NURSING PRACTICE EXAM QUESTIONS AND ANSWERS GUARANTEED SUCCESS A+ 2021/2022, Exams of Nursing

Download NURSING PRACTICE EXAM QUESTIONS AND ANSWERS GUARANTEED SUCCESS A+ 2021/2022 and more Exams Nursing in PDF only on Docsity! NURSING PRACTICE EXAM 1. The nurse is providing discharge counseling to a woman who is breastfeeding her baby. The nurse advises the woman that if she experiences unilateral breast inflammation, she should do which of the following? a. Apply warm soaks to the reddened area. b. Consume an herbal galactagogue. c. Bottle feed the baby during the next day. d. Take expressed breast milk to the laboratory for analysis. 2. Primary breast engorgement is an increase in the __________ and __________ systems that precedes the initiation of milk production. ANS: vascular; lymphatic 3. a nurse is providing teaching to the parents of a newborn about how to care for his circumcision at home. Which of the following instructions should the nurse include in the teaching? A. Apply the diaper tightly over the circumcision area B. Remove the yellow exudate with each diaper change C. Use prepacked commercial wipes to clean the circumcision site D. Encourage non-nutritive sucking for pain relief 4. a nurse is providing teaching for a postpartum client who is breastfeeding. Which of the following statements indicates an understanding of the teaching? A. “I should feed my baby 8-12 times a day, based on feeding cues.” B. “My baby should have 6 or 7 wet diapers a day during the first week.” C. “I should switch my baby to the other breast after 15 minutes of feeding.” D. “My nipple pain should go away after a few weeks of breastfeeding.” 5. A nurse is providing d/c instructions to a client who is breastfeeding her newborn. Which of the following statements should the nurse include? A. “Notify your provider if you notice cracking on your nipples.” B. “Notify your provider if you have not “ 6. a nurse is performing a physical assessment of a full term newborn and eliciting the Moro reflex. which of the following movements are expected responses to this reflex (SATA)? A. Thumb and forefinger forming a “C” B. Legs extending before pulling upward C. Arms and legs adducting D. Arms falling backward after startling E. Head turning to the right Ch 13 7. Your postpartum patient is 10 hours post-birth. She experienced an uncomplicated labor and birth and her newborn is full term with Apgar scores of 9 at 1 minute and 9 at 5 minutes. During your assessment, you note that she was hungry and very interested in telling you about her birth experience. You had to remind her to change her baby’s diaper and to feed her baby. Based on this assessment you determine that she is: A. Having difficulty bonding with her baby B. Not concerned about her baby’s needs C. In the taking-in phase D. In the taking-hold phase 8. Your postpartum patient is a 25-year-old, white, single woman who gave birth to a healthy infant. She is 36 hours post-birth. You note that she holds her infant at a distance and refers to her infant as “it.” Based on this assessment, your initial nursing actions include: A. Obtain referral for a social worker. B. Ask the woman to tell you about her pregnancy and childbirth experience. C. Teach her the importance of holding her baby close to her body. D. Take her baby to the nursery so she can have some uninterrupted sleep. 9. Which 2-day postpartum woman has an abnormal finding that requires intervention? A. A 23-year-old Arabic woman who plans to breastfeed but wants to bottle feed her newborn until her milk comes in B. A 28-year-old Chinese woman who refuses to take a shower C. A 20-year-old Japanese woman who has her mother care for her baby D. A 19-year-old Caucasian woman who requests that her baby stay in the nursery so she can sleep 10. You are providing discharge teaching to your patient. In addition to her newborn son, she has a 2-year-old daughter. Which of the following will you include in your teaching? Select all that apply. A. Stressing the importance of quality time with her 2-year-old daughter B. Instructing the woman to include the 2-year-old in the care of her baby brother C. Explaining that all children experience some degree of sibling rivalry D. Instructing the woman to explain to her daughter the reasons babies cry 11. Factors that can hamper a couple’s transition to parenthood include which of the following? Select all that apply A. First experience with newborns B. Change of employment C. Adolescent father 12. Factors that influence a man’s transition to fatherhood include which of the following? Select all that apply. A. Educational level B. Cultural expectations C. Socioeconomic status D. Support from partner 13. Your postpartum assignment includes a 15-year-old firsttime mother who gave birth to a healthy baby girl 6 hours ago. The 16-year-old father of the baby was present for the birth and is present while you are caring for the new mother. Which of the following nursing actions are appropriate for this couple? Select all that apply. A. Include the new father in infant care teaching sessions. B. Ask the new father to tell you about his labor and birth experience. C. Include the new father in teaching session on contraception. D. Include the new father in teaching session on postpartum blues. 14. You are assigned a hearing impaired first-time mother. When you enter the room, your patient is looking away from you. Which of the following is the most appropriate way to get the woman’s attention? A. Flick the overhead lights on and off. B. Make a loud noise as you enter the room. C. Tap the woman on her shoulder. D. Walk to her bed and wave your hand. 15. You observe a new father gently touching his newborn son and spending time gazing at his son. These behaviors are characteristics of ______________. A. Entrainment B. Attachment C. Engrossment D. Bonding 16. Which statements are true regarding coparenting? Select all that apply. A. Implies that the parenting roles are equal in the amount of child care responsibilities B. Consists of parental figures supporting each other in the rearing of their child C. Can be affected by the infant’s temperament. 31. You are developing a discharge teaching plan for your patient. The newborn is a girl and is full term and healthy. Both the woman and her partner are college educated and have one other healthy child, a boy who is 2 years old. The woman bottle fed her son and plans to breastfeed her daughter. She plans to return to work when her daughter is 3 months old. Based on this information, the three primary learning needs for this couple are: A. Breastfeeding, sibling rivalry, and infant/child safety B. Breastfeeding, storage of breast milk, and bathing C. Safety, colic, and storage of breast milk D. Cord care, breastfeeding, and safety 32. Contraindications for breastfeeding include which of the following? Select all that apply. A. Woman is using cocaine. B. Woman is being treated for mastitis. C. Woman is receiving chemotherapy for lymphoma. D. Infant has thrush. 33. Which of the following are true statements regarding let-down reflex? Select all that apply. A. Contractions of the myoepithelial cells forces milk into the duct system. B. Oxytocin is released in response to infant suckling and woman’s emotions. C. It can occur during sexual arousal. D. It occurs multiple times during feeding session. 34. You observe that a 2-day postpartum woman is having difficulty breastfeeding. Her baby is crying and moving his head from side to side. Your first nursing action is to: ___________________. A. Assist the woman into a comfortable position. B. Assist the woman in calming her baby. C. Show the woman how to properly position the baby. D. Tell the woman that her baby is not hungry and to wait a few hours. 35. Your discharge teaching for a couple with an uncircumcised boy should include which of the following? A. Beginning at 1 month of age, gently retract the foreskin each day during the infant’s bath. B. Beginning at 6 months of age, clean the area between the foreskin and glans each day with a cotton swab. C. Gently wash the penis when bathing and with each diaper change. D. Retract the foreskin when there is a yellowish discharge. 36. The American Dental Association recommends that parents can decrease the risk of tooth decay in infants by _______________. Select all that apply. A. Preparing juice bottles with one part juice and two parts water B. Cleaning the infant’s gums with a wet, clean gauze after feedings C. Rinsing the infant’s mouth with sterile water after each feeding D. Beginning regular dental checkups by 1 year of age Ch 17 37. A nurse is assessing a preterm baby with a gestational age of 32 weeks and birth weight of 1,389 grams. Which of the following signs if present would be a possible indication of RDS? A. Expiratory grunting and intercostal retractions B. Respiratory rate of 46 breaths per minute and presence of acrocyanosis C. Mild nasal flaring and heart rate of 140 beats per minute D. Bradycardia and bounding pulse 38. The primary risk factor for necrotizing enterocolitis (NEC) is: A. Early oral feedings with formula B. Passage of meconium during labor C. Prematurity D. Low birth weight 39. A common characteristic of a premature infant is: A. Absence of lanugo B. Dry skin C. Increased flexion of arms and legs D. Transparent and red skin 40. When gavage feeding a preterm neonate, the nurse should: A. Measure the tube before insertion from the mouth to the sternum. B. Check for placement by injecting a small amount of sterile water into the feeding tube and listen for a gurgling noise. C. Instill formula over a 20-minute period of time. D. Flush the tube at the end of feeding with dextrose water. 41. Which of the following statements is true regarding hyperbilirubinemia? A. Jaundice covers the entire body in pathological jaundice versus only the face in physiological jaundice. B. Jaundice occurs within the first 24 hours post-birth in pathological jaundice versus after 24 hours in physiological jaundice. C. Kernicterus only occurs in pathological jaundice. D. Jaundice begins to appear in term neonates when the bilirubin level is 3 mg/dL. 42. Clinical management strategies for prevention of retinopathy of prematurity (ROP) focus on targeting appropriate _____________ ranges for infants at risk. A. Arterial pH B. Oxygen saturation C. Heart rate D. Core temperature 43. A neonate born at 37 weeks’ gestation is determined to be small for gestational age (SGA). The most common immediate problem for this infant would be: A. Anemia B. Hypovolemia C. Hypoglycemia D. Hypocalcemia 44. Which of the following treatments is recommended for the infant experiencing drug withdrawal symptoms? A. Morphine B. Diluted formula C. Frequent awakening D. Well-lit room 45. Which is not a risk to the infant of a diabetic mother? A. Hyperglycemia B. Poor feeding C. Macrosomia D. Respiratory distress 46. If a pregnant woman is group beta strep (GBS) positive, prophylactic antibiotics should be administered if: A. She is a planned cesarean section B. The gestational age of her baby is less than 37 weeks C. She has vomiting and diarrhea during labor D. Her baby has a known congenital anomaly Powered by TCPDF (www.tcpdf.org) 47.A nurse is monitoring a client with dysfunctional labor for signs of fetal or maternal compromise. Which finding should alert the nurse to a compromise? a. Passage of meconium 48.A nurse is preparing to care for a client with hypertonic labor. The nurse is told that the client is experiencing uncoordinated contractions that are erratic in their frequency, duration, and intensity. Which is the priority nursing intervention? b. Provide pain relief measures 49.A nurse performs a vaginal assessment on a pregnant client in labor. On assessment, the nurse notes the presence of the umbilical cord protruding from the vagina. Which is the initial nursing action? c. Trendelenberg 50.An ultrasound is performed on a client with suspected abruptio placentae, and the results indicate that a placental abruption is present. Which intervention should the nurse prepare the client for? a. Deliver the fetus 51.A nurse has collected the following data on a client in labor. The fetal heart rate (FHR) is 154 beats/min and is regular; and contractions have moderate intensity, occur every 5 minutes and have a duration of 35 seconds. Using this information, what is d. Continue to monitor 52.A pregnant client admitted to the labor room arrived with a fetal heart rate (FHR) of 94 beats/min and the umbilical cord protruding from the vagina. The client tells the nurse that her "water broke" before coming to the hospital. most appropriate nursing action? e. Wrap the cord loosely in a sterile towel soaked with warm, sterile normal saline. 53.A nurse is collecting data from a pregnant client in the second trimester of pregnancy who was admitted to the maternity unit with a suspected diagnosis of abruptio placentae. Which findings are associated with abruptio placentae? Select all that apply. f. Uterine tenderness g. Acute abdominal pain h. A hard, "board-like" abdomen i. Increased uterine resting tone on fetal monitoring 54.A nurse is caring for a client who is at 36 weeks of gestation and who has a suspected placenta previa. Which of the following findings support this diagnosis? a. Painless red vaginal bleeding b. 55.Aruptio placenta is separation of the placenta from the site of uterine implantation before delivery of the fetus. When the placenta separates prematurely, there is internal bleeding, painful and the uterus is non relaxed or becomes rigid as the separation advances c. Increased abdominal pain w/a non relaxed uterus 56.A nurse on the OB unit is caring for a client who experienced abruptio placentae. The nurse observes petechiae and bleeding around the IV access site. The nurse should recognize that this client is at risk for which of the following complications? d. DIC 57.A nurse is caring for a client who is at 37 weeks of gestation and has placenta previa. The client asks the nurse why the provider does not do an internal examination. Which of the following explanations of the primary reason should the nurse provide? A.This could result in profound bleeding