Health Promo Quizzes
The nurse is caring for a newborn. The newborn's mother asks about the brown spots on the baby's back and buttocks. Upon palpating the area is flat and doesn't cause the baby to grimace, which of the following is an appropriate response by the nurse? A: "Mongolian spots can be found on the skin of many newborns" B: "this is a cephalhematoma, which can occur spontaneously" C: "a capital succedaneum occurs due to scalp edema" D: "this is erythema toxicum, which is a transient condition"
A: " Mongolian spots can be found on the skin of many newborns"
A nurse in a family planning clinic is caring for a 21 year old female patient who wants additional information on STI prevention. What statement by the patient indicates teaching was successful? A: "I can use male or female condoms to prevent STIs" B: "The cervical cap and spermicide will prevent STIs" C: "The morning after pill will help prevent STIs" D: "I don't need STI screening if I am using condoms"
A: "I can use male or female condoms to prevent STIs"
A nurse is caring for a young adult client who says he is experiencing increased anxiety and an inability to concentrate. Which of the following responses should the nurse make? A: "It sounds like you're having a difficult time." B: "Have you talked to your parents about this yet?" C: "Why do you think you are so anxious?" D: "How long has this been going on?"
A: "It sounds like you're having a difficult time."
A nurse is caring for a 4-year-old child who has a new diagnosis of diabetes mellitus and is distressed after an insulin injection. Which of the following play activities should the nurse recognize is therapeutic in helping the child deal with the injection? A: A needleless syringe and a doll B: A video game C: A story book about a child who has diabetes D: A period of play in the playroom
A: A needleless syringe and a doll
The nurse is caring for a woman on the 2nd postpartum day. She has showered, packed her things and is verbalizing her readiness to be discharged. This behavior is most characteristic of which of the following phrases of maternal postpartum adjustment? A: taking-hold B: postpartum blues C: letting-go D: taking-in
A: taking-hold
A nurse is teaching a parent about implications of dealing with their child with autism. Which learning domain is the nurse using? A: Cognitive B: Affective C: Psychomotor D: Motivational
B: Affective
A nurse on a long-term care unit is creating a plan of care for a resident who has Alzheimer's disease. Which of the following interventions should the nurse include in the plan? A: rotate assignment of daily caregivers B: provide an activity schedule that changes from day to day C: limit time for the client to perform activities D: talk the client through tasks one step at a time
D: talk the client through tasks one step at a time
A nurse is performing discharge teaching for a client who has seizures with epilepsy and a new prescription for phenytoin. Which of the following statements by the client indicates a need for further teaching? a. "I'll be glad when I can stop taking this medicine." b. "I will keep my doctor's appointment for follow up care." c. "I know that I should not switch brands of this medication." d. "I will notify my doctor before taking any other medications."
a. "I'll be glad when I can stop taking this medicine."
A nurse is completing discharge teaching with a client. Upon discovery of which of the following barriers to learning the nurse identifies with this client, should the nurse interpret as a need to postpone the session? a. Acute pain b. Hearing loss c. Client's culture d. Motor impairment
a. Acute pain
A nurse is teaching a client about snacks that are appropriate on a low-fat, low-sodium, and low-cholesterol diet. Which of the following food choices by the client indicates the need for further teaching? a. A jam sandwich b. A slice of cheese c. A cup of plain popcorn d. A serving of applesauce
b. A slice of cheese
A nurse is providing teaching to a client about measures to prevent urinary tract infections (UTIs). Which of the following client statements indicates a need for further teaching? a. "I need to drink 8 cups of liquid each day." b. "I will need to empty my bladder regularly and completely." c. "I need to pay attention to the urge to void and go as necessary." d. "I will need to wipe my perineal area from back to front after urination."
d. "I will need to wipe my perineal area from back to front after urination."
A nurse is caring for a client who is bottle feeding her baby. What nursing interventions would the nurse implement? (Select all that apply) A: apply breast milk to the nipple twice daily to prevent engorgement B: encourage her to wear a supportive bra C: educate her not to express any breast milk D: massage the breasts to decrease discomfort E: use icepacks to decrease swelling and discomfort
B, C, E
A nurse in a prenatal clinic is completing a skin assessment of a patient who is in the second trimester. Which of the following findings should the nurse expect? A: milia B: linea nigra C: lanugo D: chloasma E: striae gravidarum
B, D, E
The nurse is assessing a postpartum woman during the first 24 hours after birth, the nurse must be alert for signs that could indicate the development of postpartum physiologic complications. Which of the following signs would be of concern? ( select all that apply) A: temperature 99.9 F B: fungus midline boggy C: lochia - pad saturated in 2 hours with grape size clots D: coughing and complaining of shortness of breathe E: headache rated at 7 and Eli gastric pain F: voiding approx. 150ml to 200ml of urine
B, D, E
A nurse is attending a group therapy session and is listening to clients who have chronic anxiety discuss coping strategies. Which of the following statements by the client indicates adaptive coping? (select all the apply) A: "I exercise aerobically three times a day for 30 min at a time" B: "I get 7 hours of sleep at night by skipping afternoon naps" C: "I think about being on my favorite beach vacation when I get anxious" D: "I tense and release my muscles, starting with my feet" E: "I see the glass as half-full when it starts looking empty"
B: "I get 7 hours of sleep at night by skipping afternoon naps" C: "I think about being on my favorite beach vacation when I get anxious" D: "I tense and release my muscles, starting with my feet" E: "I see the glass as half-full when it starts looking empty"
A nurse is caring for a patient who is receiving opioid epidural analgesia during labor. What statement by the mom indicates more teaching is needed? A: "I am need change my position every 30 to 60 min" B: "My legs slightly numb, but I will be able to ambulate to the bathroom" C: "I will need to stay in bed until the birth of the baby" D: "I need to report any dizziness to the nurse"
B: "My legs slightly numb, but I will be able to ambulate to the bathroom"
A nurse is speaking with the mother of a 6-year-old child. Which of the following statements by the mother should concern the nurse? A: "My child has recently lost both front top teeth." B: "The teacher says my child has to squint to see the board." C: "My child often cheats when we play board games." D: "Sometimes my child acts bossy with his friends."
B: "The teacher says my child has to squint to see the board."
A nurse in a prenatal clinic is caring for a patient who is at 7 weeks of gestation. The patient reports nausea and vomiting and asks if this will continue till delivery. Which of the following response should the nurse make? A: "it's a minor inconvenience, which you should ignore" B: "in most cases it only lasts throughout the first trimester" C: "there is no way to predict how long it will last in each individual patient" D: "it occurs during the first trimester and near the end of the pregnancy"
B: "in most cases it only lasts throughout the first trimester"
A nurse is assessing a newborn 1 hour after birth. Which of the following heart rate is within the expected reference range for a newborn? A: 92 beats per min B: 122 beats per min C: 168 beats per min D: 98 beats per min
B: 122 beats per min
A nurse is caring for a client who has major depressive disorder and was prescribed citalopram 2 weeks ago with a planned dosage increase 1 week ago. The client reports having an improved appetite, but still feels very depressed and is still having trouble sleeping. Which of the following actions should the nurse take? A: Speak to the provider about adding an MAOI to the current medication regimen. B: Explain that antidepressants often take several weeks to be fully effective. C: Tell the client that the provider will need to change citalopram to a different medication. D: Recommend a sleep study be done on the client.
B: Explain that antidepressants often take several weeks to be fully effective.
A nurse is assisting a family therapy group session. The son tells the nurse that he plans ways to make his sister look bad so his parents give him more privileges. The nurse identifies this dysfunctional behavior as which of the following? A: Placation B: Manipulation C: Blaming D: Distraction
B: Manipulation
A public health nurse is assessing an older adult client who lives with a family member. The nurse identifies several bruises in various stages of healing. The client and family member explain that the bruises are a result of clumsiness. However, based on the distribution of the bruises, the nurse suspects abuse. Which of the following actions should the nurse take first? A: Document the bruises in the client's chart. B: Report the incident to the supervisor. C: Provide the client with a crisis hotline number. D: Discuss respite care with the client's family.
B: Report the incident to the supervisor.
A nurse is making a home visit to a client who has Alzheimer's disease and the client's partner. Which of the following observations indicates to the nurse that the partner is experiencing caregiver role strain? A: The partner has hired a house cleaner. B: The partner has lost 20 pounds in the past 2 months. C: The partner redirects the client when the client is frustrated. D: The partner has placed locks at the top of the doors leading to the outside
B: The partner has lost 20 pounds in the past 2 months.
A nurse is caring for a 2-year-old child who is hospitalized and throws a tantrum when his parent leaves. Which of the following toys should the nurse provide to alleviate the child's stress? A: Set of building blocks B: Toy hammer and pounding board C: Picture book about hospitals D: Stuffed animal
B: Toy hammer and pounding board
A nurse is caring for a child who has pertussis. The child's parent asks the nurse what the common name for this disease is. The nurse should respond with which of the following common names? A: Chickenpox B: Whooping cough C: Mumps D: Fifth disease
B: Whooping cough
A nurse is assessing a group of clients for hospice services. The nurse should recommend hospice care for which of the following clients? A: a client who has diabetes mellitus and is having a difficulty self administering insulin because of poor eye sight B: a client who has terminal cancer and needs assistance with pain management C: a client who is recovering from a stroke and needs someone to provide care while his spouse is at work D: a client who has dementia and needs help with activities of daily living
B: a client who has terminal cancer and needs assistance with pain management
The nurse is teaching about breastfeeding. What can the nurse suggest to prevent sore nipples? A: nurse on one side only per feeding B: apply pea size amount of lansinoh cream after feeding C: wash the nipples with soap and water after each feeding D: use a breast pump instead of latching baby
B: apply pea size amount of lansinoh cream after feeding
A nurse is caring for a newborn with a sibling history of jaundice. Which of the following instructions may decrease the likelihood of jaundice in the newborn? A: place baby in natural light during daytime hours B: encourage 8 to 12 feedings per day C: place baby in bassinet between feedings for better rest D: check the diaper before each feeding
B: encourage 8 to 12 feedings per day
A nurse is assessing a newborn immediately following a scheduled cesarean delivery. Which of the following assessments is the nurse's priority? A: temperature 97.8 degrees F B: respiratory rate of 62 and nasal flaring C: laceration 1/2 inch long on the forehead D: blue hands and feet
B: respiratory rate of 62 and nasal flaring
A nurse in a prenatal clinic is caring for a patient who is at 30 weeks gestation and complaining of increasing heartburn. What teaching would be most helpful? A: eat large meals 3 times a day and decrease fluid intake B: sit upright after eating at least 30 min C: lag prone for 30 min after eating D: decrease the e amount of fiber in your diet
B: sit upright after eating at least 30 min
A nurse is caring for a patient in the transition phase of first stage of labor. What would the nurse expect to observe during this phase? A: the patients is watching TV and talking between contractions B: the patient stating "I can't do this any longer, I want to go home" C: the patient asking for a light breakfast D: the patient stating " I am so excited of this baby to arrive"
B: the patient stating "I can't do this any longer, I want to go home"
A nurse is reinforcing teaching about contraception methods with a patient. Which of the following should the nurse recognize as a contraindication for Nexplanon? A: the patient is 35 years old B: the patient with a history of pulmonary embolism C: the patient has a history of toxic shock syndrome D: the patient has a 3 month old infant
B: the patient with a history of pulmonary embolism
A nurse in the labor and delivery unit is caring for a patient following a vaginal examination by the provider which is documented as +1. Which of the following interpretations of this finding should the nurse make? A: the presenting part is 1 cm above the ischial spines B: the presenting part is 1 cm below the ischial spines C: the cervix is 1 cm dilated D: the cervix is effaced 1 cm
B: the presenting is 1 cm below the ischial spines
A nurse is performing Leopold maneuvers on a patient who is in labor and determines the fetus is in a ROP position. Which of the following fetal presentations should the nurse document in the patient's medical record? A: breech B: vertex C: shoulder D: mentum
B: vertex
A nurse is admitting a patient who requires droplet precautions due to influenza. Which of the following actions should the nurse take? A: place the patient in a room with negative airflow B: wear a mask when providing care to the patient C: ensure the patient's room has HEPA filtration D: wear a grown when providing care to the patient
B: wear a mask when providing care to the patient
The parent of a 4-year-old child tells a nurse that the child believes there are monsters hiding in the closet at bedtime. Which one of the following statements should the nurse make? A: "Let your child sleep in your bed with you." B: "Tell your child that monsters are not real." C: "Keep a night light on in your child's room." D: "Stay with your child until the child is asleep."
C: "Keep a night light on in your child's room."
Then nurse identifies the use of authoritative parenting style when she hears a parent make the following statement? A: "My son knows he better do what I say." B: "My daughter is mature enough to determine her own curfew." C: "My son understands that a part of learning responsibility is helping with household chores." D: "I only allow my daughter to date boys that attend our church."
C: "My son understands that a part of learning responsibility is helping with household chores."
A school nurse is talking with a 13-year-old female at her annual health-screening visit. Which of the following comments made by the adolescent should be the nurse's priority to address? A: "My parents treat me like a baby sometimes." B: "I haven't gotten my period yet, and all my friends have theirs." C: "None of the kids at this school like me, and I don't like them either." D: "There's a big pimple on my face, and I worry that everyone will notice it."
C: "None of the kids at this school like me, and I don't like them either."
A nurse suspects that a family caregiver is neglecting an older adult client. Which of the following statements by the caregiver should the nurse identify as the highest priority to address? A: "We don't have air conditioning" B: "We usually have just two meals a day." C: "We only buy the prescription we can afford." D: "We cannot afford new batteries for his hearing aid."
C: "We only buy the prescription we can afford."
A nurse is providing health promotion teaching to an adolescent. Which of the following information should the nurse include in the teaching? A: "Limit caloric intake to avoid becoming overweight." B: "Share piercing needles only with close friends you trust." C: "Your need for sleep will increase during periods of growth." D: "Tanning beds are much safer than lying in the sun."
C: "Your need for sleep will increase during periods of growth."
A nurse is teaching a patient who has a new diagnosis of human papillomavirus. Which of the following statements by the patient indicates the need for further teaching? A: "I need to have more frequent pap tests now that I have HPV" B: "Abstaining from sexual activity reduces the risk of transmission of the disease" C: "after taking my antibiotics I will no longer have this disease" D: "I may need a LEEP procedure done to remove damaged cells"
C: "after taking my antibiotics I will no longer have this disease"
A nurse is completing discharge instructions for a new mother and her 2 day old newborn. The mother asks, " is there anything I need to do for the Gomco circumcision that was done this morning". Which of the following responses should the nurse make? A: "you need to wash the circumcision with soap and water twice a day" B: "you should stretch out feedings to 5 hours to allow healing time" C: "you should apply a vaseline dressing with each diaper change" D: "call if a yellow crust forms at the circumcision site"
C: "you should apply Vaseline dressing with each diaper change"
A nurse is teaching a client who is at 23 weeks of gestation about immunizations. Which of the following statements should the nurse include in the teaching? A: "you should not receive the rubella vaccine while breastfeeding" B: "you should receive a varicella vaccine before you deliver" C: "you should receive your TDAP vaccine around 28 weeks gestation" D: "you should wait to receive your flu vaccination until after delivery"
C: "you should receive you TDAP vaccine around 28 weeks gestation"
A nurse is caring for a child who is on a clear liquid diet. At lunch, the child consumed ½ cup of juice, 3 oz gelatin, 1 oz of an ice pop, and 20 mL ginger ale. How many mL should the nurse record as the child's fluid intake? A: 200 mL B: 270 mL C: 260 mL D: 240mL
C: 260 mL
The nurse hears in the report the following info: Gr 2 para 1, delivered 17 hours ago a baby boy 7lb 2oz, apgar scores 6 and 8, GBS positive, rubella non-immune, hep B negative and blood type B+. Uterus is firm midline and lochia is moderate rubra. The next postpartum check is due in 5 minutes. What interventions would you anticipate the nurse implementing? A: obtain cord blood for baby's blood type and Rh studies B: administration of hep B immunoglobulin IM C: administration of the MMR vaccine sub Q D: administration of penicillin G IVPB
C: Administration of the MMR vaccine sub Q
A nurse is caring for a 6-month-old infant. Which of the following findings indicates to the nurse that the infant may be experiencing pain? A: Dry palms and feet B: Decreased muscle tone C: Furrowed brow D: Eyes wide open
C: Furrowed brow
A nurse in a college health clinic is speaking to a group of adolescents about toxic shock syndrome (TSS). Which of the following should the nurse include in the teaching as increasing the risk for contracting TSS. A: IUD birth control B: Exposure to HPV C: Internal barrier methods of birth control D: Multiple sexual partners
C: Internal barrier methods of birth control
A nurse is caring for a 17-year-old client who is experiencing a relapse of leukemia and is refusing treatment. The patient's mother insists that the patient receive treatment. Which of the following actions should the nurse take? A: Initiate the IV per the parent's request B: Administer a sedative to calm the patient C: Notify the provider of the situation. D: Offer the patient an antiemetic.
C: Notify the provider of the situation.
A nurse is caring for a patient following an amniotomy who is now in the active phase of the first stage of labor. The fluid was clear with no odor. Which of the following actions should the nurse implement first with this patient? A: increase IV fluid rate B: perform vaginal examination C: assess fetal heart rate D: change her chux pad
C: assess fetal heart rate
The nurse is caring for a patient 24 hours after giving birth, her fundus is boggy and her lochia flow os heavy. What would the nurse do first? A: increase IV fluid B: call the provider C: continue to massage the fundus D: change her pad
C: continue to massage the fundus
A nurse midwife is examining a patient who is a multigravida at 40 weeks gestation. What finding would indicate that labor has begun? A: amniotic fluid in the vaginal vault B: loss of the mucous plug C: continuous cervical dilation and effacement D: contractions 3-4 min apart, lasting 40-60 sec
C: continuous cervical dilation and effacement
A nurse is observing the electronic fetal heart rate monitor tracing for a patient who is at 40 weeks gestation and is in labor. The nurse administered Nubain 20 min ago, what fetal heart rate tracing would you anticipate seeing? A: variable decelerations B: late decelerations C: decreased decelerations D: early decelerations
C: decreased decelerations
A nurse is caring for a mom who delivered by c-birth yesterday. She has incision pain rated at a 4 and increases with breastfeeding. What breastfeeding position would promote decreased pain during feedings? A: laid back B: cradle C: football D: cross cradle
C: football
A nurse is caring for a patient who is in active labor and notes early decelerations in the FHR. Which of the following actions should the nurse take first? A: apply fetal scalp electrode B: increase the rate of the IV infusion C: support the patient through her labor D: assist her to the bathroom
C: support the patient through her labor
A nurse is teaching a group of patients who are in their third trimester of pregnancy. The nurse is discussing a variety of symptoms that can be experienced during this trimester. What symptoms should be reported to the provider? A: round ligament pain B: foot edema at the end of the day C: trickle of fluid on peripad D: urinary frequency
C: trickle of fluid in peripad
A nurse is presenting educational materials to a groups of middle aged postmenopausal patients regarding prevention of osteoporosis. Which of the following information should the nurse include in teaching? A: you should increase your water intake B: you should decrease to low impact exercise so you don't strain your muscles C: you should take calcium and vitamin D daily D: you should sleep 8 hours a night
C: you should take calcium and vitamin D daily
A male nurse is assigned to care for a female client who was admitted to the hospital for treatment of injuries following a domestic abuse incident. The client tells the nurse manager she does not want a male nurse as her caregiver. Which of the following nursing responses should the nurse manager make? A: "I can arrange for a female assistive personnel to do your personal hygiene care." B: "The nurse assigned to care for you is very capable and cares for other women in this situation." C: "Your doctor is a man, so it seems like this should not be a problem." D: "I can review the assignments and arrange for a female nurse to care for you."
D: "I can review the assignments and arrange for a female nurse to care for you."
A nurse in an emergency department is caring for an adolescent patient who reports being sexually assaulted just prior to admission. Which of the following actions should the nurse take first? A: Discuss self-defense techniques with the patient. B: Inform the patient photographs of injuries are required for a police report C: Give the patient a bed bath prior to physical examination D: Ask the patient to describe the situation.
D: Ask the patient to describe the situation.
A nurse asks a client who is suicidal to make a safety contract, but the client declines. Which of the following actions should the nurse identify as the priority? A: Lock the doors to the unit and secure windows so they cannot be opened. B: Provide the client with plastic eating utensils for meals. C: Remove any objects from the client's environment that could be used for self-harm. D: Assign a staff member to stay with the client at all times.
D: Assign a staff member to stay with the client at all times.
A nurse in a pediatric clinic is talking with the mother of a preschool-age child. The mother tells the nurse that her son is a "picky eater." Which of the following instructions should the nurse include in the teaching? A: Have the child remain at the table after meals to increase food intake. B: Emphasize the quantity, rather than the quality, of food consumed C: Add fruit juice to the child's diet to increase vitamin intake. D: Expect that food consumption might not decrease significantly.
D: Expect that food consumption might not decrease significantly.
A nurse is caring for a 12-month-old child who is hospitalized and confined to a room with contact precautions in place. Which of the following toys should the nurse recommend in order to meet the developmental needs of the patient? A: Crayons and a coloring book B: Hanging crib toys C: Modeling clay D: Large building blocks
D: Large building blocks
A nurse on a pediatric unit is caring for a child and his family. His parents define family as a husband, wife, and child. This definition is which type of family form? A: Extended family B: Blended family C: Intergenerational family D: Nuclear family
D: Nuclear family
A nurse is assessing a child and notes several bruises. Which of the following actions should the nurse take first? A: Report the suspected abuse to the authorities. B: Ask a psychiatrist to talk with the parents. C: Separate the child from the parents. D: Obtain a detailed history.
D: Obtain a detailed history.
A nurse is caring for a toddler who is having difficulty sleeping during hospitalization. Which of the following actions should the nurse take to promote sleep? A: Explain the source of the toddler's fears. B: Turn off the room light. C: Encourage play exercises in the evening. D: Provide bedtime rituals
D: Provide bedtime rituals
A nurse is teaching a prenatal class about postpartum care. When teaching about RhoGam administration, what type of patient would need this injection A: Rh+ mom, Rh- baby B: Rh+ mom, Rh+ baby C: Rh- mom, Rh- baby D: Rh- mom, Rh+ baby
D: Rh- mom, Rh+ baby
A nurse on a mental health unit is caring for a patient who has generalized anxiety disorder. The patient received a telephone call that was upsetting, and now the patient is pacing up and down the corridors of the unit. Which of the following actions should the nurse take? A: Instruct the patient to sit down and stop pacing. B: Allow the patient to pace alone until physically tired. C: Have a staff member escort the patient to her room. D: Walk with the patient at a gradually slower pace.
D: Walk with the patient at a gradually slower pace.
The nurse is working with four postpartum moms. Which client would require the priority care? A: a mom who delivered 12 hours ago with bright red bleeding B: a mom with 2nd degree lacerations, rating perineal pain at 6 asking for ibuprofen C: a mom with profusion of the abdomen with slight separation of abdominal wall muscle D: a mom that delivered 2 hours that passed an orange size clot
D: a mom that delivered 2 hours that passed an orange size clot
A nurse is caring for a patient who is having a colposcopy. The nurse understands this procedure will be done for the following reason. A: rectovaginal palpation B: premenstrual syndrome C: herpes lesions D: cervical dysplasia
D: cervical dysplasia
A nurse is instructing a female patient how to check her cervical mucous in order to determine if she is ovulating. The nurse should instruct the patient to check her cervical mucous at which of the following times? A: 1 hour following intercourse B: 1 hour before intercourse C: before going to bed every night D: first thing in the morning
D: first thing in the morning
A nurse is caring for a patient during the first trimester of pregnancy. After reviewing the patient's blood work, the nurse notices the mom's blood type is A-. Which of the following should the nurse understand is recommended for Rh negative moms? A: moms will be given RhoGam at 15-17 weeks gestation B: moms will be give RhoGam monthly C: mom will be given RhoGam during labor D: mom will be given RhoGam between 26-28 weeks gestation
D: mom will be given RhoGam between 26-28 weeks gestation
A nurse is providing preconception counseling for a patient who is planning a pregnancy. The nurse knows teaching was effective when they patient states " I take folic acid daily to.... A: prevent miscarriage B: prevent morning sickness C: prevent anemia D: prevent neural tube defects
D: prevent neural tube defects
A nurse is caring for a postpartum mom; which of the following nursing actions would be most effective in facilitating parent attachment to their new infant? A: offer a bottle to the baby when baby is sleepy at the breast B: keeping the baby in the nursery as much as possible for the first 24 hours after birth so the mother can rest C: limiting visiting hours for the woman's partner or significant other so she can sleep D: providing guidance and support as the parents care for their baby's nutrition and hygiene needs
D: providing guidance and support as the parents care for their baby's nutrition and hygiene needs
A nurse is caring for a patient who is 10 cm dilated and 100% effaced. What nursing intervention would be done next? A: assist the mom to the bathroom to empty her bladder B: palpate the contractions to see how strong they are C: teach her to pant-blow during the contractions D: teach her how to push during her contractions
D: teach her how to push during her contractions
A nurse is teaching about risk factors of developing a stroke with a group of older adult clients. Which of the following is a non-modifiable risk factor the nurse could include in the teaching? a. Race b. Obesity c. Cigarette smoking d. History of hypertension
a. Race
A nurse is instructing a young adult client about healthful sleep habits. Which of the following statements should the nurse identify as an indication that the client needs further teaching? a. "I don't take naps throughout the day." b. "I watch television until I fall asleep at night." c. "I have a glass of milk before going to bed at night." d. "I go to bed and get up routinely at the same time each day."
b. "I watch television until I fall asleep at night."
A nurse is caring for a client who has a new diagnosis of type 1 diabetes mellitus. To focus on affective learning with this client, which of the following interventions should the nurse provide? a. Review the action of insulin therapy. b. Explore the client's feelings about dietary modifications. c. Have the client practice blood-glucose monitoring using a glucometer. d. Ask the client to look at their menu and make meal choices for the next day.
b. Explore the client's feelings about dietary modifications.
A nurse is caring for a client who has a new diagnosis of type 1 diabetes mellitus. To focus on psychomotor learning with this client, which of the following interventions should the nurse provide? a. Review the action of insulin therapy. b. Explore the client's feelings about dietary modifications. c. Have the client practice blood-glucose monitoring using a glucometer. d. Ask the client to look at their menu and make meal choices for the next day.
c. Have the client practice blood-glucose monitoring using a glucometer.
A nurse is teaching a client who has a history of falls about home safety. Which of the following statements should the nurse identify as an indication that the client understands the instructions? a. "I will keep my walker at the end of my bed." b. "I will keep the ceiling lights on in my room at night." c. "I will place a scatter rug at the front door of my house." d. "I will place a bath seat in my shower to use when I bathe."
d. "I will place a bath seat in my shower to use when I bathe."
The nurse is teaching the parents safe sleep practices for the newborn. The teaching has been successful when the parents state A: "I place the baby on her back to sleep" B: "I will place the baby on a hard surface on her belly to sleep" C: "I will place the baby in her car seat to sleep" D: "I will place the baby on her side so she doesn't choke"
A: "I place the baby on her back to sleep"
A nurse is caring for an adolescent patient who tested positive for chlamydia. What statement by this patient indicates the need for additional teaching? A: "I will stop my antibiotics as soon as I am feeling better" B: "I will tell my sexual partner that I am positive for chlamydia" C: "I will take my full prescription of antibiotics" D: "I will sustain from sexual contact until my treatment is complete"
A: "I will stop my antibiotics as soon as I am feeling better"
A nurse is caring for a newborn whose mother voices concerns about sudden infant death syndrome (SIDS). The nurse should include which of the following statements in a discussion with the mother? A: "Placing your child on her back when sleeping will decrease the risk of SIDS." B: "SIDS is directly correlated with the diphtheria, tetanus, and pertussis vaccines." C: "SIDS rates have been rising over the last 10 years." D: "Sleep apnea is the main cause of SIDS."
A: "Placing your child on her back when sleeping will decrease the risk of SIDS."
A nurse is caring for a client who has major depressive disorder and is scheduled for electroconvulsive therapy (ECT). The client's spouse asks the nurse about the possible side effects of the ECT. Which of the following responses should the nurse make? A: "The main side effects are temporary, and may include mild confusion, a headache, and short-term memory loss." B: "Most clients have no adverse effects to this treatment, but muscle cramping may result from the induced seizure." C: "Some clients have been known to have a myocardial infarction, but we will monitor your spouse closely to be certain this does not happen." D: "The most common side effects are directly related to the use of anesthesia."
A: "The main side effects are temporary, and may include mild confusion, a headache, and short-term memory loss."
A nurse is working with a couple in a family planning office. What should the nurse include in her teaching regarding increasing and/or maintaining male sperm count? A: "avoid using a laptop on your lap for long periods of time" B: "tight briefs will help support the tests and produce more sperm" C: "your diet and alcohol consumption shouldn't affect your sperm count" D: "only ejaculate during ovulation to save your sperm"
A: "avoid using a laptop on your lap for long periods of time"
A nurse is teaching about fetal development to a group of patients in the antenatal clinic. Which of the following statements should the nurse include in the teaching? A:" you may begin to feel your baby move around 18 to 20 weeks of pregnancy" B: "the sex of the baby is determined by week 13 of pregnancy" C: "you may feel Braxton hicks contractions starting around week 8 of pregnancy" D: "you will likely have less heartburn as the pregnancy progresses"
A: "you may begin to feel your baby move around 18 to 20 weeks of pregnancy"
A home health nurse is reinforcing coping strategies with a family caregiver of a client who has Alzheimer's disease. Which of the following information should the nurse include in the teaching? (select all that apply) A: Actions to reduce stress B: identifications of a social support system C: referral to available community resources D: instruction on client medication administration
A: Actions to reduce stress B: identifications of a social support system C: referral to available community resources E: expected physiological changes of the disease
A nurse is assessing a 6-month-old infant at a well-child visit. Which of the following findings should the nurse expect? A: Closed posterior fontanel B: Uses thumb and index fingers in a pincer grasp C: Lateral incisors D: Sitting steadily without support
A: Closed posterior fontanel
A nurse in a prenatal clinic is caring for a patient who asks what her estimated date of delivery will be if her last menstrual period was March 8th. Which of the following is the appropriate response by the nurse? A: December 15 B: January 15 C: December 11 D: January 11
A: December 15th
A nurse is caring for a 3-year-old child whose parents report that she has an intense fear of painful procedures, such as injections. Which of the following strategies should the nurse add to the child's plan of care? (Select all that apply) A: Have a parent stay with the child during procedures. B: Cluster invasive procedures whenever possible. C: Perform the procedure as quickly as possible. D: Allow the child to keep a toy from home with her. E: Use mummy restraints during painful procedures.
A: Have a parent stay with the child during procedures. C: Perform the procedure as quickly as possible. D: Allow the child to keep a toy from home with her.
A nurse in a drug and alcohol detoxification center is planning care for a patient who has alcohol use disorder. Which of the following interventions should the nurse identify as the priority? A: Helping the patient identify positive personality traits B: Providing for adequate hydration and rest C: Confronting the use of denial and other defense mechanisms D: Educating the patient about the consequences of alcohol misuse
A: Helping the patient identify positive personality traits
A nurse is caring for an adolescent who is experiencing indications of depression. Which of the following findings should the nurse expect? (Select all that apply) A: Irritability B: Euphoria C: Insomnia D: Low self-esteem E: Monotone speech
A: Irritability C: Insomnia D: Low self-esteem E: Monotone speech
A nurse is collecting data about a family, Which of the following should the nurse include? (Select all that apply) A: Medical history B: Parental educational level C: Child's physical growth D: Support system E: Stressors
A: Medical history B: Parental educational level D: Support system E: Stressors
A home health nurse is reinforcing coping strategies with the family caregiver of a client who has Alzheimer's disease. Which of the following information should the nurse include in the teaching for coping strategies? (select all that apply) A: Stress reduction techniques B: Nutritional needs of the elderly C: Identification of a social support system D: Referral to available community resources E: Instruction on client medication administration
A: Stress reduction techniques C: Identification of a social support system D: Referral to available community resources
A nurse is preparing to discharge a child who has a new prescription for an oral antibiotic. Which of the following information should the nurse include in the discharge instructions? (Select all that apply) A: The reason why the child is taking the medication B: Written information about the medication C: Stopping the medication when the child feels better D: The adverse effects of the medication E: Using a kitchen spoon to administer the medication
A: The reason why the child is taking the medication B: Written information about the medication D: The adverse effects of the medication
A nurse is preparing to assist with applying a cast to a preschooler's arm. Which of the following actions should the nurse take? A: Wrap the arm of the child's doll or toy prior to the procedure. B: Tell the child, "This will make your arm feel better." C: Place a heated fan at the bedside to facilitate drying. D: Support the casted arm with a firm grasp.
A: Wrap the arm of the child's doll or toy prior to the procedure.
A nurse is reviewing contraception options for four patients. The nurse should identify that which of the following patients has a contraindications for using a cervical cap? A: a 32 year old patient who has a history of toxic shock syndrome B: a 26 year old patient who has migraine headaches at the start of each menstrual cycle C: a 28 year old patient who has a history of pelvic inflammatory disease D: a 38 year old patient who reports smoking one pack of cigarettes a day
A: a 32 year old patient who has a history of toxic shock syndrome
The nurse is educating a patient regarding prevention of blood clots post cesarean section. What recommendations would the nurse teach? A: ambulate at least every 2 hours when awake B: elevate your legs when resting in bed C: tighten and relax your calf muscles when at rest D: encourage increase amount of fluids
A: ambulate at least every 2 hours when awake
A student nurse is pushing a baby from mom's room to the nursery for a circumcision. The baby is unwrapped and doesn't have a hat on during transport in the crib. The nurse notes the temperature is 97.4 degrees F. This drop in temperature may be caused by A: convection B: evaporation C: conduction D: radiation
A: convection
The nurse assessed the following clients 24 hours after giving birth, which is most likely to experience after pains? A: multipara who is breastfeeding her twins that were born at 38 weeks of gestation B: primapara who is breastfeeding her 7 pound full term baby girl C: multipara who is bottle feeding her 6.5 pound baby boy D: primipara who is bottle feeding her 7 pound baby girl
A: multipara who is breastfeeding her twins that were born at 38 weeks of gestation
A nurse receives report about a patient who is in labor and is having contractions 4 min apart. The baseline fetal heart rate is 146 with variable decels to 90. Which action should the nurse take first? A: reposition the mom B: call the provider C: increase the Pitocin D: assist the mom to the bathroom
A: reposition the mom
A nurse is assessing a newborn's reflexes during a routine shift assessment. Which reflex may indicate the babies readiness to feed? A: rooting B: Moro C: babinski D: chewing
A: rooting
A nurse in a prenatal clinic is caring for a patient who believes that she might be pregnant because her breasts are enlarging, she fed,s nauseous and is frequently voiding. Which of the following statements should the nurse make? A: this is a presumptive sign of pregnancy B: this is a positive sign of pregnancy C: this is a probable sign of pregnancy D: this is a possible sign of pregnancy
A: this is a presumptive sign of pregnancy