Fundamentals of Nursing Exam Materials
Course Introduction
Fundamentals of Nursing introduces students to the essential concepts, skills, and values necessary for professional nursing practice. The course covers the principles of holistic patient care, basic nursing procedures, critical thinking in clinical situations, effective communication, and ethical responsibilities. Students learn to assess patient needs, perform vital sign monitoring, maintain aseptic technique, and promote safety and comfort. Emphasis is placed on the nursing process, cultural competence, and the development of therapeutic relationships, providing a strong foundation for further nursing education and clinical practice.
Recommended Textbook
Maternal Child Nursing Care 2nd Edition by Marcia L. London
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35 Chapters
1810 Verified Questions
1810 Flashcards
Source URL: https://quizplus.com/study-set/2263
Page 2
Chapter 1: Traditional and Community Nursing Care for
Women, Families, and Children
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/44945
Sample Questions
Q1) The nurse recognizes that caring for patients and families is challenging due to which of the following factors? (Select all that apply.)
A)Advances in medical care
B)Decreased cultural diversity
C)Decreased patient expectations
D)Increased technology development
E)Potential legal considerations
Answer: A,D,E
Q2) The nursing faculty explains to students that ethnopluralism is an important force shaping health care today.What concept is most important in understanding this trend?
A)The decreased need for cultural competency
B)The growth in one ethnic group in a single area
C)The increased impact of diverse cultures on health care
D)The percentage increase of the non-Caucasian population
Answer: C
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Chapter 2: Contemporary Issues in Womens, Families, and
Childrens Health Care
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/44946
Sample Questions
Q1) The clinic nurse is working with a mother and her 3-year-old child who have arrived for the child's routine checkup.The nurse encourages the mother to return for her child's measles-mumps-rubella immunization prior to the child's entering school.This intervention is an example of what type of care?
A)Mandatory health care
B)Primary health prevention
C)Secondary health prevention
D)Tertiary health prevention
Answer: B
Q2) The community health nurse knows that the public health intervention model is focused on which of the following intervention levels? (Select all that apply.)
A)Community
B)Family
C)Government
D)Hospitals
E)Patient
Answer: A,B,E
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Page 4
Chapter 3: The Evolving Family
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50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/44947
Sample Questions
Q1) The nurse assesses the communication in a family that includes a single mother,a teenage son and daughter,and a grandmother.During the family interview,the daughter answers many questions while the son and mother are quiet and the grandmother is absent.What conclusions can the nurse make about this family? (Select all that apply.)
A)The communication patterns are healthy.
B)The daughter may have a lot of power.
C)The grandmother does not want to be involved.
D)The grandmother may have little power.
E)The mother and son may have a coalition.
Answer: B,D,E
Q2) A nurse is assessing a family whose patriarch died recently.Using Kübler-Ross's stages of grieving,what stages should the nurse assess for? (Select all that apply.)
A)Bargaining
B)Dealing
C)Denial
D)Remorse
E)Shock
Answer: A,C
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5
Chapter 4: Caring for Women, Families, and Children
Across the Life Span
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63 Verified Questions
63 Flashcards
Source URL: https://quizplus.com/quiz/44948
Sample Questions
Q1) The clinic nurse is working with a mother who wants to know the best age for teaching children about the names and functions of sexual organs.What should the nurse tell her?
A)5 to 6 years of age
B)6 to 7 years of age
C)8 to 9 years of age
D)9 to 11 years of age
Q2) Observes other children while playing alone
A)Solitary play
B)Onlooker play
C)Parallel play
D)Associative play
E)Cooperative play
Q3) A nurse is evaluating several patients for possible hormone therapy to reduce severe symptoms of menopause.For which patient would hormone therapy be recommended?
A)53 years old,smoker,estrogen-progestin therapy
B)54 years old,history of endometrial cancer 10 years ago,estrogen only
C)55 years old,history of hysterectomy 4 years ago,estrogen only
Page 6
D)76 years old,went through menopause 16 years ago,estrogen-progestin
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Chapter 5: Reproductive Anatomy and Physiology
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57 Verified Questions
57 Flashcards
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Sample Questions
Q1) Triangular or heart-shaped
A)Gynecoid
B)Android
C)Anthropoid
D)Platypelloid
Q2) The clinic nurse knows that the part of the uterine cycle that occurs during the period of time between ovulation and the onset of menses is known as which of the following?
A)Ischemic phase
B)Menstrual phase
C)Proliferative phase
D)Secretory phase
Q3) A woman who might be pregnant is excited to learn when she will know the gender of the baby.What is the best response by the nurse?
A)5 weeks
B)6 weeks
C)8 weeks
D)12 weeks
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7
Chapter 6: Human Sexuality and Fertility
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59 Verified Questions
59 Flashcards
Source URL: https://quizplus.com/quiz/44950
Sample Questions
Q1) A woman in the infertility clinic is concerned that her religion may object to assisted reproductive technologies.Which process should the nurse explore with the woman as possibly acceptable?
A)FET (frozen embryo transfer)
B)GIFT (gamete intrafallopian transfer)
C)IVF-ET (in vitro fertilization-embryo transfer)
D)ZIFT (zygote intrafallopian transfer)
Q2) A nurse is reviewing a 36-year-old woman's chart.The woman has the diagnosis of infertility.What does the nurse conclude about this woman?
A)Has a medical condition that prevents pregnancy
B)Has been attempting to get pregnant for 12 months
C)Has delayed pregnancy and childbirth for too long
D)Has not conceived in 6 months of actively trying
Q3) A nurse is working with a patient who has the nursing diagnosis of altered sexuality patterns.What action by the nurse takes priority?
A)Assists with the physical exam
B)Establishes a trusting relationship
C)Reviews the past medical history
D)Takes a comprehensive sexual history
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Page 8
Chapter 7: Conception and Development of the Embryo and Fetus
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59 Verified Questions
59 Flashcards
Source URL: https://quizplus.com/quiz/44951
Sample Questions
Q1) A student has read that hematopoiesis occurring in the wall of the yolk sac declines after the eighth week of gestation and asks the instructor for clarification.What statement by the faculty member is most accurate?
A)"All of the blood needed is transported across the placenta."
B)"Bone marrow production of blood begins in week 8."
C)"The fetal liver takes over that function then."
D)"You must have misread that information."
Q2) A woman is admitted with rubella.What action by the nurse manager is best?
A)Place the woman on droplet precautions.
B)Put the woman in contact isolation.
C)Tell the nurses to use good hand-washing techniques.
D)Use standard precautions only.
Q3) A newborn has rachischisis.What action by the nurse takes priority?
A)Contact the palliative care team for interventions.
B)Discourage the family from seeing the infant.
C)Obtain informed consent for immediate surgery.
D)Prepare to provide the baby total parenteral nutrition.
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Page 9
Chapter 8: Physiological and Psychosocial Changes During Pregnancy
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/44952
Sample Questions
Q1) According to Rubin (1975),completion of what task is paramount for a pregnant woman to master in order to have successful integration of the maternal role?
A)Incorporating the pregnancy into her total identity
B)Learning to adapt to all the physiological changes
C)Recognizing a "before pregnant" and "after pregnant" self
D)Reorienting all relationships to put the pregnancy first
Q2) A nurse manager on the high-risk OB unit wants to improve the experience of women admitted for lengthy stays.What action by the manager is best?
A)Designate a specific chaplain to visit women every day.
B)Develop a program to help women attain developmental tasks.
C)Initiate primary nursing to provide consistency in caregiving.
D)Provide open visitation and special events for siblings.
Q3) The nurse caring for perinatal patients understands the term decidua to mean which of the following?
A)Collateral uterine circulation
B)Endometrial lining of the uterus
C)Endometrial tissue covering the embryo
D)Placental remnants left in the uterus
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Chapter 9: The Prenatal Assessment
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61 Verified Questions
61 Flashcards
Source URL: https://quizplus.com/quiz/44953
Sample Questions
Q1) The nursing student in the perinatal clinic asks the registered nurse why so many pregnant women seem to be stressed despite their "happy" condition.What response by the nurse is best?
A)"It's the effect of all those hormones."
B)"Many are afraid of labor and birth."
C)"Most pregnant women don't feel well."
D)"Pregnancy is a developmental crisis."
Q2) The nurse schedules a patient for her first prenatal appointment with the certified nurse-midwife (CNM)in the clinic.About what topics does the nurse help the patient formulate questions to ask the CNM? (Select all that apply.)
A)An opportunity to meet other patients who have delivered with this practice
B)The CNM's beliefs and practices concerning epidural anesthesia and episiotomies
C)Use of complementary and alternative methods during labor and birth
D)What happens if the patient gives birth when the CNM is not available
E)Whether the CNM will be available by phone or Internet to answer questions
Q3) A pregnant woman's last normal menstrual period started on June 8,2013.Calculate her expected date of birth (EDB)using Naegle's rule.Her EDB is what date?
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Chapter 10: Promoting a Healthy Pregnancy
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50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/44954
Sample Questions
Q1) The perinatal nurse would assess which newborn system as a priority after birth if a woman admitted to cocaine use during her pregnancy?
A)Cardiovascular system
B)Endocrine system
C)Integumentary system
D)Respiratory system
Q2) A nurse is explaining childbirth education choices to an expectant couple.The nurse explains that although each method is different,all methods emphasize some similar concepts.Which concepts does the nurse describe as similar across different methodologies? (Select all that apply.)
A)Biological
B)Financial
C)Psychosocial
D)Relational
E)Social
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12
Chapter 11: Caring for the Woman Experiencing
Complications During Pregnancy
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59 Verified Questions
59 Flashcards
Source URL: https://quizplus.com/quiz/44955
Sample Questions
Q1) The prenatal clinic nurse assesses a woman at 15 weeks' gestation.The patient's blood pressure,measured twice at intervals 1 hour apart with a cuff that fits appropriately,is 146/96 mm Hg.The nurse understands the patient has which condition?
A)Chronic hypertension
B)Gestational hypertension
C)Preeclampsia
D)Transient hypertension
Q2) A student in a perinatal clinic asks the clinic nurse what an incomplete abortion is.Which response by the nurse is best?
A)Complete loss of all products of conception before 20 weeks' gestation
B)Fetal death before 20 weeks with retention of all products of conception
C)Loss of some,but not all,products of conception before 20 weeks
D)When the patient initiates an abortion,but then stops the procedure
Q3) A woman pregnant with triplets is a patient in the high-risk OB unit.Which action by the nurse is most appropriate?
A)Document serial,individual fetal monitor strips.
B)Label the monitor lines in descending fetal order.
C)Monitor the fetuses simultaneously with a triplet monitor.
D)Obtain fetal monitor strips in presenting order.
Page 13
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Chapter 12: The Process of Labor and Birth
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60 Verified Questions
60 Flashcards
Source URL: https://quizplus.com/quiz/44956
Sample Questions
Q1) A nurse notes variable decelerations on the fetal heart monitor and is explaining them to the laboring woman and her partner.What information about these patterns does the nurse share? (Select all that apply.)
A)Last at least 15 seconds
B)Least common type of deceleration pattern
C)May be a result of cord compression
D)Occur at any time during a contraction
E)Return to baseline within 4 minutes
Q2) A woman's birthing plan includes completing the latent phase of the first stage of labor at home.When should the nurse teach the woman to come in to the birthing unit?
A)After 10 hours of mild contractions
B)When contractions are 3 to 5 minutes apart
C)When contractions are experienced in the back
D)When strong contractions occur 2 to 3 minutes apart
Q3) A nurse assesses a newborn as follows: heart rate is 112 beats/minute;respiratory effort: slow,irregular,with a weak cry;muscle tone: some flexion of the extremities;reflex irritability: grimace;color: pink.What Apgar score does the nurse give this infant?
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14
Chapter 13: Promoting Patient Comfort During Labor and Birth
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/44957
Sample Questions
Q1) A patient in labor has internal fetal monitoring and normal vital signs.All fetal signs are reassuring.She wishes to try whirlpool bath hydrotherapy as a comfort measure.Which action by the nurse is best?
A)Assist the woman into the tub so she doesn't fall.
B)Ensure the water temperature does not exceed 101°F (38.3°C).
C)Inform her that she is not able to participate in this method.
D)Remove the fetal monitor wires prior to the patient's getting in the tub.
Q2) The perinatal nurse observes a woman entering the transition phase of labor while she uses a patterned breathing method to cope with the increasing strength of contractions.She complains of light-headedness and tingling in her fingers.The most appropriate intervention by the nurse is to assist the patient in doing which of the following?
A)Breathing more slowly and taking a cleansing breath
B)Cupping her hands and breathing into them
C)Putting her head between her knees
D)Returning to bed and lying on her left side
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Page 15
Chapter 14: Caring for the Woman Experiencing
Complications During Labor and Birth
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61 Verified Questions
61 Flashcards
Source URL: https://quizplus.com/quiz/44958
Sample Questions
Q1) A woman has just given birth to an infant whose 1-minute Apgar score was 9.Meconium-stained amniotic fluid was noted upon rupture of the membranes.What action by the nurse is most appropriate?
A)Apply oxygen at 0.5 L/minute via face mask.
B)Assess and document the infant's 5-minute Apgar score.
C)Transfer the neonate to the intensive care unit.
D)Vigorously suction the infant's trachea.
Q2) A nulliparous woman has been admitted to the labor and birth unit.Her Bishop score is 4.What medication does the nurse plan to administer?
A)Betamethasone (Celestone)
B)Hydromorphone (Dilaudid)
C)Misoprostol (Cytotec)
D)Oxytocin (Pitocin)
Q3) A nurse has instructed a woman on the procedure for nipple rolling.What action by the patient demonstrates good understanding of the teaching?
A)Pinches and pulls the nipples on alternating sides
B)Rolls both nipples together for 10 minutes
C)Rolls one nipple at a time during a contraction
D)Rolls one nipple at a time through her clothing
Page 16
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Chapter 15: Caring for the Postpartal Woman and Her Family
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48 Verified Questions
48 Flashcards
Source URL: https://quizplus.com/quiz/44959
Sample Questions
Q1) A nursing faculty member is explaining to a class of students that women experiencing cesarean birth have more challenges than do women who give birth vaginally.The faculty member is referring to what challenges? (Select all that apply.)
A)Delayed mother-infant bonding
B)Difficulty in choosing an infant feeding method
C)Increased risk of deep vein thrombosis
D)Pain from the surgical incision and intestinal gas
E)Slower initiation and pace of ambulation
Q2) A postpartum woman is Rh?(D)-negative and needs an injection of Rh?(D)immune globulin.Which of the following doses would the perinatal nurse expect to be ordered?
A)120 µg
B)250 µg
C)300 µg
D)350 µg
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Chapter 16: Caring for the Woman Experiencing
Complications During the Postpartal Period
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50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/44960
Sample Questions
Q1) A woman with a deep vein thrombosis (DVT)is receiving IV heparin therapy.Which nursing diagnosis does the nurse address as the priority?
A)Altered family processes
B)Pain
C)Risk for injury
D)Self-care deficit
Q2) A woman is hospitalized after an incision and drainage of a large breast abscess that cultured methicillin-resistant Staphylococcus aureus.What dietary choices indicate that she has understood teaching regarding nutrition and wound healing? (Select all that apply.)
A)Chicken breast
B)Hard-boiled egg
C)Orange slices
D)Spinach
E)Whole-wheat bread
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Chapter 17: Physiological Transition of the Newborn
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/44961
Sample Questions
Q1) A mother-baby nurse assesses newborns for their risk of developing hypoglycemia.Which infant would the nurse assess as being at highest risk?
A)Asian ethnic background
B)Delayed feedings after birth
C)Infant with heat stress
D)Maternal use of terbutaline (Brethine)
Q2) The clinical nurse recalls that the newborn has mechanisms by which heat is lost following birth.Which of the following are examples of heat lost via convection? (Select all that apply.)
A)Placed near an open window
B)Placed on a cold scale
C)Placed under a ceiling fan
D)Not dried adequately after birth
E)Placed in a warmer that is not yet warm
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Chapter 18: Caring for the Normal Newborn
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60 Verified Questions
60 Flashcards
Source URL: https://quizplus.com/quiz/44962
Sample Questions
Q1) The nurse is watching new parents suction their newborn.The baby begins gagging.What action should the nurse demonstrate to the parents?
A)Pick the baby up and comfort her.
B)Place the baby on her back.
C)Turn the baby's head to the side.
D)Wipe secretions out with a cloth.
Q2) A faculty member explains to a nursing student that the best way to prevent hemorrhage from injuries in a neonate is which of the following?
A)Administer vitamin K1 phytonadione (AquaMEPHYTON).
B)Handle the infant carefully while wearing soft gloves.
C)Keep the infant swaddled in several layers of blankets.
D)Teach the parents how to trim the baby's fingernails.
Q3) A faculty member is supervising a student who is preparing to administer vitamin K? phytonadione (AquaMEPHYTON)to an infant.What action by the student prompts the faculty member to intervene?
A)Chooses a 25-gauge needle
B)Draws up 0.5 mg/kg
C)Gently rubs the injection site
D)Uses a 1-mL syringe
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Page 20
Chapter 19: Caring for the Newborn at Risk
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59 Verified Questions
59 Flashcards
Source URL: https://quizplus.com/quiz/44963
Sample Questions
Q1) A nurse is caring for a baby with neonatal abstinence syndrome.Which of the following medications should the nurse be prepared to give? (Select all that apply.)
A)Chlorpromazine (Thorazine)
B)Clonidine (Catapres)
C)Diazepam (Valium)
D)Phenobarbital (Luminal)
E)Naloxone (Narcan)
Q2) A premature infant is born and admitted to the NICU.A student nurse questions why the primary nurse is starting to plan discharge teaching so early.Which response by the nurse is best?
A)"All these babies have the same needs,so discharge planning here is pretty routine."
B)"By starting early I can ensure that social work and specialty nurses can see the baby."
C)"I'm not really planning the baby's discharge;I'm just writing some notes about it."
D)"The parents have so much to learn we have to start planning discharge on admission."
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21
Chapter 20: Caring for the Developing Child
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50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/44964
Sample Questions
Q1) A mother takes her 10-year-old son to the pediatrician for a sprained wrist.During the medical history,the pediatric nurse listens to the mother describe her son as "busy playing basketball all day long with the other boys in the neighborhood." Based on the nurse's assessment,which stage of Freud's psychosocial development is this child experiencing?
A)Anal stage
B)Genital stage
C)Latency stage
D)Phallic stage
Q2) The pediatric nurse teaches the parents of a 3-month-old baby the principles of growth and development that will occur in their child's lifetime.Which statement accurately describes one of these principles?
A)Each child progresses through predictable stages within a predictable timeframe.
B)Growth and development begin in infancy and continue until the adult years.
C)Growth refers to the ongoing process of adapting throughout the life span.
D)Within each child,body systems develop at the same rate.
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Community,and Across Care Settings
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60 Verified Questions
60 Flashcards
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Sample Questions
Q1) A school-age child with asthma came to the emergency department with a respiratory rate of 44 breaths/minute and wheezes heard throughout.After two breathing treatments,the nurse assesses a respiratory rate of 8 breaths/minute and hears no wheezing.The child is lying quietly on the bed.What action by the nurse is best?
A)Allow the child to rest undisturbed.
B)Call for another respiratory treatment.
C)Obtain oxygen saturation;notify provider.
D)Reassess the child in 30 minutes.
Q2) A child weighs 8 lb.The correct calculation for this child's 24-hour maintenance fluid requirements is ____________________ mL.
Q3) A child has had eye testing.The nurse reads in the child's chart that the Hirschberg test demonstrated displacement of light reflection in one eye.What does this indicate to the nurse?
A)Color blindness
B)Normal ocular alignment
C)Presence of cataracts
D)Presence of strabismus
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Page 23
Chapter 22: Caring for the Child With a Psychosocial or Cognitive Condition
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) A nurse is interviewing a mother of two children,ages 5 and 14.They were in a hotel fire a year ago in which their father was killed.The mother is concerned because the younger child has nightmares.The older child does not seem to have any problems.What action by the nurse is the most appropriate?
A)Ask the mother about physical injuries to the children.
B)Determine if the mother sought counseling after the fire.
C)Focus the appointment on the younger child only.
D)Inquire if the older child avoids hotels,even on television.
Q2) A nurse is working with the parents of a child who has the following complaints: fatigue,insomnia,persistent irritable mood,and significant weight loss.Which discharge instruction is the priority?
A)Encourage the child to eat more protein.
B)Enroll the child in after-school activities.
C)Establish a routine bedtime and wake time.
D)Ensure the child is safe at all times.
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Page 24
Chapter 23: Caring for the Child With a Respiratory Condition
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64 Verified Questions
64 Flashcards
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Sample Questions
Q1) An infant is being discharged from the hospital after treatment for respiratory syncytial virus (RSV).The infant still has some mild respiratory distress at times.Which discharge instruction is the priority for this infant?
A)"Bring the child back if she runs a temperature."
B)"Feed baby small amounts while she is sitting up."
C)"Give her antibiotics right after feeding her."
D)"If you need to use the bulb suction,bring her back."
Q2) The pediatric nurse examines a neonate and documents that the baby is pink in color when crying but turns bluish when quiet.Which question would be most appropriate to ask the parent?
A)"Does the baby have trouble when eating?"
B)"Have your other children had this problem?"
C)"How many respiratory infections has she had?"
D)"You don't ever prop her bottle,do you?"
Q3) A child who weighs 32 lb (14.5 kg)is prescribed erythromycin (Sumycin)every 8 hours.Calculate the dose range for a single dose of this drug.(Round to the nearest hundredth).
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Page 25
Chapter 24: Caring for the Child With a Gastrointestinal Condition
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50 Verified Questions
50 Flashcards
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Sample Questions
Q1) A nurse is caring for a child with irritable bowel syndrome (IBS)who has severe abdominal cramping.Which medication would the nurse question for this child?
A)Bisacodyl (Dulcolax)
B)Hyoscyamine (Levsin)
C)Phenobarbital (Donnatal)
D)Scopolomine (Isopto)
Q2) A child has been admitted to the hospital with acute diarrhea.Which assessment finding by the nurse would indicate that goals for the priority nursing diagnosis have been met?
A)No stooling for 4 hours
B)Perineal skin intact
C)Stable weight for 2 days
D)White blood cell count normal
Q3) A patient has pancreatitis.Which daily laboratory test will the nurse review as a priority for this patient?
A)Amylase
B)C-reactive protein
C)Lipase
D)White blood cell count
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Chapter 25: Caring for the Child With an Immunological or Infectious Condition
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Sample Questions
Q1) A child is being sent home from the doctor's office with a prescription for azithromycin (Zithromax)for presumed cat-scratch disease.Which instruction to the parents is most important?
A)"Be sure to treat your cat for fleas."
B)"Don't take this unless the scratch gets infected."
C)"Make sure he takes all of this antibiotic."
D)"You should not have cats around small children."
Q2) A child has been hospitalized with rubella.Which action by the charge nurse is most appropriate?
A)Do not allow pregnant nursing staff in the room.
B)Inform the parents that fresh produce is not allowed.
C)Place the child on contact isolation precautions.
D)Use standard precautions when caring for the child.
Q3) A parent is refusing to have a child vaccinated,preferring to have the child contract the illness and develop "natural immunity." Which response by the nurse is best?
A)"I'm sure you know what is best for your baby."
B)"I'll have to report you to social work."
C)"That practice is dangerous and illegal."
D)"These diseases have many serious consequences."
Page 27
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Chapter 26: Caring for the Child With a Cardiovascular Condition
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58 Verified Questions
58 Flashcards
Source URL: https://quizplus.com/quiz/44970
Sample Questions
Q1) A student nurse is caring for a child several hours after open heart surgery.Which action by the student requires intervention by the registered nurse?
A)Administers pain medication based on assessment of nonverbal signs of pain
B)Groups nursing care tasks to allow for uninterrupted periods of rest and sleep
C)Monitors hourly output from child's indwelling urinary catheter and chest tube
D)Prepares to administer medication through the central venous pressure line
Q2) A student nurse records a systolic blood pressure of 106 mm Hg for a 4-year-old child.Which response by the registered nurse is best?
A)Ask the student if this is a normal finding.
B)Have the student repeat the blood pressure.
C)Refer the family to a health-care provider.
D)Tell the student to document the results.
Q3) A child diagnosed with a heart murmur is scheduled for an echocardiogram.Which information about this diagnostic test does the nurse provide to the family?
A)Allows visualization of the heart's electrical activity
B)Gives direct pressure measurements across valves
C)Provides more specific information than other tests
D)Shows the location and size of a heart defect
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Chapter 27: Caring for the Child With an Endocrinological or
Metabolic Condition
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56 Verified Questions
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Sample Questions
Q1) A student nurse is caring for a child with gigantism.Which hormones does the faculty member explain are important in this condition? (Select all that apply.)
A)Androgens
B)Corticosteroids
C)Growth hormone
D)Insulin-like growth factor
E)Somatostatin
Q2) A nurse is caring for a 45-kg (99-lb)child undergoing a water deprivation test.At a routine assessment during the test,the nurse notes the child's weight at 42 kg.Which action by the nurse takes priority?
A)Allows the child to have clear liquids,like broth
B)Documents the findings and continues to monitor
C)Increases the rate of the IV fluid infusion by 5%
D)Notifies the health-care provider immediately
Q3) The student nurse knows that which gland produces the hormone triiodothyronine?
A)Adrenal
B)Hypothalamus
C)Parathyroid
D)Thyroid
Page 29
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Chapter 28: Caring for the Child With a Neurological or Sensory Condition
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60 Verified Questions
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Q1) A nurse is caring for a child and notes Battle's sign during the assessment.Which action by the nurse is the most appropriate?
A)Assist with obtaining laboratory studies.
B)Document the findings in the child's chart.
C)Measure the child's abdominal girth.
D)Notify the provider and facilitate a CT or an MRI.
Q2) The pediatric nurse is caring for a child with increased intracranial pressure (ICP).The nurse places priority on completing which interventions? (Select all that apply.)
A)Administering mannitol (Osmitrol)
B)Lowering the head of the bed
C)Maintaining a patent airway
D)Performing vigorous suctioning
E)Preventing hyperthermia
Q3) What would the nurse assess for in a child with a disturbance in the basal ganglia?
A)Ataxia
B)Hyperthermia
C)Hypotension
D)Incontinence
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Chapter 29: Caring for the Child With a Musculoskeletal Condition
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63 Verified Questions
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Sample Questions
Q1) An 8-year-old child is being treated for suspected tetanus.Which medications are appropriate for this child? (Select all that apply.)
A)Ceftriaxone (Rocephin)
B)Clindamycin (Cleocin)
C)Erythromycin (Erythrocin)
D)Penicillin G (Pfizerpen)
E)Tetracycline (Sumycin)
Q2) The parents of a child recently diagnosed with Duchenne's muscular dystrophy want to know if their infant twin daughters should be tested for the disease too.Which response by the nurse is the most appropriate?
A)"No,Duchenne's muscular dystrophy is a sex-linked genetic disorder rarely affecting females."
B)"No,infants the age of your daughters are too young to undergo testing for Duchenne's muscular dystrophy."
C)"Yes,the earlier the diagnosis of any type of muscular dystrophy is made,the better the child's quality of life."
D)"Yes,females are equally likely to have Duchenne's muscular dystrophy as are boys."
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Chapter 30: Caring for the Child With a Integumentary Condition
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45 Verified Questions
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Sample Questions
Q1) A child in the emergency department has cellulitis on the forearm.A nursing student is preparing to administer benzathine penicillin (Bicillin LA).Which action by the nursing student warrants intervention by the staff nurse?
A)Instructs the family members that they must wait at least 15 minutes before leaving B)Plans to use a 25-gauge, \(3 / 4\) -inch needle to administer the medication
C)Reconstitutes the medication using sterile normal saline solution
D)Selects a large,well-defined muscle for a deep intramuscular injection
Q2) A child weighing 123 lb (56 kg)has been diagnosed with Rocky Mountain Spotted Fever.The nurse calculates that the correct dose,to be given twice a day,is
Q3) The pediatric nurse knows that which child is most likely to bite another?
A)Adolescent,due to increased anger
B)No specific group is at higher risk.
C)School-aged child,due to frustration
D)Toddler,due to lack of verbal ability
Q4) A child weighing 34 kg (74.8 lb)has a burn encompassing 35% total body surface area (TBSA).Using the standard Parkland formula,the nurse calculates the child's initial 24-hour fluid requirement to be ____________________mL.
Page 32
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Chapter 31: Caring for the Child With a Genitourinary Condition
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Sample Questions
Q1) A student nurse wants to know why a bruit is heard and a thrill palpated at the site of an AV fistula used for dialysis.Which response by the nephrology nurse is the most appropriate?
A)Abnormal findings signaling complications
B)Flapping of the AV valve during circulation
C)Small blood clots blocking some blood flow
D)Turbulent blood flow through the fistula
Q2) A nurse is explaining to a group of students that there are certain criteria that are met before a child starts renal replacement therapy.Which of the following criteria does the nurse include in the discussion with the students? (Select all that apply.)
A)Acidosis with pH < 7.2 or rising rapidly
B)BUN > 150 mg/dL,or lower if rising rapidly
C)Mental status changes from uremia
D)Potassium > 6.5 mEq/L despite treatment
E)Presence of dialyzable toxins or poisons
Q3) A child weighs 32 kg (74.4 lb).This child's 24-hour fluid requirements would be calculated as ____________________.
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Chapter 32: Caring for the Child With a Hematological Condition
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Sample Questions
Q1) A child weighing 32 kg (74.4 lb)is taking iron.By your calculation,the daily dose of the drug for this child would be____________________ mg/day,in two divided doses.
Q2) A nurse is assessing an infant for the most common type of anemia worldwide.What action by the nurse is most helpful?
A)Assess if formula is iron-fortified.
B)Determine family history of anemia.
C)Look at mucous membranes for pallor.
D)Perform range of motion on the hips.
Q3) Which health promotion measure does the nurse teach as being most important for the child with sickle cell disease?
A)Adequate nutrition
B)Ensured rest periods
C)Plenty of fluids
D)Routine vaccinations
Q4) A child who weighs 32 kg (74.4 lb)is hospitalized with a sickle cell crisis.By your calculation,this child's 24-hour fluid requirement would be ____________________ mL/24 hours.
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Chapter 33: Caring for the Child With Cancer
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55 Verified Questions
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Q1) A nurse is caring for a child who is scheduled to have intrathecal chemotherapy today.Which action by the nurse is most important when providing care to this patient and family?
A)Educating family on side effects of chemotherapy
B)Ensuring a signed consent is on the chart
C)Providing distraction techniques during the process
D)Reassuring the child the parents will be present
Q2) A student is learning about the process of hematopoiesis and how it is affected by leukemia.Which information does the student discover? (Select all that apply.)
A)Blast cells multiply faster than mature cells.
B)Leukemia disrupts normal hematopoiesis.
C)Lymphoid cells differentiate into B and T cells.
D)Myeloid cells crowd out normal cells in bone marrow.
E)Pancytopenia occurs from proliferation of mast cells.
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Chapter 34: Caring for the Child With a Chronic Condition or
the Dying Child
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Q1) The pediatric nurse is caring for an adolescent with cancer.The parents are interested in exploring complementary and alternative (CAM)therapies.Which response by the nurse is the most appropriate?
A)"Be careful;many CAM providers prey on desperation."
B)"CAM therapies have worked well for many cancer patients."
C)"These treatments only provide relief through a placebo effect."
D)"Although many people like CAM,many therapies have not been researched."
Q2) A nurse notes that a patient with cystic fibrosis develops difficult breathing.The nurse calls the father to report his condition.The father,who has been continually present,cannot be there because the patient's sister has influenza and the father stayed at home to care for his daughter.In the morning,the nurse sees the patient's father and approaches him to talk.Which statement by the nurse is most appropriate at this time?
A)"I feel sorry that you were not here when your son got so sick last night."
B)"Please sit down.I want to update you about your son's condition."
C)"Your son had a difficult night.It is too bad you were not here with him."
D)"Your son might die.Come with me now and see him before it's too late."
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Chapter 35: Caring for the Critically Ill Child
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50 Verified Questions
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Q1) A nurse receives report on patients in the pediatric intensive care unit who are at risk for hypoperfusion.Which child should the nurse see first?
A)Hypotensive
B)Oliguric
C)Tachycardic
D)Weak pedal pulses
Q2) A child is brought to the emergency department with moderate respiratory distress.She has an oxygen saturation of 89% but is awake,alert,and responsive,and is clinging to the mother.The nurse is consulting about appropriate oxygen delivery devices and expresses concern about the patient retaining CO<sub>2</sub>.Which oxygen delivery device is the most appropriate for this child?
A)Facial CPAP
B)Nasal cannula
C)Oxygen tent
D)Venturi mask
Q3) A child who weighs 28 lb needs fluid resuscitation.The nurse plans to administer
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