NUR 353: HESI practice for exam 2

Transient tachypnea of the newborn is associated with the following symptoms: (select all that apply) a. RR > 60 b. nasal flaring c. grunting d. retracting e. RR 50-60

a. RR > 60 b. nasal flaring c. grunting d. retracting

Immediately after the third stage of labor the nurse administers the prescribed oxytocin infusion. Which explanation would the nurse give the client for the purpose of this medication? A. "It is used to help the uterus contract." B. "It is given to decrease uterine discomfort." C. "It assists in the separation of the placenta." D. "It helps stimulate the production of your breast milk."

A. "It is used to help the uterus contract."

Signs and symptoms of magnesium overdose include the following (select all that apply): A. Slurred speech B. Hyperactive reflexes C. Respirations < 16 bpm D. Decreased urinary rate (< 30 ml/hr) E. Magnesium level > 8 mEq/L

A. Slurred speech C. Respirations < 16 bpm D. Decreased urinary rate (< 30 ml/hr) E. Magnesium level > 8 mEq/L

After the removal of a hydatidiform mole, the nurse assesses the client's serum human chorionic gonadotropin (hCG) laboratory data. This data monitors the client for risk for development of which complication? A. Uterine rupture B. Correct Choriocarcinoma C. Hyperemesis gravidarum D. Disseminated intravascular coagulation (DIC)

B. Correct Choriocarcinoma

When discussing discipline with the mother of a 4-year-old child, the nurse should include which of the following? A. Children as young as 4 years old rarely need to be punished. B. Parental control should be consistent. C. Withdrawal of love and approval is effective at this age. D. One should expect rules to be followed rigidly and unquestioningly.

B. Parental control should be consistent.

Match the following symptoms with the most common reasons for post-partum bleeding. Retained placenta, Cervical laceration, Coagulopathies, Uterine atony a. Trickling of bright red blood with firm uterus b. Heavy or excessive bleeding within hours of birth c. Persistent postpartum bleeding without any identifiable causes d. Resumption of bright red bleeding several days after birth

Retained placenta: Resumption of bright red bleeding several days after birth Cervical laceration: Trickling of bright red blood with firm uterus Uterine atony: Heavy or excessive bleeding within hours of birth Coagulopathies: Persistent postpartum bleeding without any identifiable cause

Immediately after the third stage of labor the nurse administers the prescribed oxytocin infusion. Which explanation would the nurse give the client for the purpose of this medication? a. "It is used to help the uterus contract." b. "It is given to decrease uterine discomfort." c. "It assists in the separation of the placenta." d. "It helps stimulate the production of your breast milk."

a. "It is used to help the uterus contract."

The following woman is most at risk for post-partum depression: a. G1P1; recently immigrated to the United States with husband; does not speak English; no family or friends in area. b. G2P2; single mother; recently lost her job as a cashier; family in area. c. G3P3 military family; history of anxiety and depression; friends in area.

a. G1P1; recently immigrated to the United States with husband; does not speak English; no family or friends in area.

Why is it important for a pregnant woman to avoid supine positioning? a. Inferior vena cava pressure, hypotension b. Superior vena cava pressure, increased pulse c. Liver compression, hypertension d. Lung compression, hypotension

a. Inferior vena cava pressure, hypotension

Which statement made by the parent of an infant receiving phototherapy for jaundice would cause concern? a. "I keep track of the number of wet diapers." b. "My baby's skin is dry, so I applied a little lotion" c. " I placed my baby under the lights dressed only in a diaper" d. "I closed my baby's eyes before placing the mask over them"

b. "My baby's skin is dry, so I applied a little lotion" rationale: Lotion can absorb heat, causing burns on the baby's skin

The nurse is assessing a client with a tentative diagnosis of hydatidiform mole. Which clinical finding would the nurse anticipate? a. Hypotension b. Decreased fetal heart rate c. Unusual uterine enlargement d. Painless, heavy, vaginal bleeding

c. Unusual uterine enlargement rationale: patient would hypertension, no fetal heart rate, brown discharge

A client is experiencing an acute episode of bronchial asthma. The nurse would focus on which goal when creating the clients plan of care? A. Curing the condition permanently B. removing mucous secretions from the chest C. Limiting pulmonary secretions by decreasing fluid intake D. Helping the client recognize that the condition is emotionally based

rationale: always want to increase clear fluids to thin secretions. Emotional response to asthma can occur but it is not the basis of symptoms

Which approach would be best to use to ensure a positive response from a toddler? A. Assume an eye-level position and talk quietly. B. Call the toddler's name while picking him or her up. C. Call the toddler's name and say, "I'm your nurse." D. Stand by the toddler, addressing him or her by name.

A. Assume an eye-level position and talk quietly.

Which action would the nurse include in the plan of care for a 6-month old infant with respiratory syntactical virus (RSV) who is in respiratory distress? a. begin a clear fluid diet b. maintain droplet and contact precautions c. administer prescribed antibiotic immediately d. allow parents and siblings to room in with the infant

b. maintain droplet and contact precautions