Health Concepts Exam 3 - Practice Questions
Use of splitting is most associated with which personality disorder? A. Antisocial B. Borderline C. Dependent D. Schizotypal
B
When caring for a patient having a hypoglycemic episode, the nurse knows which symptom requires immediate intervention? A. Hunger B. Confusion C. Headache D. Tachycardia
B
The patient is a 21-year-old who has recently been diagnosed with ulcerative colitis (UC). In the ED, she tells the nurse that she has been having 7 to 8 bloody stools daily. Upon assessment, the nurse finds that her heart rate is 120/min, and she has abdominal pain upon palpation. Laboratory results show a hemoglobin level of 9 g/dL. How is the severity of the patient's ulcerative colitis categorized? A. Mild B. Severe C. Moderate D. Fulminant The patient is admitted to the acute medical unit. Which medication would the nurse question? A. Ibuprofen (Motrin) B. Mesalamine (Asacol) C. Prednisone (Deltasone) D. Loperamide (Imodium)
1. B 2. A
A 23-year-old patient with a history of type 1 diabetes is admitted to the ED with nausea and abdominal pain. His respiratory rate is 34/min with deep breaths and a fruity smell to his breath. He is responsive, but difficult to arouse. 1. What does the nurse suspect is happening with this patient? 2. What serum glucose level would the nurse expect to see with this patient? 3. The student nurse asks why the patient is breathing so rapidly and deeply. What is the nurse's best response? A. "His serum pH is high, and this is a compensatory mechanism." B. "His serum pH is low and this is a compensatory mechanism." C. "His serum potassium is high and this is a compensatory mechanism." D. "His serum potassium is low and this is a compensatory mechanism."
1. DKA 2. >300 mg/dL 3. B
Which of the following chronic complications is associated with diabetes? A. Dizziness, dyspnea on exertion, and coronary artery disease B. Retinopathy, neuropathy, and coronary artery disease C. Leg ulcers, cerebral ischemic events, and pulmonary infarcts D. Fatigue, nausea, vomiting, muscle weakness, and cardiac arrhythmias
B
A 15 year old, who is type 1 diabetic, reports that she almost "passes out" during gym class. What information would you assess from the teenager? A. Her eating habits prior to gym class B. How she takes her blood glucose after exercise. C. What type of form she needs to have filled out so she can be excused from gym class. D. None of the options are correct.
A
A mother brings her child in the office for a follow-up appointment and voices concern that her child has started urinating more than normal and is constantly thirsty & hungry. As the RN, you suspect? A. Diabetes Mellitus B. Phenylkentonuria C. Hypoglyemia D. Tret's syndrome
A
A nurse is caring for four patients with leukemia. After hand-off report, which patient should the nurse see first? a. Patient who had two bloody diarrhea stools this morning b. Patient who has been premedicated for nausea prior to chemotherapy c. Patient with a respiratory rate change from 18 to 22 breaths/min d. Patient with an unchanged lesion to the lower right lateral malleolus
A
A nurse is preparing a plan of care for a client with diabetes mellitus who has hyperglycemia. The priority nursing diagnosis would be: A. High risk for deficient fluid volume B. Deficient knowledge: disease process and treatment C. Imbalanced nutrition: less than body requirements D. Disabled family coping: compromised
A
A nurse is teaching preadolescents about puberty. What should the nurse tell them about the primary sex characteristics? A. They are related to reproduction B. They develop at the same rate in most adolescents. C. Each sex is identified by the primary sex characteristics. D. Primary sex characteristics are apparent before secondary sex characteristics.
A
A patient has frequent hospitalizations for leukemia and is worried about functioning as a parent to four small children. What action by the nurse would be most helpful? a. Assist the patient to make "sick-day" plans for household responsibilities. b. Determine if there are family members or friends who can help the patient. c. Help the patient inform friends and family that they will have to help out. d. Refer the patient to a social worker in order to investigate respite child care.
A
A woman in preterm labor at 30 weeks of gestation receives two 12-mg doses of betamethasone IM. The purpose of this pharmacologic treatment is to: A. Stimulate fetal surfactant production B. Reduce maternal and fetal tachycardia associated with ritodrine administration C. Suppress uterine contractions D. Maintain adequate maternal respiratory effort and ventilation during magnesium sulfate therapy
A
During the summer, many children are more physically active. What changes in the management of the child with type 1 diabetes mellitus should be expected as a result of more exercise? A. Increased food intake B. Decreased food intake C. Increased risk of hyperglycemia D. Decreased risk of insulin shock
A
In caring for an immediate postpartum woman, you note petechiae and oozing from her IV site. You monitor her closely for which clotting disorder? A. Disseminated Intravascular Coagulation (DIC) B. Amniotic Fluid Embolism (AFE) C. Hemorrhage D. HELLP Syndrome
A
In the ED, the patient is diagnosed with diabetic ketoacidosis (DKA). What is the nurse's first priority for managing this condition? A. Airway assessment B. Administration of insulin C. Fluid and electrolyte correction D. Administration of IV potassium
A
On admission to the clinic, the nurse notes a moderate amount of serous exudate leaking from the patient's wound. The nurse realizes that this fluid a. contains the materials used by the body in the initial inflammatory response. b. indicates that the patient has an infection at the site of the wound. c. is destroying healthy tissue. d. results from ineffective cleansing of the wound area.
A
Perfectionism is a trait likely to be evident in a person with which personality disorder? A. Obsessive-compulsive B. Narcissistic C. Antisocial D. Avoidant
A
The exact cause of preterm labor is unknown and believed to be multifactoral. Infection is thought to be a major factor in many preterm labors. Select the type of infection that has not been linked to preterm births. A. Viral B. Periodontal C. Cervical D. Urinary Tract
A
The nurse is admitting a patient diagnosed with type 2 diabetes mellitus. The nurse should expect the following symptoms during an assessment, except: A. Hypoglycemia B. Frequent bruising C. Ketonuria D. Dry mouth
A
The nurse is assessing a client with a history of absence seizures. Which clinical manifestation does the nurse assess for? A. Automatisms B. Intermittent rigidity C. Sudden loss of muscle tone D. Brief jerking of the extremities
A
The nurse is caring for a patient with leukemia who has the priority problem of fatigue. What action by the patient best indicates that an important goal for this problem has been met? a. Doing activities of daily living (ADLs) using rest periods b. Helping plan a daily activity schedule c. Requesting a sleeping pill at night d. Telling visitors to leave when fatigued
A
What is a clinical manifestation of increased intracranial pressure (ICP) in infants? A. Shrill, high-pitched cry B. Photophobia C. Pulsating anterior fontanel D. Vomiting and diarrhea
A
What nursing diagnosis is the most appropriate for a woman experiencing severe preeclampsia? A. Risk for injury to mother and fetus, related to CNS irritability B. Risk for altered gas exchange C. Risk for deficient fluid volume, related to increased sodium retention secondary to the administration of magnesium sulfate D. Risk for increased cardiac output, related to the use of hypertensive drugs
A
Which drug is used to stop or slow preterm labor? A. Magnesium sulfate B. Misoprostol (Cytotec) C. Methylergonovine (Methergine) D. Prostaglandin F (Prostin/15M, Hemabate)
A
Which mood disorder is characterized by the patient feeling depressed most of the day for a 2-year period? a). Dysthymia b). Cyclothymia c). Melancholic disorder d). Seasonal affective disorder
A
Which nursing diagnosis is highest priority for a child undergoing chemotherapy and experiencing nausea and vomiting? A. Fluid and Electrolyte Imbalance B. Alterations in Nutrition C. Alterations in Skin Integrity D. Body Image Disturbances
A
You are going over insulin administration education with a patient's mother. Which statement by her raises concern? A. "When she is sick I will hold her insulin." B. "I will bring her in every 3 months for a glycosylate hemoglobin blood drawn." C. "I ordered her a Medic-Alert bracelet yesterday." D. "I always carry sugary items in case she has a hypoglycemic attack."
A
You are performing a head to toe assessment on a patient admitted with abruptio placentae. Which of the following assessment findings would you immediately report to the physician? A. Oozing around the IV site B. Tender Uterus C. Hard Abdmomen D. Vaginal Bleeding
A
A woman in labor with no known complications rings the call bell to say she has had a "gush" from her vagina. The nurse identifies a large amount of bright-red blood. In what order should the nurse perform these interventions? A. Call for help. B. Check fetal heart tones. C. Start oxygen at 8 L/mask. D. Call the health care provider. E. Increase the maintenance IV infusion rate.
A B E C D
The nurse is planning care for a client with epilepsy. Which precautions does the nurse implement to ensure the safety of the client while in the hospital? (Select all that apply.) A. Have suction equipment at the bedside B. Place a padded tongue blade at the bedside. C. Permit only clear oral fluids. D. Keep bed rails up at all times. E. Maintain the client on strict bedrest. F. Ensure that the client has IV access
A, D, F
Twenty minutes later, the patient is admitted to the ICU for DKA management. The patient is receiving IV regular insulin with frequent finger sticks to check his glucose level. His potassium level is 2.5, and IV potassium supplements have been ordered.What assessment must the nurse make before giving the IV potassium? A. Respiratory rate of less than 24/min B. Production of at least 30 mL/hr of urine C. Level of consciousness and orientation D. Finger stick glucose of less than 200 mg/dL
B
As the patient is preparing to discharge, the patient should be taught to restrict which elements in her diet? (Select all that apply.) A. Potassium B. Phosphorus C. Calcium D. Protein E. Vitamins
A, B, D
A nurse is teaching a group of patients about Metabolic syndrome. Which assessment features are associated with the syndrome? (Select all that apply.) A. Male waist circumference 44 inches B. Fasting blood glucose 66 mg/dL C. Triglyceride value of 162 mg/dL D. Blood pressure 135/85E. Patient is taking blood pressure medication
A, C, D, E
Two days later the patient is recovered and is preparing for discharge. His wife asks about what they can do to prevent this from happening again.What should the nurse teach the patient and his wife? (Select all that apply.) A. Monitor glucose whenever the patient is ill. B. Decrease fluid intake when nausea and vomiting occur. C. Watch for and report any illness lasting more than 1 to 2 days. D. Check blood glucose levels every 4 to 6 hours if anorexia, nausea, or vomiting is experienced. E. Check urine ketones when blood glucose is greater than 300 mg/dL.
A, C, D, E
Which interventions are included in the nursing care for a client receiving magnesium sulfate for severe preeclampsia? Select all that apply. A. Monitoring deep tendon reflexes B. Assessing urine output every 8 hrs C. Maintaining a dark quiet environment D. Having a pump to regulate the medication E. Having calcium gluconate available F. Notifying healthcare provider if respiratory arte less than 20.
A, C, D, E
A student studying leukemia learns the risk factors for developing this disorder. Which risk factors does this include? Select all that apply. a. Chemical exposure b. Genetically modified foods c. Ionizing radiation exposured. Vaccinations e. Viral infections
A, C, E
Select all the signs and symptoms associated with placenta previa: A. Painless bright red bleeding B. Concealed bleeding C. hard, tender uterus D. Normal fetal heart rate E. Abnormal fetal position F. Rigid abdomen
A, D, E
The nurse assesses the patient and notes all of the following. Select all of the findings that indicate the systemic manifestations of inflammation. A. Oral temperature 38.6° C/101.5° F B. Thick, green nasal discharge C. Patient complaint of pain at 6 on a 0 to 10 scale on palpation of frontal and maxillary sinuses D. WBC 20 ´ 109 /LE. Patient reports, "I'm tired all the time. I haven't felt like myself in days."
A, D, E
A client who has been pregnant for 5 months experiences a spontaneous abortion after an accident. The client tells the nurse that she feels depressed over the loss of her son. She describes how he would have looked and how bright he would have been. What is the client demonstrating? A. Panic level of anxiety B. Typical grief syndrome C. Pathological grief reaction D. Diminished ability to test reality
B
A patient is diagnosed with a sprain to her right ankle after a fall. The patient asks the nurse about using ice on her injured ankle. The nurse should tell the patient that A. She should use ice only when the ankle hurts. B. Ice should be applied for 15 to 20 minutes every 2 to 3 hours 24-48 hours after the injury occurs. c. She should wrap an ice pack around the injured ankle for the next 24 to 48 hours. D. Ice is not recommended for use on the sprain because it would inhibit the inflammatory response.
B
A patient is receiving magnesium sulfate to help suppress preterm labor. The nurse should watch for which sign of magnesium toxicity? A. Headache B. Loss of deep tendon reflexes C. Palpitations D. Dyspepsia
B
A pregnant client is now in the third trimester. The client tells the nurse, "I want to be knocked out for the birth." How should the nurse respond? A. "You are worried about too much pain." B. "You don't want to be awake during the birth." C. "I can understand that because labor is uncomfortable." D. "I will tell your health care provider about this request."
B
Albert, a 35-year-old insulin-dependent diabetic, is admitted to the hospital with a diagnosis of pneumonia. He has been febrile since admission. His daily insulin requirement is 24 units of NPH. Every morning Albert is given NPH insulin at 0730. Meals are served at 0830, 1230, and 1830. The nurse expects that the NPH insulin will reach its maximum effect (peak) between the hours of: A. 1130 and 1330 B. 1330 and 1930 C. 1530 and 2130 D. 1730 and 2330
B
During a manic episode, a patient is observed acting hyperactive, restless, and disorganized.The patient goes to the dining room, and begins to throw food, and dishes around. Verbal intervention by the staff is ineffective. The staff then escorts the patient from the dining room to the patient's room to dine alone. What is the rationale for this intervention? a). Prevent other patients from observing the behavior. b). The patient's behavior poses a substantial risk of injury to others and self. c). Protect the patient's biological integrity until medication takes effect. d). Reinforce limit setting, making sure that the patient learns how to follow unit rule
B
Glycosylated hemoglobin (HbA1C) test measures the average blood glucose control of an individual over the previous three months. Which of the following values is considered a diagnosis of pre-diabetes? A. 6.5-7% B. 5.7-6.4% C. 5-5.6% D. >5.6%
B
In staging and grading neoplasms, the TNM system is used. What does TNM indicate? A. Time, Neoplasm, Mode of growth B. Tumor, Node, Metastasis C. Tumor, Neoplasm, Mode of growth D. Time, Node, Metastasis
B
The nurse is providing nutrition teaching to a 22-year-old primipara who is 6 weeks pregnant. To decrease the occurrence of neural tube defects in newborns, the nurse would encourage the adequate intake of: A. Niacin B. Folic acid C. Vitamin A D. Vitamin B 12
B
The postpartum nurse has just received report on four clients. Which client should the nurse care for first? A. Client who vaginally delivered a 7-lb baby 1 hour ago B. Client who vaginally delivered a 9-lb baby 1 hour ago C. Client who vaginally delivered a preterm baby 4 hours ago D. Client who had a planned cesarean delivery of an 8-lb baby 2 hours ago
B
The school nurse presents a class on female reproduction to a group of junior high school girls. Which statement by a student after the class indicates a need for clarification of the teaching? A. "A girl can get pregnant before she's had her first period." B. "Women with big breasts have more milk after they have a baby." C. "Girls lose less than 5 tablespoons of blood when they have a period." D. "When a girl is born she already has all of the eggs that she'll every have."
B
The nurse reviews the patient's complete blood count (CBC) results and notes that the neutrophil levels are elevated, but monocytes are still within normal limits. This indicates _____ inflammatory response a. chronic b. resolved c. early stage acute d. late stage acute
C
A baby is born at 37 weeks gestation to a mother with gestational diabetes. As the nurse you know at birth that the newborn is at risk for? Select all that apply: A. Hyperglycemia B. Hypoglycemia C. Respiratory distress D. Jaundice E. Hyperthermia
B, C
A patient has gestational diabetes and is currently 34 weeks pregnant. Which assessment findings below should you immediately report to the physician? Select all that apply: A. Blood glucose 129 mg/dL B. Blood pressure 190/102 C. Proteinuria D. Linea nigraE. Negative glycosuria
B, C
You're providing an educational class for pregnant women about gestational diabetes. You discuss the role of insulin in the body. Select all the CORRECT statements about the role and function of insulin: A. "Insulin is a type of cell that provides glucose to the body from the blood." B. "Insulin is a hormone secreted by the beta cells of the pancreas." C. "Insulin influences cells by causing them to uptake glucose from the blood." D. "Insulin is a protein that helps carry glucose into the cell for energy."
B, C
In formulating a nursing diagnosis of risk for infection for a client with chronic lymphoid leukemia (CLL), nursing measures should include: (Select all that apply.) a. Maintaining a clean technique for all invasive procedures. b. Placing the client in protective isolation. c. Limiting visitors who have colds and infections. d. Ensuring meticulous hand washing by all persons coming in contact with the client.
B, C, D
The nurse is admitting a client with hypoglycemia. Identify the signs and symptoms the nurse should expect. Select all that apply. A. Thirst B. Palpitations C. Diaphoresis D. Slurred speech E. Hyperventilation
B, C, D,
A 36 year old woman, who is 38 weeks pregnant, reports having dark red bleeding. The patient experienced abruptio placentae with her last pregnancy at 29 weeks. What other signs and symptoms can present with abruptio placentae? Select all that apply: A. Decrease in fundal height B. Hard abdomen C. Fetal distress D. Abnormal fetal position E. Tender Uterus
B, C, E
Your patient who is 34 weeks pregnant is diagnosed with total placenta previa. The patient is A positive. What nursing interventions below will you include in the patient's care? Select all the apply: A. Routine vaginal examinations B. Monitoring for vital signs C. Administer RhoGam per MD order D. Assess internal fetal monitoring E. Placing patient on sidee-lying position F. Monitoring pad count G. Monitoring CBC and clotting levels
B, E, F, G
A 36-year-old woman comes to the emergency department complaining of severe abdominal cramping and heavy bleeding. She informs the nurse that she is 10 weeks pregnant. Cervical examination reveals heavy bleeding; the cervical os is open and tissue is present. Which type of miscarriage is the client experiencing? A. Missed B. Complete C. Inevitable D. Threatened
C
A child is brought to the emergency department after experiencing a seizure at school. There is no previous history of seizures. The father tells the nurse that he cannot believe the child has epilepsy. The nurse's best response is: A. "Epilepsy is easily treated." B. "Very few children have actual epilepsy." C. "The seizure may or may not mean that your child has epilepsy." D. "Your child has had only one convulsion; it probably won't happen again."
C
A pregnant woman has been receiving a magnesium sulfate infusion for treatment of severe preeclampsia for 24 hours. On assessment, the nurse finds the following vital signs: temperature 37.3 C, pulse rate 88 bpm, respiratory rate 10 breaths per minute, BP 148/90 mm Hg, absent deep tendon reflexes (DTRs), and no ankle clonus. The client complains, "I'm so thirsty and warm." What is the nurse's immediate action? A. To call for an immediate magnesium sulfate level B. To administer oxygen C. To discontinue the magnesium sulfate infusion D. To prepare to administer hydralazine
C
A primigravida is being monitored at the prenatal clinic for preeclampsia. Which finding is of greatest concern to the nurse? A. Blood pressure increase to 138/86 mm Hg B. Weight gain of 0.5 kg during the past 2 weeks C. Dipstick value of 3+ for protein in her urine D. Pitting pedal edema at the end of the day
C
A school-age child recently diagnosed with type 1 diabetes mellitus asks the nurse if playing soccer, playing baseball, and swimming are still possible. The nurse's response should be based on knowledge that: A. Exercise is contraindicated in the type 1 diabetic child B. Soccer and baseball are too strenuous, but swimming is acceptable. C. Exercise is not restricted unless indicated by other health conditions. D. The level of activity depends on the type of insulin required.
C
A young child is having a seizure that has lasted 35 minutes. There is a loss of consciousness. Based on the nurse's knowledge of seizures, the nurse recognizes this as: A. Absence seizure B. Generalized seizure C. Status epilepticus D. Simple partial seizure
C
After dialysis, the patient's daughter asks why the dialysis nurses weigh her mother before and after the dialysis treatment. What is the nurse's best response? A. "It is part of the protocol for dialysis." B. "It ensures that she is getting adequate nutrition." C. "It estimates the amount of fluid and sodium your mother is retaining and how much is taken off during dialysis." D. "It is essential for calculating the fluid restriction your mother will receive on non-dialysis days."
C
After dialysis, which instruction should the nurse provide to the student nurse who is helping to provide care for the patient? A. Expect the patient's blood pressure to be higher after dialysis. B. The patient's weight will most likely be increased after dialysis. C. Expect the patient's temperature to be higher after dialysis. D. The patient's clotting studies will need to be drawn after dialysis.
C
The labor of a pregnant woman with preeclampsia is going to be induced. Before initiating the oxytocin (Pitocin) infusion, the nurse reviews the women's latest laboratory test findings, which reveal a platelet count of 90,000, an elevated aspartate aminotransaminase (AST) level, and falling hematocrit. The laboratory results are indicative of which condition? A. Eclampsia B. Disseminated Intravascular Coagulation (DIC) syndrome C. HELLP Syndrome D. Idiopathic Thrombocytopenia
C
The nurse is teaching a patient with type 1 diabetes about exercise. The nurse understands the patient should avoid exercise during what time? A. During colder months B. When serum glucose is less than 150 C. When ketones are present in the urine D. When emotional stressors are high for the patient
C
The patient is preparing for discharge. She asks what is the best way to keep her skin from breaking down. What is the appropriate teaching the nurse will provide? A. "Add high-fiber or high-cellulose foods to your diet." B. "Apply a pectin-based skin barrier after each bowel movement." C. "Wash with mild soap and warm water after each bowel movement." D. "Take a laxative daily at bedtime to facilitate morning bowel movements."
C
The patient is to have hemodialysis this morning. Which drug should be held until after the dialysis treatment? A. Calcium B. Multivitamin C. Atenolol (Tenormin) D. Glyburide (DiaBeta)
C
Which behavior indicates that a patient diagnosed with borderline personality disorder is improving? A. The patient cries when her roommate refuses to go to the dining room with her. B. The patient yells at the group facilitator when he points out that she is monopolizing the group. C. The patient informs a staff member that she is having thoughts of harming herself. D. The patient tells the evening staff that the day staff excused her from group to smoke when she got upset.
C
A 32-year-old female is diagnosed with gestational diabetes. As the nurse you know that what test below is used to diagnose a patient with this condition? A. 1 hour glucose tolerance test B. 24 hour urine collection C. Hemoglobin A1C D. 3 hour glucose tolerance test
D
A 68-year-old woman has chronic kidney disease and a history of type 2 diabetes. Two weeks ago, she had surgery to place a vascular graft access for hemodialysis. Which precaution will the nurse follow to ensure the function of the AV graft? A. Insert an IV and run saline at 10 mL/hr. B. Keep the patient's arm elevated on two pillows. C. Monitor blood pressure and radial pulses in both arms. D. Check for a bruit and thrill by auscultation and palpation over the site.
D
A client at 36 weeks of gestation presents to labor and delivery complaining of a constant headache for the past 2 days. She also states that her face "seems more swollen than usual." What should be the nurse's first action? A. Obtain a urine sample B. Place the client on a fetal heart monitor C. Notify the physician on the client's concerns D. Take the client's blood pressure
D
A client with epilepsy develops stiffening of the muscles of the arms and legs, followed by an immediate loss of consciousness and jerking of all extremities. How does the nurse document this seizure activity? A. Atonic seizure B. Absence seizure C. Myoclonic seizure D. Tonic-clonic seizure
D
A nurse performs a physical assessment on a client with type 2 diabetes mellitus. Findings include fasting blood glucose of 120mg/dl, temperature of 101, pulse of 88 bpm, respirations of 22 bpm, and a BP of 140/84 mmHg. Which finding would be of most concern to the nurse? A. Pulse B. Blood pressure C. Respiration D. Temperature
D
A nursing student is caring for a patient with leukemia. The student asks why the patient is still at risk for infection when the patient's white blood cell count (WBC) is high. What response by the registered nurse is best? a. "If the WBCs are high, there already is an infection present" b. "The patient is in a blast crisis and has too many WBCs." c. "There must be a mistake; the WBCs should be very low." d. "Those WBCs are abnormal and don't provide protection."
D
A patient has recently been placed on corticosteroids as treatment for ulcerative colitis. The nurse should monitor the patient's laboratory results for evidence of which condition? A. Hyperkalemia B. Hypernatremia C. Hypercalcemia D. Hyperglycemia
D
A woman at 26 weeks of gestation is being assessed to determine whether she is experiencing preterm labor. What indicates that preterm labor is occurring? A. Estriol is not found in maternal saliva B. Irregular, mild uterine contractions occurring every 12 to 15 minutes C. Fetal fibronectin is present in vaginal secretions D. The cervix os effacing and dilated to 2 cm
D
A woman with preeclampsia has a seizure. What is the nurse's highest priority during a seizure? A. To insert an oral airway B. To suction the mouth to prevent aspiration C. To administer oxygen by mask D. To stay with the client and call for help
D
Disseminated intravascular coagulation (DIC) can occur in _______________. This happens because the placenta becomes damaged and detaches from the uterine wall, large amounts of _______________ are released into mom's circulation, leading to clot formation and then clotting factor depletion. A. Placenta previa, fibrinogen B. Placenta previa, platelets C. Abruptio placentae, fibrinogen D. Abruptio placentae, thromboplastin
D
The client has been on magnesium sulfate for 20 hours for the treatment of preeclampsia. She delivered a viable infant girl 30 minutes ago. What uterine findings does the nurse expect to observe or assess in this client? A. Absence of uterine bleeding in the postpartum period B. Fundus firm below the level of umbilicus C. Scant lochia flow D. Boggy uterus with heavy lochia flow
D
The nurse has evaluated a client with preeclampsia by assessing DTRs. The result is a grade 3+. Which DTR response most accurately describes this score? A. Sluggish or diminished B. Brisk, hyperactive, with intermittent or transient clonus C. Active or expected response D. More brisk than expected, slightly hyperactive
D
The nurse is teaching a client who is newly diagnosed with epilepsy. Which statement by the client indicates a need for further teaching concerning the drug regimen? A. "I will not drink any alcoholic beverages." B. "I will wear a medical alert bracelet." C. "I will let my doctor know about all of my prescriptions." D. "I can skip a couple of pills if they make me ill."
D
The patient states, "I am afraid I'll never get to go out with my friends again because I can't be away from the toilet." Which is the appropriate nursing response? A. "What makes you say that?" B. "Your friends will understand." C. "I wouldn't worry about it if I were you." D. "It sounds like you are concerned about managing this disorder when you are out."
D
Which of the following describes a characteristic of most neonatal seizures? A. Generalized seizure B. Tonic-Clonic seizure C. Well-organized seizure D. Subtle & barely discernible seizure
D
With regard to the care management of preterm labor, nurses should be aware that: a. Because all women must be considered at risk for preterm labor and prediction is so hit-and-miss, teaching pregnant women the symptoms probably causes more harm through false alarms. b. Braxton Hicks contractions often signal the onset of preterm labor. c. Because preterm labor is likely to be the start of an extended labor, a woman with symptoms can wait several hours before contacting the primary caregiver. d. The diagnosis of preterm labor is based on gestational age, uterine activity, and progressive cervical change.
D
When do most patients tend to develop gestational diabetes during pregnancy? A. Usually during the 1-3 month of pregnancy B. Usually during the 2-3 month of pregnancy C. Usually during the 1-2 trimester of pregnancy D. Usually during the 2-3 trimester ofpregnancy
D (22-28 weeks)
