Irregular heartbeat c. Mucus from nose d. Sternal or chest retractions 18. 6 mo. old at clinic. Mom is asking why baby needs iron fortified cereal a. Baby runs out of iron at 6 mo. 19. During labor, provider is doing exam and babies head is at 0 station a. Iliac crest b. Vaginal opening c. Symptomous pubis d. Ischial Spine 20. If mom feels dizzy what should we do? a. Have mom go to left side 21. 9-year-old hospitalized kid, what data should the nurse report to Physician? a. BP 96/64 b. Temp 98.2 c. Pulse 86 d. Respirations 12 22. 8-year-old kid at dr. Dad says son has ADHD because he had it too and the son doesn't respond when he asks a question, how should the nurse respond? 43. After someone has a DNC (where some placenta stays inside of mother), what should we educate? a. Check temp every 8 hours for first 3 days 44. 2-year-old, what would we expect normal growth stage to look like? a. They are completely potty trained b. Vocab 1000 words c. Understand cause and effect d. Autonomy and wanting to do things for themselves 45. 2-year-old picky eater, what should we educate on nutrition for parents? a. Give snacks during the day- healthy 46. Post- partum pt. who just delivered, what finding would need immediate intervention? a. If uterus is soft, boggy or bleeding i. Massage until firm ii. If it is not getting firm, turn up the Pitocin 47. What stage is Erickson for toddlers? a. Autonomy vs. shame/doubt 48. Erikson’s stages a. Trust vs Mistrust = INFANT birth-18mo b. Autonomy vs Shame/Doubt = TODDLER or EARLY CHILDHOOD 2yr-3yr c. Initiative vs Guilt = PRESCHOOL AGE 3yr-5yr d. Industry vs Inferiority = SCHOOL AGE 6yr-11yr 49. We have 10-wk. pregnant lady 24 years old and has hyperemesis gravidarum, what is the a. Measure I&Os and Daily weight b. Oral or IV fluids for electrolytes c. Contact isolation for vomiting d. Anti-medics/ nausea meds e. Keep NPO until nausea passes 50. Newborn temp:96.9, hr: 130, resp: 44, what is nursing priority a. Warm the baby by placing under radiant warmer or skin to skin with mom 51. We have a PP pt. uterus has shifted to right 2 cm and above the belly button, what should we do? a. Have them void 52. Graph for Bilirubin: Baby is 30 hr old, infant weighed 8 lb., bilirubin is 12.2, what risk is baby at risk for? a. High risk 53. Streptomycin math problem a. Cross multiply 54. Who will you not give influenza to? a. If allergy to eggs b. Under 6mo of age 55. You are doing gestational age assessment, for 4 hr old, which data relates to neuromuscular maturity? a. Arm recoil- checks age of baby 56. Things to check that will tell us the gestation age of the baby- called: a. Pinna recoil b. Genitals- wrinkles c. Feet and hands- for lines (plantar surfaces) d. Lanugo e. Fontanels 57. How many Hep-B doses for newborn? a. Series of 3 58. On your unit you have a pt. whose baby just died. What will you do? a. Allow parents to progress at their own pace if they want to hold the baby 59. What do endorphins do? a. Gives sense of wellbeing b. Helps decrease pain level 60. 9-year old, what are appropriate actions? SELECT ALL THAT APPLY a. Read b. Listening to music c. Play on baseball team d. Soccer team e. Video games for 6-8 hrs. a day 61. FLACC - scale used to measure and assess pain level for children between ages 2mo-7yr a. F- face (are they grimacing) b. L- legs (are they relaxed or kicking) c. A- activity (are they moving or relaxed) d. C- crying or screaming 62. Scope of practice for school nurse? a. IV for dehydration b. First aid c. Health Assessment d. Educate families e. Meds to students if ordered by dr. 63. Teaching class about infant car seat, what do you educate on? a. Rear facing b. Rear seat c. Use seat belt that is in car d. Do NOT use car seat 64. What things can influence a child's health a. Gender b. Position in family - ordinance c. Genetics d. Race or culture e. Month they were born 65. Dental care for children, what should we educate? a. Children under 3 should not have more than a pencil eraser size about of toothpaste b. Children should be supervised if they are under 2 years of age c. Replace toothbrush after they’ve been sick d. Replace toothbrush every 3 mo. e. Do not share toothbrushes 66. Denver tooth screening , what categories are a. Personal b. Social c. Language d. Fine motor e. Test intelligence 67. Order of Maslow hierarchy of needs KNOW THE ORDER a. Physiological b. Activity c. Safety d. Love/ Belonging e. Esteem 80. Nurse is going to give a baby an injection. What kind of administration techniques will we use? a. Pacifier or sucrose b. Hold them in hugging position c. Apply a topical anesthetic d. Avoid using alcohol for cleaning area e. Put it in deltoid 81. Leopold maneuver, what to check for: a. Babies position b. Presentation or fetus 82. What are considered adaptive development in children? SELECT ALL THAT APPLY a. Child is learning to be independent at home b. Child is able to behave in public c. Learning how to feed themselves d. Kid watching TV e. Gross and fine motor skills- this is regular growth and development 83. What do we teach postpartum pt. about going to the bathroom and peri care? a. Rinse with warm water while b. Wipe front to back’ c. Empty bladder frequently d. Ice pack for pain e. Hold urine to make bladder stronger 84. What needs immediate intervention? a. Temp of 101 b. Pain redness or swelling in calf c. Passing blood clot larger than golf ball d. Odor in discharge e. Breastfeeding every couple hour 85. What info in to educate parents on sleeping safety for infant? a. Secure infants while in swing b. Sleep on back c. In own crib d. Nothing in crib e. Reheat food in microwave 86. Should we reheat the baby food or formula in the microwave? a. No 87. Which vaccines are sub q instead of IM? a. MMR b. Varicella 88. Gynecoid pelvis, is it the most favorable? Round anterior and posterior shape is good? a. Yes 89. Methergine a. Used to treat postpartum hemorrhage b. Check DTR, BP, O2 sat, history of asthma 90. Are we concerned about blurred vision and ? with hypertension? a. Yes 91. H a. Lightheaded and cluster headaches 92. What is this most likely a result of? a. Pressure on the vena Cava 93. Kid is at the pediatrician office and has bacterial conjunctivitis. What are we going to teach them to do? SELECT ALL THAT APPLY a. Make sure you give med at prescribed time b. Wipe secretions from inner canthus and out c. Do not touch opposite eye d. Wash hands frequently e. Don't share linens and washcloths f. Still contagious after 3 days 94. Moderate trickle of bright red bleeding 6 days PP. What is the priority nursing intervention? a. Mom should be allowed to use bathroom privileges b. Perineal assess c. Bright red bleeding should be reported to physician 95. Vitamin K given for what? a. Blood clotting 96. Cardinal movements sequence PUT THEM IN THIS ORDER a. Engagement b. Descent c. Flexion d. Internal rotation e. Extend f. Externally rotate g. Expulsion 97. Erikson’s theory - What are behaviors related to school age children? a. Offer praise and rewards for good b. Use discipline to develop c. Spank them when necessary d. Encourage them to spend time with peers to develop a sense of identity e. Waiting until school age to give chores