Elsevier adaptive quizzing- Communication

What is the responsibility of the nurse in the community based clinic (SATA) 1. Assists parents in the development of skills needed to raise a child 2. Provides encouragement and explanations of parenting strategies 3. Initiates referral to the multidisciplinary health care team members. 4. Maintains communication between the family and the health care team 5. Follows up with the health care team members on the progress of the infant.

1 2 3 4 5

Which clinical finding on the lower extremities of an infant in a spica case would the nurse report to the health care provider (SATA) 1. Pallor 2. Cyanosis 3. Swelling 4. Coldness 5. Numbness

1 2 3 4 5

which method would the nurse use to communicate with a client that has a newly instructed tracheostomy and is unable to speak? (SATA) 1. words and picture cards 2. hand signals 3. picture boards 4. pictures around clock face 5. paper and pen or pencil

1 2 3 4 5

a nurse is taking the blood pressure of a client with hypertension. the first sound is heard at 140 mm Hg the second sound is a swishing wound heard at 130 mm Hg a tapping sound is heard at 100 mm Hg a muffled sound is heard at 90 mm Hg the sound disappears at 72 mm Hg when recording just the systolic and diastolic readings what is the diastolic pressure? 1. 72 m Hg 2. 90 mm Hg 3. 100 mm Hg 4. 130 mm Hg

1. 72 mm Hg

Which sign or symptom will the LPN report to the RN after gathering data from a client at 28 weeks gestation (SATA) 1. Diarrhea 2. Pelvic pressure 3. Menstrual cramps 4 Constant backache 5. Increased vaginal discharge

1 2 3 4 5

after gathering data from a client in the first trimester of pregnancy which risk factor for preterm labor will the LPN report to the RN? (SATA) 1. anemia 2. smoking 3. age of 17 years 4. history of pregnancy loss 5. highest level of education is the 8th grade

1 2 3 4 5

which information will the LPN include in the report to a RN after a laboring clients membranes spontaneously rupture (SATA) 1. odor 2. color 3. time of rupture 4. fetal heart rate. 5. amount of fluid

1 2 3 4 5

A client asks the nurse how long it will take for chest pain to subside after sublingual nitroglycerin is taken. Which time period will the nurse tell the client? 1. 1 to 3 minutes 2. 4 to 5 minutes 3. 30 to 45 seconds 4. 20 to 25 minutes

1. 1 to 3 minutes

which intervention would the nurse take if a client is experiencing a seizure? (SATA) 1. Do not restrain the client 2. Loosen any tight clothing that the client is wearing 3. Calm and reassure the client when the seizure is over 4. Make sure that there is padding around the client's head 5. Turn the client's head to the side when the client starts to relax.

1 2 3 4 5

which action is the nurse implementing when instructing a nursing assistant to give perineal ice packs to client B while the nurse administers misoprostol to client C? 1 delegation 2. multitasking 3. organization 4. accountability

1 delegation

before administering the first series of immunizations to a 2 month old infant the nurse tells the parent that reactions may occur. what are the characteristics of these reactions? 1. Local or systemic and usually mild 2. intermittent vomiting for 24 hours 3. Occasionally ulceration at the injection site 4. May be responsible for permanent neurological damage

1 local or systemic and usually mild

A newborn's total body response to noise or movement is often distressing to the parents. What should the nurse tell the parents this response represents? 1. A reflex that is expected in the healthy newborn 2. A reflex that remains for the newborn's first year. 3. An autonomic reflex indicating the newborn is hungry. 4. An autonomic reflex indicating the newborns basic insecurity.

1. A reflex that is expected in the healthy newborn.

An antidepressant is prescribed for a depressed older client. After 1 week the clients son expresses concern that there does not seem to be much improvement. Which response by the nurse is appropriate? 1. Antidepressant therapy requires several weeks before it becomes effective. 2. Antidepressant therapy will be more effective as the physical condition improves. 3. Additional medications may be required before behavioral changes will be observed. 4. Additional time is needed for the medication to become effective because of the prolonged depression.

1. Antidepressant therapy requires several weeks before it becomes effective

Which purpose does using silence serve in therapeutic communication with a client with a psychiatric diagnosis? 1. Conveys the nurse's willingness to wait for the client to be ready to speak 2. Indicates that it is now the clients turn to speak 3. Implies that the nurse is thinking about the interaction 4. Suggests that the nurse needs no further information

1. Conveys the nurse's willingness to wait for the client to be ready to speak

A 1 day old newborn has just expelled a thick greenish black stool. the nurse determines that this is the first stool. which would the nurse do next? 1. Document the stool in the infants record. 2. Assess the infant for an intestinal obstruction 3. Send the stool to the laboratory per protocol 4. Notify the health care provider that a tarry stool has been passed.

1. Document the stool in the infants record.

Which statement made by a client is accurate regarding the EHR? 1. Errors caused by poor handwriting are prevented 2. Data entered into the EHR is in the 'cloud' and not secure 3. The EHR is used only once to enter health care provider prescriptions 4. Only one health care provider can view the client's record.

1. Errors caused by poor handwriting are prevented

During the examination of a client in labor the nurse determines that the cervix is dilated to 4 cm. Which stage of labor will the nurse document in the record? 1. First 2. Second 3. Prodromal 4. Transistional

1. First

Which addition is recommended by the american association of colleges of nursing (AACN) to improve the SItuation, Background, Assessment, and Recommendation (SBAR) form of communication (SATA) 1. Introduction 2. Read-back 3. Summarize 4. Record 5. Involve

1. Introduction 2. Read-back

Which recommendation by the physical therapist would the nurse follow to prevent displacement of the surgical prosthesis when positioning a client properly in bed after a total hip replacement? 1. Place the abductor splint while the client is in bed. 2. Encourage the client to wiggle fingers and toes hourly. 3. Assist the client with a full range of motion of lower extremities. 4. Remind the client to cross the legs when pivoting into the chair.

1. Place the abductor splint while the client is in bed.

Which home health care team member would the nurse know it responsible for the initial evaluation and admission of a new client? 1. RN 2. NP 3. CNS 4. LPN

1. RN

Which member of the health care team is held responsible for documenting the client's initial admission nursing history? 1. RN 2. PT 3. LPN 4. UAP

1. RN

Impairment in which area would the nurse expect in a client with expressive aphasia? 1. Speaking or writing 2. Following specific instructions. 3. Understanding speech or writing 4. Recognizing words for familiar objects

1. Speaking or writing

which approach would be utilized to provide care in the home health setting? 1. Team nursing 2. Primary nursing 3. Total patient care 4. Functional nursing

1. Team nursing

which will the nurse include in the care for a non english speaking obstetric client suspected of having a cervical laceration? 1. request an interpreter 2. have a family member translate the information 3. explain the obstetric condition after is has resolved 4. provide written information in the clients native language

1. request and interpreter

Which response is appropriate to a client scheduled for a muscle biopsy who states they better give me a general anesthetic i don't want to feel anything. 1. You seem to be worried about the test. 2. This test is done under local anesthesia. 3. Tell them when you have pain so they can take care of it 4. You probably will not have pain so try not to think about it.

1. You seem to be worried about the test.

a nurse responds to a clients statement by saying i'm confused about exactly what is upsetting you would you go over that again please which therapeutic communication technique is the nurse using 1. clarifying 2. structuring 3. confronting 4. prarphrasing

1. carifying

which condition identified by the client indicates understanding of when prescribed oral contraceptives need to be stopped immediately and the health care provider notified? 1. chest pain 2. menorrhagia 3. mittelschmerz 4. increased leukorrhea

1. chest pain

a 17 year old client is admitted to the hospital because of weight loss and malnutrition and the health care provider diagnoses anorexia nervosa. after the clients physical condition is stabilized the health care provider in conjunction with the client and parents decides to institute a behavior modification program. Which component of behavior modification verbalized by one of the parents leads the nurse to conclude that the parent has an understanding of the therapy? 1. rewarding positive behavior 2. deconditioning fear of weight gain 3. decreasing unnecessary restrictions 4. reducing anxiety producing situation

1. rewarding positive behavior

a nurse enters the room of an agitated angry client to administer the prescribed antipsychotic medication. the client shouts get out of here which approach by the nurse is best? 1. say ill be back in 15 minutes and then we can talk 2. get assistance and give the medication by way of injection 3. explain why it is necessary to comply with the practitioners prescriptions 4. tell the client you have to take the medication that has been prescribed for you

1. say ill be back in 15 minutes and then we can talk.

which communication link is MOST important in liking people with their surroundings? 1. social 2. physical 3. materialistic 4. enviromental

1. social

Which blood pressure finding would the nurse MOST often find in toddlers? 1. 85/54 mm HG 2. 95/65 mm HG 3. 105/65 mm HG 4. 110/65 mm HG

2. 95/65 mm Hg

What describes the I in the SOAPIER charting acronym? 1. Effectiveness of the plan 2. a specific care or action plan 3. changes to the original plan 4. the plan itself

2. A specific care or action plan

a patient tearfully tells the nurse they think our toddler is developmentally delayed. we're investigating a preschool program for cognitively impaired children. which response by the nurse is the most appropriate? 1. Praising the parent for the decision and encouraging the plan 2. Asking for more specific information related to the developmental delays. 3. Advising the parent to have the health care provider help choose an appropriate program 4. explaining that this action may be premature and that the developmental delays could disappear.

2. Asking for more specific information related to the developmental delays.

A client who is to undergo dilation and curettage and conization of the cervix for cancer appears tense and anxious. Which approach would support the client emotionally? 1. Explaining that these procedures are considered minor surgery 2. Asking whether something is troubling the client and whether she would like to talk about it. 3. Stating that the procedures are routine and asking what the client is really worried about. 4. explaining that everybody is fearful before the surgery even though there is little reason to worry.

2. Asking whether something is troubling the client and whether she would like to talk about it

Which adolescent is likely to develop a conduct disorder? 1. Girl with a history of occasional angry outbursts 2. Boy with a history of social and academic problems 3. Girls with a history of introversion and social problems 4. Boy with a history of aggressive behavior who excels academically

2. Boy with a history of social and academic problems

A client with ascites is scheduled for a paracentesis and has signed the consent. During the preoperative assessment the client states that they have changed their mind and no longer desire to have the procedure. What response would the nurse provide? 1. Why did you sign the consent? 2. Can you tell me why you decided to refuse the procedure. 3. You are obviously afraid about something concerning this procedure. 4. Although the procedure is very important i understand why you changed your mind.

2. Can you tell me why you decided to refuse the procedure.

A nurse is planning to communicate with a preschool child. Which is the MOST important for the nurse to know about the child first? 1. State of health 2. Developmental level 3. Ability for self- expression 4. Fear of authoritarian figures.

2. Developmental Level

Which term will the nurse use to document the speech of a disturbed client who starts to repeat phrases others have just said? 1. Alogia 2. Echolalia 3. Neologism 4. Echopraxia

2. Echolalia

Which statement indicates that a client being discharged after a myocardial infarction will require further nutrition education? 1. I should limit my intake of processed red meat 2. I should use nutter because it is more natural than other fats. 3. I should eat fatty fish like salmon or tuna at least twice a week. 4. Walnuts are high in healthy form of fat and are ok in moderation.

2. I should use butter because it is more natural than other fats.

Which is the appropriate response when a parent presents with an overweight 10 month old infant and states that the infant refuses milk and only drinks orange juice. 1. Infants lose weight when they start walking 2. Lets talk about nutrition 3. Is the infant getting an iron supplement 4, Why is the infant only drinking orange juice

2. Lets talk about nutrition

Which test is used to confirm the diagnosis of meningitis? 1. Blood culture. 2. Lumbar puncture 3. Meningiomyelogram 4. Peripheral skin smear

2. Lumbar puncture.

according to Piaget, which cognitive behavior would the nurse expect in a 7 year old child? 1. compare religious beliefs with science. 2. classifies and sorts facts to solve problems 3. uses abstract symbols and draws conclusions 4. able to view a situation from someone elses perspective.

2. classifies and sorts facts to solve problems

On the second day of life minutes after drinking 2 oz of formula a newborn regurgitates about half an ounce. The mother remarks my baby spits up after every feeding. Which would the nurse do next 1. Reassure the mother that many babies spit up some milk at first 2. Suggest that she hold her baby upright for 30 minutes after feeding. 3. Feed a small amount of fresh formula when the baby returns to the nursery 4. Teach the mother how to prop the baby in an infant seat for 1 hour after feeding.

2. Suggest that she hold her baby upright for 30 minutes after feeding.

A 17 year old mother needs to sign the consent for her sons myringotomy. Which statement is required from the nurse? 1. This procedure may not help 2. Tell me what you know about this procedure. 3. Your son will need to have this again when hes older. 4. One of your parents must also sign because your too young.

2. Tell me what you know about this procedure.

A couple has been using oral contraceptives to delay pregnancy when the wife misses her regular menstrual period she decides to find out whether she is pregnant she tells the nurse that pregnancy may have occurred because she missed her contraceptive pills for 1 week when she had the flu. Which response would the nurse provide? 1. Thats the trouble with using contraceptive pills. people frequently forget to take them. 2. you may be correct. the effect of contraceptive pills depends on their being taken on a regular schedule. 3. lets find out whether you are really pregnant if you are you may want to consider having an abortion. 4. contraceptive pills are unpredictable you could have become pregnant even if you had taken them regularly.

2. You may be correct. the effect of the contraceptive pills depends on their being taken on a regular schedule.

A postpartum client tells the nurse she wishes to breastfeed the client asks whether she may drink a small glass of wine to help her relax. which response would be given by the nurse? 1. I think drinking one glass of wine won't be a problem go ahead. 2. You seem a little tense tell me how you feel about breastfeeding 3. You seem to find it relaxing but you should try to find another way to relax 4. I think drinking one glass of wine is alright but you had better check with your doctor first.

2. You seem a little tense tell me what you know about breastfeeding.

In the DARE charting format which words represent the combination of planning and implementation?: 1. data 2. action 3. response 4. education

2. action

when an adolescent client tells the nurse i have this awful pain during my periods it never stops the nurse would encourage her to take what action 1. increase daily activities 2. have a gynecologic examination 3. eating a nutritious diet containing iron 4. practicing relaxation of the abdominal muscles.

2. have a gynecologic examination

which statement confirms the reason for a clients fundus being 3 cm above the umbilicus and displaced to the right 8 hours postpartum 1. i've been so thirsty the past few hours 2. i went to the bathroom but i can't seem to urinate 3. i've changed my pad once since i got to my room 4. i've had a lot of contractions especially when i was nursing

2. i went to the bathroom but i can't seem to urinate

a client who is pregnant for the first time and carrying twins is scheduled for a cesarean birth. which expectation would the nurse tell the client to look for? 1. we'll give you an enema before the surgery 2. we'll be encouraging you to walk early after surgery 3. you'll be discharged from the hospital in 1 week 4. you should take sponge baths until the incision is healed.

2. we'll be encouraging you to walk early after surgery

a client is admitted to the hospital after having a tonic-clonic seizure. the client has a 2 year history of seizure disorder well controlled by phenytoin for the last 6 months. the client states i am so upset i didn't think i was going to have more seizures. which response by the nurse is appropriate? 1. did you forget to take your medicine 2. you are worried about having more seizures 3. you must be under a lot of stress right now 4. don't be too concerned because your medication needs to be increased.

2. you are worried about having more seizures

How many words are expected in the vocabulary of a 5 year old child? 1. 1000 2. 1500 3. 2000 4. 2500

3. 2000

The parent of a pre-school age child tells the nurse that her spouse is dying of cancer and is concerned about how the child will cope. Which describes how preschool age children view death? 1. Universal 2. Irreversible 3. A form of sleep 4. A frightening ghost

3. A form of sleep

The health care provider prescribes an oral hypoglycemic for the client with type 2 diabetes. Which information will guide the nurse when developing this teaching plan? 1. Oral hypoglycemics work by decreasing absorption of carbohydrates 2. Oral hypoglycemics work by stimulating the pancreas to produce insulin 3. Clients taking oral hypoglycemics may subconsciously relax dietary rules to gain a sense of control 4. Clients with type 2 diabetes do not need to be concerned about serious adverse effects from oral hypoglycemics

3. Clients taking oral hypoglycemics may subconsciously relax dietary rules to gain a sense of control.

An adolescent newly diagnosed with type 1 diabetes asks a nurse about exercise. Which response by the nurse is accurate? 1. Exercise should be restricted. 2. Exercise will increase blood glucose 3. Extra snacks may be needed before exercise 4. Extra insulin is required during exercise.

3. Extra snacks may be needed before exercise.

A girl scout leader arrives at the hospitals emergency department with a 7 year old child who may have a broken ankle. The history reveals that the child fell about 1 mile form the camp while on a hike with the scout leader and four other 7 year old. The nurse asks whether all of the other children are safely back in camp. Assuming that the scout leader acted appropriate how would the nurse expect the scout leader to respond? 1. I left the girls and brought the injured girl to the hospital. 2. I sent 2 of the girls back to camp and had them ask for help 3. I carried the injured girl and led the rest of the girls back to camp. 4. I stayed with the injured girl and sent the 4 other girls back to camp for help.

3. I carried the injured girl and led the rest of the girls back to camp

A child with sickle cell anemia is admitted to the pediatric unit during a painful episode and splenomegaly is identified. Which information would the nurse explain to the parents about spenomegaly 1. It is common in infancy 2. It is difficult to palpate in children 3. It is triggered by vasoocclusive crisis 4. It is most common during late childhood.

3. It is triggered vasoocclusive crisis.

Which is the nurses best response to a client who sustained an incomplete abortion and states she is unsure of what that means? 1. I don't think you should focus on this anymore. 2. It's when the fetus dies but is retained in the uterus for at least 2 months. 3. It's when the fetus is expelled but other parts of the pregnancy remain. 4. You will need to ask your health care provider for the answer to that question.

3. It's when the fetus is expelled but other parts of the pregnancy remain.

Which statement made by the nurse about family centered care is accurate? 1. Health care providers make final decisions for the child 2. Only health care providers have access to the child's chart. 3. Nurses are consultants to the child's parents or caregivers. 4. Nurses limit visiting hours to ensure the child's rest and recovery.

3. Nurses are consultants to the child's parents or caregivers.

A primpara tells the nurse that her baby is breathing very rapidly and that the breaths are irregular. She expresses fear that her baby may be sick and will have to remain in the hospital. What is the nurses initial action? 1. Assessing the infant and telling the mother her baby is fine. 2. Picking up the infant and telling the mother that the nurses will watch her baby closely. 3. Observing the infant's respiration and telling the mother why this is expected. 4. Taking the infant to the nursery and telling the mother that the provider will be notified.

3. Observing the infant's respiration and telling the mother why this is normal.

Which term describes the verification of a telephone prescription by a nurse by repeating the exact prescription to the prescribe? 1. Call-out 2. Verbal 3. Read-back 4. Debrief

3. Read-back

which is the briefer adaptation of the charting format for the POMR 1. SBAR 2. DARE 3. SOAPE 4.SOAPIER

3. SOAPE

before administering a tuberculin test as part of a clients prenatal workup which information about the client would the nurse obtain? 1. has she had a previous tuberculin test 2. is she prone to respiratory diseases. 3. has an earlier tuberculin test been positive 4. is there a family history of tuberculosis

3. has an earlier tuberculin test been positive

A client exhibiting blurred and double vision with muscular weakness is admitted to the hospital for evaluation. The client becomes visibly upset after being informed of the diagnosis of Multiple sclerosis (MS). Which response by the nurse is appropriate? 1. Don't worry early treatment often alleviates symptoms of the disease 2. You should be glad we caught it early so it can be cured. 3. That must have really shocked you. Tell me what the health care provider told you about it. 4. You should see a psychiatrist who will help you cope with this overwhelming news.

3. That must have really shocked you. Tell me what the health care provider told you about it.

Which communication method would be appropriate for the home health care provider to prescribe wound care? 1. On the nurse's cell phone voicemail 2. A note left with the clients daughter 3. Within the client's EHR 4. To the receptionist at the home health agencies office.

3. Within the client's EHR

An adolescent comes to the clinic and is upset because she may have contracted herpes. Which response would the nurse give? 1. Let me get a brief history now 2. Try not to worry until you know whether you have herpes. 3. You sound worried let me make arrangements to have you examined. 4. Herpes has received too much attention in the media lets be realistic.

3. You sound worried let me make arrangements for you to be examined.

which step in the nursing process is the nurse using when collecting the medical history of a client? 1. diagnosis 2. evaluation 3. assessment 4. implementation

3. assessment

a client on the psychiatric unit tells the nurse i'm a movie star and the other clients are my audience. which conclusion is appropriate for the nurse to document about what the client is experiencing? 1. flight of ideas 2. idea of reference 3. delusion of grandeur 4. auditory hallucination

3. delusion of grandeur

which information about pregnant women with diabetes would the nurse bade a response on when asked why infants of diabetic mothers are larger than those born to women who do not have diabetes? 1. taking exogenous insulin stimulates fetal growth 2. consuming more calories covers the insulin secreted by the fetus 3. extra circulating glucose causes the fetus to acquire fatty deposits. 4. fetal weight gain increases as a result of the common response of maternal overeating.

3. extra circulating glucose causes the fetus to acquire fatty deposits.

a client is admitted to the psychiatric service with a diagnosis of severe depression. when approached by the nurse the client says you know im a sorry lazy person i don't deserve a job i'm just stupid and no good. which behavior is this client experiencing. 1. Nihilistic delusions 2. delusions of persecution 3. feelings of self deprication 4. experiences of depersonalization

3. feelings of self deprication

a nurse who is strongly opposed to any chemical or mechanical method of birth control is asked to work in the family planning clinic. which response would the nurse give to the requesting supervisor 1. i will go but it is against my beliefs and values 2. i won't do it because i don't believe in birth control at all 3. i would prefer another assignment that is not contrary to my beliefs 4. i will have to stress that the rhythm method is the method of choice

3. i would prefer another assignment that is not contrary to my beliefs

After the birth of a neonate, a parent asks, "What is that white substance over the baby's body?" The nurse initially responds: 1. its a fungal infection called thrush 2. its unexpected and its called milia 3. its expected and its called vernix caseosa 4. its a group of capillaries called telangiectatic nevi

3. its expected and its called Vernix Caseosa

as the nurse places a newborn in the mothers arms she asks is my baby normal which response would the nurse give? 1. most babies are normal of course your baby is 2. your baby must be all right listen to that strong cry 3. lets unwrap your baby so you can see for yourself 4. yes because your entire pregnancy has been so normal

3. lets unwrap your baby so you can see for yourself

which term would the nurse use after being informed on rounds by the surgical team that a client is to undergo surgery to relieve pain associated with a malignant tumor. 1. curative 2. elective 3. palliative 4. diagnostic

3. palliative

Which instruction would the nurse give to family members of a client with expressive aphasia who ask how they can help the client regain as much speech function as possible? 1. Speak louder than usual during visits while looking directly at the client. 2. Tell the client to use the correct words when speaking. 3. Give positive reinforcement for correct communication 4. Encourage the client to speak while being patient with each attempt.

4. Encourage the client to speak while being patient with each attempt

A 50 year old male client has expressive aphasia after a CVA. When the nurse asks the client how he is feeling his wife answers for him. Which action would the nurse take to address this behavior? 1. Ask the wife how she knows how the client is feeling. 2. Instruct the wife to let the client answer for himself. 3. When the wife leaves return to speak with the client. 4. Acknowledge the wife but look to the client for a response.

4. Acknowledge the wife but look to the client for a response.

Which action would help reduce the frustration of a client with expressive aphasia who become agitated and upset when attempting to communicate. 1. Limit the clients contact with other to minimize communication attempts 2. Anticipate needs so the client does not need to ask for help 3. Face the client while speaking loudly. 4. Allow the client adequate time to speak

4. Allow the client adequate time to speak

Which is a complication if monocular strabismus is not correct? 1. Dyslexia will develop 2. Preiphreal vision will disappear 3. Vision is both eyes will be diminished 4. Amblyopia will progress in the weak eye

4. Amblyopia

A child has been diagnosed with hemophilia type A after experiencing excessive bleeding from a minor trauma. Hemophilia A is linked to a deficiency in which factor? 1. Factor 2 2. Factor 3 3. Factor 9 4. Factor 8

4. Factor 8

Which factor should a nurse consider before confronting a child about obesity? 1. Enjoyment of specific foods is inherited. 2. Childhood obesity is not usually a predictor of adult obesity. 3. Children with obese parents and siblings are destined for obesity. 4. Familial and cultural influences are deciding factors in eating habits.

4. Familial and cultural influences are deciding factors in eating habits.

Which statement describes the goal of an interdisciplinary care planning (ICP) meeting? 1. Nurses collaborating with each other during shift change 2. Third party payers and financial heads negotiating benefits 3. LPN and RN providing care 4. Health care providers devising a plan

4. Health care providers devising a plan

Which term would the nurse use to describe an impromptu meeting that is held when the need arises? 1. Briefing 2. Call-out 3. Debrief 4. Huddle

4. Huddle

An adolescent is undergoing radiation for Hodgkin lymphoma. Which topic will the nurse discuss with the family? 1. Keeping up with schoolwork 2. Accelerated sexual maturation 3. Consistent skin care with lotion 4. Overwhelming fatigue and the need for rest

4. Overwhelming fatigue and the need for rest.

A woman has been admitted for a vaginal hysterectomy and anterior and posterior repair of the vaginal wall. Which intervention would the nurse tell the client to expect in the immediate postoperative period. 1. Placement of a pessary 2. Insertion of a rectal tube. 3. Use of a douche periodically 4. Presence of a urinary catheter.

4. Presence of a urinary catheter.

A couple who recently emigrated from Israel report to the prenatal nurse that they are concerned about a genetic disease that is prevalent in the Jewish population. Which genetic screening test would the nurse teach the couple about because it is likely to be recommended by the health care provider? 1. Cystic fibrosis 2. Phenylketonuria 3. Turner syndrome 4. Tay Sachs disease

4. Tay-Sachs disease

A pregnant client tells the nurse that she thinks she has developed an allergy because her nose is often very congested and she has difficulty breathing. Which response would the nurse use? 1. Use a nasal decongestant at least twice a day. 2. It is common for allergies to develop in pregnancy 3. That is not normal you may have a chronic respiratory infection. 4. That is an expected occurrence. the increased hormones are responsible for the congestion.

4. That is an expected occurrence. the increased hormones are responsible for the congestion.

Which response would the nurse give to parents who are worried that their 8 year old child is very thin and looks unattractive because of large teeth? 1. You should see a dentist 2. Try to engage the child in sports 3. The child needs to have more nutritious food 4. The pattern of fat distribution changes in children of this age

4. The pattern of fat distribution changes in children of this age

a client who is pregnant for the first time tells the nurse im worried about gaining too much weight because ive heard its unhealthy which response would the nurse provide 1 yes too much weight gain results in complications during pregnancy 2. youll have to follow a low calorie diet if you gain more than 15 pounds 3. we're more concerned that you won't gain enough weight to ensure adequate growth of your baby 4. a 25 lb weight gain is recommended however the pattern of weight gain is more important than the total amount

4. a 25 lb weight gain is recommended however the pattern of weight gain is more important than the total amount

which condition occurs in individuals who have developed physiologic dependence on alcohol and then quit drinking abruptly? 1. Korsakoff psychosis 2. Wernicke encephalophy 3. fetal alcohol syndrome 4. alcohol withdrawal syndrome

4. alcohol withdrawal syndrome

the mother of a pregnant teenager asks the nurse how her daughter could have been so foolish because birth control had been discussed with her many times. which response would the nurse provide? 1. apparently your daughter was not listening to you. 2. you should have made sure her boyfriend understood birth control too 3. teenagers often fail to use birth control because they forget to discuss it with their sexual partners. 4. although teenagers can intellectually discuss birth control they often don't believe they will become pregnant.

4. although teenagers can intellectually discuss birth control they often don't believe they will become pregnant.

a couple requests fertility drugs because despite having a 28 day cycle and temperature readings that demonstrate an ovulatory pattern the woman has been unable to conceive. which guidance would the nurse provide to this couple? 1. a laparoscopy will be scheduled. 2. an endometrial biopsy will be required 3. a fertility medication will be prescribed. 4. an examination of semen will be needed

4. an examination of semen will be needed

what does the B stand for in the communication acronym SBAR 1. briefing 2. broad terms 3. bullet points 4. background

4. background

on the third postpartum day a mother visits the clinic and asks why her newborns skin has begun to appear yellow. Which causes the change in the infants skin tone? 1 breast milk ingestion 2. inadequate fluid intake 3. immaturity of the vascular system 4. breakdown of fetal red blood cells.

4. breakdown of fetal red blood cells.

while inspecting her newborn a mother asks the nurse whether her baby has flat feet how should the nurse respond 1. flat feet are more common in children then adults 2. thats hard to assess because the feet are so small 3. there may be a bone defect that needs further assessment. 4 infants feet appear flat because the arch is covered with a fat pad.

4. infants feet appear flat because the arch is covered with a fat pad

which surgery would the nurse anticipate the surgeon would have written no coughing in the postoperative instructions? 1. eye surgery 2. amputation 3. appendectomy 4. thrombectomy

1. eye surgery

Shortly after birth the nurse instills erythromycin ophthalmic ointment in the newborns eyes. The father asks why an antibiotic ointment is needed because the mother doesn't have an infection. The nurse explains that in protects the newborn from which infections? 1. Chlamydia and gonorrhea 2. Syphilis and toxoplasmosis 3. Rubella and retrolental fibroplasia 4. Cytomegalovirus and varicella zoster

1. Chlamydia and gonorrhea

Which step of the LPN nursing process is the nurse using when conducting a clients preoperative nursing interview? 1. Data collection 2. Evaluation 3. Planning 4. Implementation

1. Data collection

Which therapeutic intervention would most likely be required for a newborn with developmental dysplasia of the hip (DDH) 1. A Pavlik harness 2. Tightly swaddled blankets 3. Periodic use of a cradleboard. 4. Placement in an infant seat on a set schedule

1. A Pavlik harness

which statement by the nurse to a client receiving phenytoin for a seizure disorder is appropriate? 1. anti seizure drugs will probably be continued for life 2. phenytoin prevents any further occurrence of seizures 3. this drug needs to be taken during emotional stress 4. your anti seizure drug usually can be stopped after a year without seizures

1. Anti seizure drugs will probably be continued for life.

Which food choice by the client indicates understanding after the nurse has provided education regarding low-sodium diet? 1. Banana 2. Carrots 3. Yogurt 4. Tomato Juice

1. Banana

Which is the best way for the nurse to greet a three-year-old sitting in the waiting room of the pediatric clinic? 1. By walking into the waiting room to greet the child. 2. By calling the child by name at the waiting room door. 3. By asking the receptionist to bring the child into the office. 4. By standing at the waiting room door while inviting the child into the office

1. By walking into the waiting room to greet the child.

which approach to mental health can be cost effective by preventing duplication of services and fragmentation of care? 1. mental health care team 2. inpatient mental health care 3. primary care in behavioral health 4. single provider outpatient treatment

1. mental health care team

A client who was diagnosed with type 1 diabetes states I feel bad. I don't think i even want to go home my spouse doesn't care about my diabetes. Which response by the nurse is appropriate 1. What can i do to make you feel better 2. It seems you don't get along with your spouse 3. Its probably temporary your spouse needs more time to adjust 4. You are unhappy. Have you tried to talk with your spouse.

4. You are unhappy. Have you tried to talk with your spouse?

a client with a nontender palpable breast mass has an inconclusive mammogram. she is undergoing further diagnostic tests to determine whether the mass is malignant. which information would the nurse take into consideration before planning health teaching for this client? 1. Squamous cell carcinomas are neoplasms arising from glandular tissues. 2. results of a biopsy are necessary before a specific form of therapy is selected. 3. mammography should be repeated to confirm the presence of malignancies. 4. waiting for several weeks before receiving confirmation of cancer is helpful to the client.

2. Results of the biopsy are necessary before specific form of therapy is selected.

a child reports to the nurse i lost my parents in an accident and i live with new parents. Which type of family is reflected in this situation? 1. Foster 2. Blended 3. Adoptive 4. Extended

3. Adoptive

Which basic principle represents AA 1. Spouses should attend AA meetings 2. A commitment to permanent abstinence must be made 3. Amends must be made to each person who has been harmed 4. People have the power to overcome alcoholism if they truly want to stop drinking

3. Amends must be made to each person who has been harmed

a client is scheduled for ultrasonography at the end of her first trimester. which instruction would the nurse give to the client in preparation for the sonogram? 1. empty her bladder. 2. avoid eating for 8 hours 3. take a laxative the night before the test. 4. increase fluid intake for 1 hour before the procedure

4. increase fluid intake for 1 hour before the procedure.

which intervention would provide comfort to the client experiencing alcohol toxicity? 1. dim the lights 2. use distraction 3. offer activities 4. stay with the client

4. stay with the client

Which finding in the preterm infant would the nurse report (SATA) 1. Lethargy 2. Twitching 3.Hyperactivity 4. Decrease in movements 5. Frequency and quality of cry

1 2 3 4 5

Which information would the nurse include when teaching a client how to lessen the pain of angina (SATA) 1. Avoid eating heavy meals. 2. Use air conditioning in the summer 3. Wait at least 1 hour after eating before going for a brisk walk. 4. Weat a scarf when it is cold outside and avoid walking into a cold wind 5. Call your healthcare provider immediately if you develop a headache after taking a nitrate.

1 2 3 4 5

A female client in the emergency department states "because of my religious beliefs i need to be seen by a female provider". To which religion does this woman most likely belong? 1. Islam 2. Judaism 3. Episcopal 4. Pentecostal

1. Islam

which action will the nurse take when a clients prenatal record indicates they are G2 P0 but the client denies having a previous pregnancy in the presence of her current partner 1. confirm the obstetric history when the client is alone 2. adjust the documentation to indicate that the client is G1 P0 3. explain the importance of accurate information to the client and her partner. 4. ask the client and her partner about a previous miscarriage or abortion.

1. confirm the obstetric history when the client is alone

in a noisy room a sleeping newborn initially startles and exhibits rapid movement but soon goes back to sleep. what is the MOST appropriate nursing action in response to this behavior? 1. document an intact reflex 2. assess the infants vital signs 3. test the infants ability to hear 4. stimulate the infants respiration

1. document an intact reflex

The nurse assesses a laboring client's cervix to be dilated to a 4cm. Which stage of labor would the nurse record? 1. first 2. second 3. prodromal 4. transitional

1. first.

which action would a nurse take in caring for a client who is ambivalent and is considering an abortion because of financial reasons 1. helping the client express her feelings 2. identifying how family members interact 3. suggesting that the client seek spiritual counseling. 4. involving the father in the decision making process.

1. helping the client express her feelings

a child with recently diagnosed idiopathic scoliosis has a mild structural curve. the childs parents as whether the problem can be corrected with exercise. which explanation would the nurse tell the parents concerning an exercise program? 1. it is used in conjunction with a brace 2. it can be used if the child appears highly motivated 3. it may exaggerate the curvature if the curve is severe. 4. it is needed to correct the curvature without the need for a brace.

1. it is used in conjunction with a brace

how would the nurse response to a client who at 22 weeks gestation is admitted with heavy bleeding and severe abdominal cramping when the client states we wanted this baby so badly 1. it must be difficult to lose this baby that was important to you both 2. this is natures way of dealing with babies that may have problems 3. a curettage will give you a new start I'll bet you get pregnant again soon 4. you must be disappointed but don't feel guilty these things sometimes happen

1. it must be difficult to lose this baby that was important to you both

a parent is concerned that a 1 month old infant is nursing every 2 hours. how would the nurse respond to the parents concern. 1. it's common for newborns to nurse this often. lets talk about how your adjusting with the new baby 2. breast milk is easily digested giving your infant a little rice cereal will keep the infant full longer 3. it sounds as though your baby is used to being held try to resist feeding more often then every 4 hours 4. you may not be producing enough milk it'll be important for you to supplement feedings with formula

1. it's common for newborns to nurse this often. lets talk about how your adjusting with the new baby.

a client receives an autograft for a severe burn and is taught how to change the dressing a week after receiving the graft the client identifies that the edges of the graft are curling up and asks the nurse about it. which response would the nurse provide? 1. may i take a look at it 2. it's time for another graft 3. is there any sign of redness 4. let me see whether it is infected or not

1. may i take a look at it

which alteration in present circumstances will put added stress on the couple counseled by a nurse in the fertility clinic regarding steps to increase their chances of conceiving? 1. planning when to have intercourse 2. obtaining the necessary specimens 3. visiting the fertility clinic frequently 4. taking a daily basal body temperature

1. planning when to have intercourse

which statement would the nurse provide when instructing a parent on creating a sense of structure and security with the hospitalized 3 year old client? (SATA) 1. play repetitive disappearance games such as peek a boo 2. consistent visits will help develop an internal schedule for the child 3. when you tell your child you are leaving give them a warm hug then immediately leave. 4. ensure you tell your child when you will return in their time frame such as after their nap 5. continued reappearance when promised will offer a sense of security and trust as well as reduce anxiety.

1. play repetitive disappearance games such as peek a boo 2. consistent visits will help develop an internal schedule for the child 3. when you tell your child you are leaving give them a warm hug then immediately leave. 4. ensure you tell your child when you will return in their time frame such as after their nap 5. continued reappearance when promised will offer a sense of security and trust as well as reduce anxiety.

which action would the nurse take to promote use of speech in a client who continues to have motor speech difficulty after 3 months of rehabilitation post crainiotomy? 1. support the clients efforts to communicate 2. correct verbal mistakes immediately 3. use simple words with short sentences 4. explain why the client is having difficulty speaking

1. support the clients efforts to communicate

which response would a nurse give to a pregnant client who reports having a 1 year old daughter with sickle cell anemia even though my husband and i don't have it 1. the chance that another child will have sickle cell anemia is 25% 2. only one child in a family is affected so the others probably will be alright. 3. the most likely conclusion is that your children will have sickle cell anemia 4. if your partner has the sickle cell gene it means 50% of your children will have sickle cell anemia.

1. the chance that another child will have sickle cell anemia is 25%

which information about the clients activities indicates to the nurse that there is a need for a serology test for toxoplasmosis. 1. the client cares for the neighbors cat 2. the client works as a dog trainer 3. the client uses chemical cleaners 4. the client consumes raw vegetables.

1. the client cares for the neighbors cat

a young sexually active client at the family planning clinic is advised to have a pap smear. she has never had a pap smear which information would the nurse include in the explanation of this procedure 1. the pap smear can detect cancer of the cervix 2. vaginal bleeding is expected after a pap smear 3. colposcopy will be used to visualize the cervix 4. scraping the cervix is the most uncomfortable part

1. the pap smear can detect cancer of the cervix

which characteristic is the MOST important tool a nurse brings to the therapeutic nurse client relationship 1. the self and desire to help 2. knowledge of psychology 3. advanced communication skills 4. years of experience in psychiatric nursing

1. the self and desire to help

which statement would the nurse make when educating the client on the administration of vitamin K in the newborn? (SATA) 1. vitamin K helps the blood to clot 2. newborns are deficient in vitamin K 3. newborns are susceptible to hemorrhagic disease. 4. vitamin K is administered via an injection in the thigh 5. vitamin K is routinely administered within 1 hour of birth

1. vitamin K helps the blood to clot 2. newborns are deficient in vitamin K 3. newborns are susceptible to hemorrhagic disease. 4. vitamin K is administered via an injection in the thigh 5. vitamin K is routinely administered within 1 hour of birth

a client is to receive oral terbutaline 5 mg every 6 hours at home for preterm labor which time frame would the nurse advise the client to take the medicine? 1. with food 2. at bedtime 3. before breakfast 4. 1 hour after lunch

1. with food

when a client who had a mastectomy sees her incision for the first time she exclaims i look horrible will it ever look better? which response would the nurse give? 1. you seem shocked by the way you look now 2. now that the tumor is gone the area will heal quickly 3. after it heals others wont even know you had surgery 4. you will feel better about it when the swelling subsides

1. you seem shocked by the way you look now

a nurse in the family planning clinic reviews the health history of sexually active 16 year old girl whose chief concern is a thick burning discharge accompanied by low abdominal pain. after the exam the girl is informed that she may have a STI that requires treatment. the adolescent is concerned that her parents will discover that she is sexually active she asks the nurse whether her parents will be contacted which response by the nurse is appropriate? 1. your parents will not be contacted because treatment at the clinic is confidential 2. your parents need to be informed to sign a consent form for testing and treatment 3. your parents will be notified when the insurance company is billed for testing and treatment 4. your parents will not be told if you promise to have your sexual contacts tested

1. your parents will not be contacted because treatment at the clinic is confidential.

a client with a diagnosis of cervical cancer states i haven't had a pap smear in more than 5 years i probably wouldn't be in the hospital today if I'd had those tests more often. which response is appropriate? 1. please tell me why you waited so long 2. you feel as though you neglected you health 3. it's never too late to start taking care of yourself 4. most women hate to have Pap smears done but they're really important

2. you feel as though you neglected you health

During labor a client states that she doesn't want eyedrops or ointment placed in her baby's eyes immediately after birth. How would the nurse respond. 1. The medicine protects your baby that's why its used. 2. You'll have to check with your baby's doctor about this 3. Let's talk about why you don't want the medicine to be put into your baby's eyes 4. This medicine is required by law and should be administered right after the baby is born.

3. Let's talk about why you don't want the medicine to be put into your baby's eyes

The night before a scheduled extracorporesal shock wave lithotripsy the client frequently uses the call light and has many demands. In response which statement would the nurse use in this situation? 1. I know how you feel. I had this same procedure last year. 2. You are facing a new experience tomorrow. Tell me what concerns you have. 3. We'll take good care of you. You have nothing to worry about. 4. Your behavior tells me you are scared of what you are facing tomorrow.

2. You are facing a new experience tomorrow. Tell me what concerns you have.

The parent of an 11 year old child with a terminal illness appear overwhelmed and anxious. Which response by the nurse is the best. 1. Explaining the diagnosis in a variety of ways 2. Encourage the parents to express their feelings. 3. Recommending that the parents talk to other parents 4. Offering assurance that the surgery will probably correct the problem

2. Encourage the parents to express their feelings.

which statement would alert the nurse to the client feeling of being incomplete as a woman after undergoing a total hysterectomy? 1. I can't wait to see all my friends again 2. I feel washed out there isn't much left. 3. I'm planning to recuperate at my daughters home 4. I can't wait to get home i so want to see my grandchild

2. I feel washed out there isn't much left

a client diagnosed with schizophrenia repeatedly says to the nurse "No moley, jandu!" Which behavior is the client exhibiting? 1. Echolalia 2. Neologism 3. Concretism 4. Preservation

2. Neologism

a client is being treated for hypertension and obesity with a regimen of diet and exercise. during the past month she has lost 8 lbs and her blood pressure has decreased to 154/98 mm Hg the client states that she is using self control strategies to reduce her blood pressure and weight which is the nurses most therapeutic response? 1. explaining to the client that her current program needs revision to improve results. 2. acknowledging the clients achievement while encouraging continuation of her current program 3. emphasizing to the client the importance of exercise in addition to reduction of sodium and caloric intake. 4. recommending that the client ask her health care provider about a prescription for an anti hypertensive or a diuretic.

2. acknowledging the clients achievements while encouraging continuation of her current program

during labor a client tells the nurse that she and her husband are very concerned because this baby will be born 2 months early. which response will the nurse provide? 1. this is concerning i feel so sorry for you 2. if your concerned lets talk about it 3. try not to worry about it just concentrate on your labor 4. the care of preterm babies has greatly improved your child will be fine

2. if your concerned lets talk about it

which statement by the nurse best describes the arthroscopy of the knee procedure 1. the procedure will determine the types of treatments that will be prescribed. 2. it is a direct visualization of the joint to diagnose the extent of your knee injury 3. you will not remember anything about the procedure because you will be anesthetized 4. it is a radiological procedure that will aid in the diagnosis of the extent of your knee injury

2. it is a direct visualization of the joint to diagnose the extent of your knee injury.

which finding will the LPN report to the RN when monitoring a client after aversion? 1. Reactive nonstress test (NST) 2. leaking amniotic fluid 3. palpable fetal movement 4. occasional uterine contraction

2. leaking amniotic fluid

which information would be reinforced with a new father who is acting as a coach during labor? 1. leave the room periodically so that his wife can rest between contractions. 2. let his wife know the progress she is making and tell her that she is doing a good job 3. keep the conversation in the birthing room to a minimum so his wife can concentrate. 4. maintain his wife in the supine position so fetal and uterine monitoring equipment will not be disturbed.

2. let his wife know the progress she is making and tell her that she is doing a good job

a client who underwent mastectomy because of breast cancer is now undergoing chemotherapy which has caused hair loss. the client states i feel like ive lost my sense of power which response would the nurse give 1. hair does not empower a person 2. losing power seems important to you 3. knowledge is power ill give you some pamphlets to read. 4. hair loss is common it will grow back so you shouldn't worry

2. losing power seems important to you.

a client at 16 weeks gestation is being treated for trichomonoas vaginalis which statement indicates to the nurse that the client has learned to prevent a recurrence? 1. after having sex ill insert a vaginal suppository 2. my partner has to get treated before we have sex again 3. i need to urinate immediately after having sexual intercourse 4. douching immediately after sexual intercourse will help protect me.

2. my partner has to get treated before we have sex again

a client with angina pectoris is scheduled for a stress echocardiogram. how would the nurse explain an echocardiogram? 1. tool used solely to determine the cause of chest pain 2. noninvasive approach to assess cardiovascular status 3. modality of minimal value in planning treatment for angina 4. invasive test that measures the bodys reaction to an increase in exertion.

2. noninvasive approach to assess cardiovascular status

a pregnant client tells the nurse i think i can feel the baby move now. it feels like butterflifes in my stomach. my friend calls it feeling life. which term would the nurse include when discussing fetal movement with the client 1. lightening 2. quickening 3. engagement 4. ballottement

2. quickening

The nurse in the emergency department notes large welts and scars on the back of a toddler who has been admitted for an asthma attack. Which additional information must be included in the nurses assessment. 1. history of an injury 2. signs of child abuse 3. presence of food allergies 4. recent recovery from chickenpox

2. signs of child abuse

after several interactions with a client the nurse identifies a pattern of withdrawal and non participation in situations requiring communication with others. which area will the nurse expect the client to have difficulty 1. personal identity 2. social interaction 3. sensory perception 4. verbal communication

2. social interaction

which team member is responsible for arranging psychiatric day care on discharge for a client recovering form an uncomplicated long bone fracture of the right tibia 1. psychiatrist 2. social worker 3. patient care assistant 4. LPN

2. social worker

a 37 year old woman with a history of fibroids menorrhagia pelvic pain and depression is admitted to the unit with severe menorrhagia she has been undergoing hormone therapy in hopes of easing the symptoms and reducing the size of the fibroids without success. the laboratory reports hemoglobin and hematocrit readings of 6.8g/dL and 20.2 g/dL respectively. the client begins to sob and cries i don't know what to do my primary health care provider is recommending a hysterectomy but i haven't had children yet. which response would the nurse provide? 1. there are so many children up for adoption looking for a mother 2. this must be so difficult for you. children are really important to you 3. you really have no choice but to follow the recommendation the primary health care provider is right 4. believe me when i tell you kids are so difficult to raise your better off without them.

2. this must be so difficult for you. children are really important to you

which response will be made by a nurse caring for a client scheduled for a hysterectomy who starts to sob and says i told my husband that after this operation ill only be half a woman he told me not to worry but i know that he was just putting up a front 1. its frightening to think that your husband rejects you as a woman 2. you think this operation will affect how your husband feels about you as his wife 3. try not to worry about it right now the most important thing is for you to get well 4. ill try to have your surgery postponed you both need time to adjust to the effects of this hysterectomy

2. you think this operation will affect how your husband feels about you as his wife

A primipara about to be discharged with her newborn asks many questions regarding infant care. Which phase of maternal adjustment does this behavior illustrate? 1. Let down 2. Taking in 3. Taking hold 4. Early parenting

3. Taking hold

Which term would be used to describe a nurse discussing a clients condition with someone not directly involved with the client. 1. Libel 2. Negligence 3. Breach of confidentiality 4. Defamation of character

3. Breach of confidentiality

The parent of a 2 year old child calls a neighbor who is a nurse exclaiming that her child just ate some automatic dishwasher powder. What should the nurse tell the parent to do first? 1. Give syrup of ipecac 2. Wash the childs lips. 3. Call the Poison Control Center 4. Offer burnt toast with some milk.

3. Call the Poison Control Center.

Despite multiple requests the nurse on the postpartum unit has not assessed a client with abdominal pain. Which action will the LPN take to address this issue? 1. offer to help the nurse with the assessment 2. ask the client if they are satisfied with nursing care 3. contact the nursing supervisor regarding the nurses behavior 4. assess the client then inform the assigned nurse of the clients needs.

3. Contact the nursing supervisor regarding the nurses behavior

The nurse observes several dark round areas on a newborns buttocks on a dark skinned neonate. How would this observation be documented? 1. Stork bites. 2. Forceps marks 3. Dermal Melanocytosis 4. Ecchymotic areas

3. Dermal Malanocytosis

which information regarding associated problems for a preschooler experiencing receptive language issues is accurate? 1. Persistent letter confusion 2. Difficulty expressing feelings 3. Difficulty following directions 4. Delayed mastery of the alphabet 5. Delayed acquisition of letter sound correlations

3. Difficulty following directions

the parents of a school age child with leukemia ask the nurse why irradiation of the spine and skull are necessary which response by the nurse is the MOST accurate? 1. radiation retards the growth of cells in the bone marrow of the cranium 2. this therapy decreases cerebral edema and prevents increased intracranial pressure 3. leukemic cells may invade the nervous system but the usual drugs are ineffective in the brain 4. neoplastic drug therapy without radiation is effective in most cases but this is a precautionary treatment

3. leukemic cells may invade the nervous system but the usual drugs are ineffective in the brain

which information regarding self care for osteoarthritis is accurate? 1. sit on low chairs and sofas when possible 2. use eating utensils with thin flat handles 3. push or slide heavy objects rather than pull them 4. avoid wearing splints or supports which could weaken the joints.

3. push or slide heavy objects rather than pull them

elbow restraints are prescribed for an 18 month old toddler who just had surgery for a cleft palate. the nurse explains that the restraints are used to keep the child from what behavior? 1. playing with unsterile toys. 2. rolling to a supine position 3. putting fingers into the mouth 4. removing the nasogastric tube

3. putting fingers into the mouth

when making notes on the clients progress report how would the nurse describe the characteristic gait associated with parkinson disease? 1. spastic 2. steppage 3. shuffling 4. scissoring

3. shuffling

a woman is being prepped for a contraction stress test (CST) which information would the nurse provide the client before the test? 1. the test will be discontinued after at least 6 contractions are observed 2. you'll need to provide a double voided urine specimen before the test 3. the fetal heart rate (FHR) will be monitored for about 20 minutes before the test begins. 4. you'll be placed in a right lateral position that must be maintained throughout the test.

3. the fetal heart rate (FHR) will be monitored for about 20 minutes before the test begins.

after working for a week with an adolescent with anorexia nervosa the adolescent becomes hostile and says to the nurse your just like my mother i hate you which concept does the clients statement reflect? 1. insight 2. universality 3. transference 4. identification

3. transference

which teaching would the LPN reinforce to a client during the early post operative period after a modified radical mastectomy regarding limiting edema in the affected arm 1. turn to the unaffected side every 2 hours 2. avoid moving the affected arm for 24 hours 3. use pillows to elevate the arm above the level of the heart 4. maintain the positive pressure drainage bag below the level of the arm.

3. use pillows to elevate the arm above the level of the heart

An infant with a diagnosis of heart failure is being given furosemide twice a day. Which lab value would the nurse report to the health care provider? 1. Sodium of 140 mEq/L 2. Calcium of 2.35 mEq/L 3. Chloride of 102 mEq/L 4. Potassium of 3.0 mEq/L

4. Potassium of 3.0 mEq/L

The parents of a child with recently diagnosed leukemia ask why they were told that their child has too many white blood cells how would the nurse respond? 1. the doctor is the best one to answer that question for you 2. you seem to be concerned about your child's white blood cells. 3. you apparently don't understand what occurs in this disease. 4. The bone marrow is not controlling your child's white blood cell production as it should.

4. The bone marrow is not controlling your child's white blood cell production as it should

A child with Reye syndrome is beginning to show signs of recovery. The ICP has receded the vital signs are stable the fever has subsided and urine output is within the acceptable range for the childs weight and fluid intake. Which would the nurse tell the parents about the childs recovery. 1. The illness has resolved 2. Your child is out of danger now 3. Your child seems free of complications 4. The recovery is now progressing as we'd hoped.

4. The recovery is now progressing as we'd hoped.

A team of healthcare professionals cares for a client with a spinal cord injury. Which statement would be made by a social worker on the team? 1. I'll help you communicate with people 2. I'll help you with your examination and treatment procedures 3. You should avoid foods rich in fat and eat foods rich in fiber 4. I'll assist you in finding financial resources

4. I'll assist you in finding financial resources.

Which sumptom would the nurse immediately report to the health care provider when cating for a client with heart failure? 1. Fatigue 2. Frequent coughing 3. Complaints of thirst 4. Muscle weakness or twitching 5. Output of more than 30 mL/ hr

4. Muscle weakness or twitching

which vitamin has antioxidant effect on the structure of cell walls 1. vitamin K 2. vitamin B1 3. Vitamin C 4. Vitamin E

4. Vitamin E

a client presents to the clinic for an appointment for a mammogram. which guidance would the nurse provide the client in preparation for the test. 1. do not eat 6 hours before the test 2. the room will be darkened throughout the procedure. 3. the first mammogram is usually performed at 50 years of age. 4. during the procedure each breast will be compressed firmly between 2 plates.

4. during the procedure each breast will be compressed firmly between 2 plates.

a postaprtum client is scheduled to have a tubal ligation and has asked that her husband not be told about the procedure because she has told him that she is having exploratory surgery. the clients husband asks the nurse why his wife needs to have exploratory surgery. which response would the nurse provide 1. what has the physician told you 2. i don't know the answer to that question 3. i'm not allowed to give you that information 4. have you talked to your wife about your concern?

4. have you talked to your wife about your concern?

a nurse is discussing sexuality with a teenage girl who has cystic fibrosis. which statement best reflects the teenagers understanding of healthy sexuality. 1. i can never get pregnant 2. having sex is not possible for me 3. my best protection is a diaphragm 4. i wont have sex unless i use a condom

4. i wont have sex unless i use a condom

a 13 year old boy tells the nurse im so much shorter then the other kids in my class and i don't get picked for sports teams. which would be the nurses initial response? 1. your friends must tease you alot 2. what do you eat for breakfast everyday 3. why don't you try some other activities 4. it must be difficult being shorter than the other kids.

4. it must be difficult being shorter than the other kids.

a nurse is reviewing discharge information with a client who only speaks Spanish. which person is appropriate for the nurse to use as an interpreter to facilitate client understanding? 1. friend of client 2. family member 3. nursing assistant 4. medical interpreter

4. medical interpreter

a client says since my husband died iive got nothing to live for. i just want to die. the nursing assistant responds things will get better soon. which label would the nurse assign to the nursing assistants response 1. offering advice 2. belittling the client 3. changing the subject 4. providing false reassurance

4. providing false reassurance

which function describes a bereavement support group 1. filing of insurance papers 2. providing drug consultations 3. assisting in solving any problems between a caregiver and a client 4. providing families who have lost loved ones a chance to communicate and share their feelings

4. providing families who have lost loved ones a chance to communicate and share their feelings

which information would the nurse give to help a parent understand the childs mild hearing loss 1. a severe hearing deficit may develop 2. it will not interfere with progress in school 3. an immediate follow up visit is not necessary 4. speech therapy in addition to hearing aids may be required.

4. speech therapy in addition to hearing aids may be required.

a client expresses a desire to breastfeed her preterm neonate who is in the NICU. the client states that she will pump her breast until her baby is ready to breastfeed. the infant has been sucking on a pacifier for 1 week in accordance with protocol. how should the nurse respond to the mothers request? 1. tell the client that is unnecessary because the infant is being fed by gavage. 2. discourage the client because of the time and effort it will take to pump her breasts. 3. instruct the client that breast milk is inadequate because it does not contain the necessary ingredients 4. support the clients decision and explain that the infant may lie close to her breast for nippling as desired.

4. support the clients decision and explain that the infant may lie close to her breast for nippling as desired.

which action would a nurse take when caring for a client who seems to be depressed after a thymectomy for myasthenia gravis? 1. recognize that depression often occurs after surgery 2. ask the primary health care provider to arrange for a psychological consultation 3. reassure the client that things will feel better after the discharge date has been set. 4. talk with the client about the prognosis and emphasize activities the client is still able to perform

4. talk with the client about the prognosis and emphasize activities the client is still able to perform

which statement best describes placenta previa? 1. it is premature separation of a normally implanted placenta 2. the placenta is not implanted securely in place on the uterine wall. 3. it is a premature aging of a placenta that is implanted in the uterine fundus 4. the placenta is implanted in the lower uterine segment and is covering part or all of the cervical opening.

4. the placenta is implanted in the lower uterine segment and is covering part or all of the cervical opening.

A child who has undergone abdominal surgery complains of incisional pain. The nurse administers the prescribed acetaminophen. The parent asks why the child is not being given ibuprofen. How would the nurse response? 1. It could prolong bleeding time 2. It's contraindicated for young children 3. It can suppress the healing of the infection 4. It becomes ineffective when given for long periods.

1. It could prolong bleeding time.

Which side effect would the nurse review with an adolescent client who is prescribed estrogen therapy? (SATA) 1. Nausea 2. Insomnia 3. Headache 4. Weight gain 5. Nervousness 6. Breast tenderness

1. Nausea 2. Insomnia 3. Headache 4. Weight gain 5. Nervousness 6. Breast tenderness

Which clinical indicator is the nurse MOST likely to identify when completing a history and physical assessment of a client with complete heart block? 1. Syncope 2. Headache 3. Tachycardia 4. Hemiparesis

1. Syncope

Which explanation of the purpose of the Valsalva maneuver would the client in atrial fibrillation? 1. The vagus nerve is stimulated 2. The glottis closes momentarily 3. Thoracic pressure decreases 4. Respiratory pattern is interrupted

1. The vagus nerve is stimulated W

which describes objective information in SOAPIER documentation? 1. what the client states or feels 2. what the nurse can factually describe 3. the appraisal of response and effectiveness of the plan 4. general statement of the plan of care to be given to the client

2. What the nurse can factually describe

a nurse observes an 11 month old child sitting on the parents lap crying and tugging at the childs right ear. which problem would this behavior likey indicate? 1. child abuse 2. Otitis Media 3. hearing impairment 4. upper respiratory infection

2. otitis media

a health care provider prescribes PTU for a client with hyperthyroidism. 2 months after being started on the medication the client calls the nurse and complains of feeling tired and looking pale. which action would the nurse take? 1. advise the client to get more rest 2. schedule the client for an appointment 3. instruct the client to skip one dose daily 4. tell the client to increase the medication

2. schedule the client for an appointment

Which action indicates a violation of health information privacy laws? 1. Advising a clients transport technician that the client must be moved carefully due to fragility 2. writing a clients last name on a whiteboard in the nurses station used to log scheduled procedures 3. Explaining the results of a clients diagnostic test to the unit clerk organizing paperwork to include in the clients medical record. 4. Quietly asking a client when they were diagnosed with gestational diabetes during assessment in a semiprivate room with the privacy curtain in place between beds.

3. Explaining the results of a clients diagnostic test to the unit clerk organizing paperwork to include in the clients medical record.

a pregnant client is making her first antepartum visit. She has a 2 year old son born at 40 weeks, a 5 year old daughter born at 38 weeks and 7 year old twin daughters born at 35 weeks. She had a spontaneous abortion 3 years ago at 10 weeks. How does the nurse using the GTPAL format document the clients obstetric history? 1. G4 T3 P2 A1 L4 2. G5 T2 P2 A1 L4 3. G5 T2 P1 A1 L4 4. G4 T3 P1 A1 L4

3. G5 T2 P1 A1 L4

Which practice by an infant's caregiver would cause the nurse to intervene immediately? 1. Cleaning the top of a food can with detergent 2. Using a can opener to open cans of baby food. 3. Heating a bottle of formula in the microwave oven. 4. Having premade bottles of formula in the refridgerator.

3. Heating a bottle of formula in the microwave oven

A teenager who attempted suicide is admitted to a psychiatric center for care. On assessment the teenager tells the nurse the reason was the end of a romantic relationship. Which member of the rehabilitation care team may play a major role in providing care to this teenager? 1. Occupational therapist 2. Speech language pathologist 3. Therapeutic recreation therapist 4. Rehabilitation LPN/LVN

3. Therapeutic recreation therapist

car seats must be located where and in which position for optimum safety of the newborn? 1. backseat facing foward 2. front seat facing foward 3. back seat facing back 4. front seat facing back

3. back seat facing back

Which is the best response to the parent of an infant who asks, My aunt said to wipe my baby's gums with wine to ease the pain of teething what do you suggest? 1. Make sure the wine is diluted before applying to the gums 2. Your aunt means well but that is not a good idea. 3. You can use a teething gel that contains benzocaine to control the pain 4. Offer something to chew on such as a rubber teether.

4. Offer something to chew on, such as a rubber teether.

A mother is inspecting her newborn girl for the first time. The infant's breasts are edematous, and she has a pink vaginal discharge. How should the nurse respond when the mother asks what is wrong? 1. You seem very concerned I don't see anything unusual 2. Your baby appears to have a problem. I'll notify the pediatrician 3. The swelling and discharge will go away. It's nothing to worry about 4. The swelling and discharge are expected. They're a response to your hormones.

4. The swelling and discharge are expected. They're a response to your hormones.

a client is diagnosed as having AIDS after several years of unprotected sex. the client states i am not worried because that have a cure for AIDS. which response by the nurse is appropriate 1. repeated phlebotomies may be able to rid you of the virus 2. You may be cured of AIDS after prolonged pharmacological therapy 3. Perhaps you should have worn condoms to prevent contracting the virus 4. There is no cure for AIDS but there are drugs that can slow down the virus

4. There is no cure for AIDS but there are drugs that can slow down the virus

which nursing action is best suited for promoting autonomy in a 3 year old client? 1. Be patient while providing gentle and positive dicipline 2. Speak directly to the child speak only to the parents occasional to build trust with the child. 3. Practice self discipline when the child reacts poorly or demonstrates uncontrollable tantrums. 4. Allow the child to provide input and ask questions providing responses the child can understand. 5. Obtain a full history from the parents then include the child in the remainder of the examination

1. Be patient while providing gentle guidance and positive dicipline.

Which medication would require the nurse to document and report changes in urine output to the health care provider? 1. Captopril 2. Losartan 3. Verapamil 4. Propranolol

1. Captopril

A 6 year old child is about to have and IV catheter inserted. Which is the nurses BEST response when the child starts to cry? 1. Do you want the IV in your right or left arm 2. Do you want me to come back in a little while 3. The needle will hurt for a second don't be afraid 4. The medication in the IV will make you feel better

1. Do you want the IV in your right or left arm

a nurse determines that a 1 day old newborn has a heart rate of 138 beats per minute. What is the best nursing action at this time? 1. Documenting the heart rate 2. initiate a feeding immediately 3. Placing the infant in a heated crib 4. Monitoring the heart rate again in 1 hour

1. Documenting the heart rate

Which behavior is expected from a client with a diagnosis of bipolar 1 disorder, manic episode? 1. Flight of ideas 2. Rituaistic behavior 3. Associative looseness 4. Auditory hallucinations

1. Flight of ideas

A client has just given birth to an infant with Down syndrome. The mother is crying and asks the nurse what she is supposed to do now. Which response would the nurse give? 1. Tell me what you know about Down syndrome. 2. I would just continue to rest and recover from your delivery. 3. You really need to pull yourself together for your baby. 4. Should i call in a chaplain or social worker for you.

1. Tell me what you know about Down syndrome

A client undergoes D&C after an early miscarriage. The nurse finds her crying later in the day. Which statement by the nurse is appropriate? 1. This must be a very hard experience for you to deal with 2. You'll have other children to take the place of the one you lost. 3. I know you're sad now but at least you know you can get pregnant. 4. I'm so sorry but when a woman miscarries it's usually for the best.

1. This must be a very hard experience for you to deal with.

After 5 years of unprotected intercourse a childless couple comes to the fertility clinic The husband tells the nurse that his parents have promised to make a down payment on a house for them if his wife gets pregnant this year. Which response would the nurse make to this comment 1. This must be very difficult for you with this added pressure 2. Having a child is a decision you should make without your parent input 3. You're lucky It's nice that your parents are making such a generous offer. 4. Five years without a pregnancy is a long time. You were right to come to the fertility clinic.

1. This must be very difficult for you with this added pressure.

which statement would the nurse use to describe dysmenorrhea? 1. cessation of menstrual periods 2. spotting between menstrual periods 3. uterine pain during the menstrual periods 4.scant bleeding at time of an expected menstrual period

3. uterine pain during the menstrual period.

What should the nurse recommend to a new mother when teaching her about the care of the umbilical cord area? 1. remove the cord clamp only after the cord stump has separated 2. Leave the area untouched or clean with soap and water then pat it dry 3. smooth ointment or baby lotion around the cord after a sponge bath 4. Wrap an elastic bandage snugly around the waist area over the cord site.

2. Leave the area untouched or clean with soap and water then pat it dry

a 7 pound newborn is admitted to the nursery with a prescription for IM vitamin K1 1 mg. The nurse explains to the parents that this vitamin is administered to do which function? 1. Facilitate bilirubin excretion 2. Promote clotting of the blood. 3. Increase liver glycogen stores 4. Stimulate growth of bowel flora.

2. Promote clotting of the blood.

when discharging a new mother which instruction would the nurse give to help prevent postpartum infection? 1. don't take tub baths for at least 6 weeks 2. wash your hands before and after changing your sanitary napkins 3. douche with a dilute antiseptic solution twice a day and continue for 1 week 4. tampons are better than sanitary napkins for inhibiting bacteria in the postpartum period.

2. Wash your hands before and after changing your sanitary napkins.

A 15 month old child is hospitalized after ingesting toilet bowl cleaner. The parent confides that she feels guilty about leaving the cleaner where her child could get it. Which is the best response by the nurse? 1. Anyone could make a mistake don't dwell on it. 2. Lets not worry about the past. Your child is going to get better. 3. It was an accident, but you should consider special locks on your closets. 4. That was careless but you should now make sure that you poison-proof your house.

3. It was an accident, but you should consider special locks on your closets.

After the birth of her daughter, a mother tells the nurse, "I was told that my baby has to have an injection of vitamin K. She's so small to be getting a shot. Why does she have to have it?" How should the nurse respond? 1. Your baby needs the injection to help her develop red blood cells 2. An injection of vitamin K will help keep your baby from being jaundiced 3. Newborns are deficient in vitamin K. This treatment will protect your baby from bleeding. 4. A newborns blood clots extremely rapidly. This injection will help slow clotting time.

3. Newborns are deficient in vitamin K. This treatment will protect your baby from bleeding

The nurse emphasizes to the parent of a preschool child with atopic dermatitis that the child should be discouraged from scratching. The child's parent asks why scratching should be avoided. Which response would the nurse provide? 1. Scratching causes lesions to become more contagious 2. Scratching spreads dermatitis to other areas of the body. 3. Scratching results in skin breaks that can lead to infection 4. Scratching produces changes that are precursors to skin cancer.

3. Scratching results in skin breaks that can lead to infection.

a 1 week old infant has been in the pediatric unit for 18 hours after placement of a spica cast. the nurse obtains a RR slower than 24. No other changes are noted. because the infant is apparently well the nurse does not report or document the slow respiratory rate. several hours later the infant experiences severe respiratory distress and emergency care is necessary.. which would be considered if legal action is taken? 1. Most infants respiration are slow when they are uncomfortable 2. the respiration of young infants are irregular so a drop in rate is unimportant 3. vital signs that are outside the expected parameters are significant and should be documented 4. the respiratory tracts of young infants are underdeveloped and the respiratory rate is not significant.

3. Vital signs that are outside the expected parameters are significant and should be documented.

The parents of a school age child ask how their child got head lice. Which would the nurse explain to the parents? 1. Transmission occurs through contact with animals and birds. 2. Infestation is most common where there are crowded conditions 3. Infestation is more widespread among lower socioeconomic groups. 4. Transmission occurs through contact with contaminated children and objects.

4. Transmission occurs through contact with contaminated children and objects.

The parent of a child who is dying of cancer asks the nurse whether he should tell his 7 year old son that his sister is dying. Which response by the nurse is the MOST appropriate? 1. He can't comprehend the real meaning of death so don't tell him until the last minute. 2. Your son probably fears separation most and wants to know that you will care for him rather then what will happen to his sister. 3. You should talk this over with your health care provider who probably knows best what's happening in terms of your daughters prognosis. 4. Your son probably doesn't understand death as we do but fears it just the same. He should be told the truth to let him prepare for his sister's possible death.

4. Your son probably doesn't understand death as we do but fears it just the same. He should be told the truth to let him prepare for his sister's possible death.

a female client recieving cortisone therapy for adrenal insufficiency expresses concern that she is developing facial hair. which response by the nurse is appropriate? 1. its just another sign of the illness 2. do not worry because it will disappear with therapy 3. this is not important as long as you are feeling better 4. the drug contains a hormone that causes such characteristics

4. the drug contains a hormone that causes such characteristics

after surgery total parenteral nutrition is instituted via a central venous infusion. After 4 hours of the infusion the client complains of nausea fatigue and headache. The hourly urine output is twice the amount of the previous hour. After contacting the primary health provider which action would the nurse take next? 1. Check the serum glucose levels 2. Obtain an Oxygen saturation level 3. Administer a prescribed analgesic 4. Prepare the client for immediate surgery for possible bowel obstruction.

1. Check the serum glucose level.

While a client is being interviewed at her first prenatal visit, She states that she has a 4 year old son that was born at 41 weeks a 3 year old daughter who was born at 35 weeks and experienced 2 early miscarriages. Using the GTPAL system how would the nurse record this information? 1. G5 T1 P1 A2 L2 2. G4 T1 P1 A2 L2 3. G4 T2 P0 A0 L2 4. G5 T2 P1 A1 L2

1. G5 T1 P1 A2 L2

Which response would be given by a nurse caring for a client admitted for a lumpectomy who begins to cry and states "I found the lump a few months ago, but i didn't go to the doctor because of what it could be"? 1. This has been frightening for you 2. About 80% of breast lumps are benign 3. Cry as long as you like and get it out of your system. 4. More than 95% of breast lumps are discovered by the woman herself.

1. This has been frightening for you

a 10 year old child who is about to begin chemotherapy for acute myelogenous leukemia (AML) tells the nurse that he is old enough to refuse treatment. Which would be the most appropriate response. 1. You seem frightened. Let's talk about it 2. Your parents have given their consent. I have to begin 3. Your age prevents you from refusing treatment. You need to be 18 years old. 4. You are old enough. You're also old enough to know that you need the chemotherapy.

1. You seem frightened. Let's talk about it.

The nurse is teaching the parent of an infant about the prevention of SIDS. Which statement by the parent indicates effective learning? 1. I will sleep in the bed with my baby 2. I will position my baby on the back while sleeping 3. I will use warm blankets and sheets to cover my baby 4. I will put my baby to sleep on soft bedding with pillows

2. I will position my baby on the back while sleeping.

Which statement indicates that a client is a halo fixation device and body cast for a cervical neck injury has had concerns about body image resolved successfully? 1. I hate having everyone else do things for me. 2. I've gotten used to the brace. I may even miss it when its gone. 3. I've been keeping my daily calories low in an attempt to lose weight. 4. I can't get to sleep. However i make up for it in the morning by sleeping later.

2. I've gotten used to the brace. I may even miss it when its gone.

Which age is typical for a child to begin sharing and developing an imagination and ritualistic behavior? 1. Two years old 2. Three years old 3. Four years old 4. Five years old

2. Three years old

A teenage client has a prescription for oral solution levofloxacin to treat a sinus infection and the nurse explains when the medication should be taken. Which statement by the client leads the nurse to conclude that the teaching has been effective? 1. I should take the medication at mealtime 2. I should take the medication just before a meal 3. I should take the medication 1 hour before a meal 4. I should take the medication 30 minutes after a meal

3. I should take the medication 1 hour before a meal

which answer explains why the nurse administers the Denver II Developmental Screening Test to a 2 year old? 1. It allows the measurement of a child's indigence quotient 2. These drawings help us determine his intelligence. 3. It lets us test his ability to perform tasks requiring his hands. 4. The test evaluates developmental needs of children under 2 years of age.

3. It lets us test his ability to perform tasks requiring his hands.

When a client with sexual dysfunction reports well i guess my sex life is over which response would the nurse make? 1. I'm sorry to hear that 2. Oh you have a lot of good years left 3. You are concerned about your sex life? 4. Have you asked your health care provider about that

3. You are concerned about your sex life.

A young woman has been using oral contraceptives and misses her regular menstrual period. She visits the women's health clinic and tells the nurse that she may be pregnant because she missed taking her contraceptive pill for 1 week when she had the flu. Which response would be given by the nurse. 1. It's too late to worry about that now. You may want to consider having an abortion. 2. Contraceptive pills are unpredictable. You probably would've become pregnant even if you had taken them regularly. 3. You may be right. One of the reasons that an exact schedule is prescribed for birth control pills is that they have to be taken regularly to be effective. 4. That's the trouble with birth control pills. They're so effective that women tend to believe that they won't get pregnant even if they skip pills for a few days.

3. You may be right. One of the reasons that an exact schedule is prescribed for birth control pills is that they have to be taken regularly to be effective

A client is taught how to change the dressing and care for a recently inserted nephrostomy tube. On the day of discharge the client states I hope i can handle all this at home. Its a lot to remember. Which response would the nurse utilize 1. I'm sure you can do it 2. Oh a family member can do it for you 3. You seem to be nervous about going home 4. Perhaps you can stay in the hospital another day

3. You seem to be nervous about going home

A new mother exclaims to the nurse, "My baby looks like a Conehead!" How should the nurse respond? 1. are you disappointed in how your baby looks 2. Don't worry your babys head will be round in a few days 3. Is there anyone in your family whose head shape is similar to your baby's 4. This often happens as the baby's head moves down the birth canal. The bones move for easier passage

4. This often happens as the baby's head moves down the birth canal. The bones move for easier passage.

While inspecting her newborn who was born at 37 weeks the client becomes concerned and asks what is this sticky white stuff all over him? Which response would the nurse provide? 1. It's a secretion from the baby's fat cells called milia. 2. This is vernix. It helps protect the baby while in the uterus. 3. Your baby was born several weeks early so we expect to see this. 4. It's nothing to be concerned about. Most newborns are covered with it.

2. This is vernix. It helps protect the baby while in the uterus.