Reference no: EM133843523
Question
1. The RN working in a health care clinic is teaching a group of sexually active teens about safe sex practices. Which statement by a teen indicates that the teaching was effective?
A."I may have a sexually transmitted disease even if I have no symptoms."
B."If I get the Gardasil injections, I won't need to use a condom."
C."Using spermicide during sex will help me to avoid a sexually transmitted infection."
2. A 56-year-old menopausal woman tells the registered nurse that she has been experiencing vaginal itching, burning, and increased vaginal infections over the last 3 years. Which fact would the RN need to consider before replying to the client?
A.Vaginal infections are a precursor to cervical cancer..
B.Vaginal pH increases during menopause.
C.The source of the allergic reaction needs to be identified.
3. A woman at 32 weeks gestation has just delivered a baby with no heartbeat. Which intervention is most appropriate for the RN at this time?
A.Remove the baby from the delivery room as quickly as possible.
B.Dress the baby in a tee shirt and swaddle the baby in a receiving blanket.
C.Ask the woman if she would like the doctor to prescribe her a sedative.
4. An antenatal patient who is 32 weeks' gestation has been admitted to the hospital with premature rupture of membranes. She is not exhibiting any signs of labor. Which is the priority nursing intervention?
A.Administer parenteral antibiotics.
B.Provide emotional support.
C.Assess for cervical dilation every 6 hours.
6. Which response by the registered nurse is correct when the patient asks the nurse "Could you explain how the baby's blood and my blood separate at birth?"
A."Your blood supply and the babies are completely separate."
B."When the placenta is delivered, the circulatory systems separate."
C."When the doctor clamps the cord, the blood stops mixing."
7. A patient's obstetrical history includes: A spontaneous abortion at 9 weeks 4 years ago, a first trimester abortion 10 years ago, a vaginal delivery at 39 weeks 3 years ago, a vaginal delivery at 40 weeks 5 years ago, and she is now pregnant again. What is the correct way for the RN to document the gravida and para for this patient?
A.G5 P2
B.G4 P2
C.G5 P3
8. The RN is preparing to administer Terbutaline to a client experiencing preterm labor. Which finding would cause the RN to hold the dose?
A.Adventitious breath sounds
B.Uterine contractions every 3 minutes
C.Maternal pulse of 110 bpm
9. A client who is 24 weeks gestation confesses that she cannot help eating chalk on a daily basis.
Which complication is most often associated with this behavior?
A.Iron-deficiency anemia
B.Polycythemia
C.Hypocalcemia
10. Which of these situations represents a breach of private healthcare information?
A. A verbal report regarding the client's medical history to the anesthesiologist while present in the client's room.
B.A laboratory report from the prenatal provider's electronic health record containing the client's blood type.
C.A text message to the resident to come immediately to see a client who is experiencing vaginal bleeding.
11. A couple who are being seen in the genetic clinic has just been informed that they have a 25% chance of having a child with a particular genetic disorder. Which statement by the couple indicates their understanding of the probability that a child of theirs would inherit the disorder?
A."If we have 4 children, only one of them will have the disorder."
B."Each child will have a 25% chance of having the disorder."
C."75% of my children will not have the disorder."
12. In which room location should the RN place the pregnant client who is being admitted for severe preeclampsia?
A.In the intensive care unit
B.Across from the nurse's station
C.In a private room
13. The RN identifies all these assessment findings in a client who is 36 weeks' gestation. Which should be reported to the obstetrician immediately?
A.BP of 144/94 mm/hg left arm
B.Copius leukorrhea
C.Positive rubella serum antibody titer
14. A woman in her early twenties presents to the clinic seeking birth control. She has a history of dysmenorrhea, irregular cycles, and menorrhagia. She has no allergies, and smokes ½ pack a day. She states she has been sexually active with several partners. Which method of birth control should be recommended?
A.Depot medroxyprogesterone
B.Female condom
C.Copper IUD
16. At 32 weeks gestation, a pregnant patient receiving Rho(D) immune globulin (RhoGam) for her Rh-negative status asks if she is going to need it again. Which response by the registered nurse is most appropriate?
A."To prevent you from building up antibodies against your next baby's blood you will need Rho(D) immune globulin again within the next 72 hours."
B."You will need Rho(D) immune globulin again since you got it during your pregnancy."
C."You will need Rho(D) immune globulin again if your newborn is Rh Positive."
17. Which statement made by the pregnant patient indicates that teaching was effective related to an elevated alpha fetoprotein (AFP) level?
A."The elevated AFP means my baby has Down syndrome."
B."An elevated AFP indicates that the baby's lungs are mature."
C."The elevated AFP means the baby may have spina bifida."
18. Which is a priority nursing intervention when caring for the patient with pelvic inflammatory disease?
A.Administer acyclovir as ordered
B.Provide education about oral contraceptives
C.Institute contact precautions
17. The charge nurse of the antepartum unit is making an assignment for the registered nurses.
Which client should be assigned to the most experienced registered nurse on the unit?
A.The client at 38 weeks with hypertension, 4+ reflexes and clonus present.
B.The client at 40 weeks with ruptured membranes and no contractions.
C.The client at 28 weeks with newly diagnosed gestational diabetes and a blood sugar of 140.
18. A patient has been diagnosed with a vaginal infection and received a prescription for metronidazole (Flagyl). Which teaching point should the RN include in the patient's education?
A.Protect yourself from sunlight while taking this medication
B.This medication may decrease the effectiveness of oral contraceptives
C.Do not consume alcohol while taking this medication
19. The RN is caring for a client receiving magnesium sulfate for preeclampsia. Which nursing outcome is most appropriate to include in the client's plan of care? The patient will:
A.States pain rating of less than 3 on Verbal pain scale 30 minutes after administration.
B.Have no protein in urine by discharge.
C.Experience no seizure activity during hospitalization.
20. Which lab result would the registered nurse examine for the patient with menorrhagia?
A.Serum calcium
B.Thyroxine screen
C.Hematocrit
21. The patient states to the registered nurse that she has multiple sex partners. Which is the best contraceptive method for this patient to consider?
A.Female condom
B.Intrauterine device
C.Birth control pills
22. The pregnant woman who is 33 weeks gestation reports feeling light-headed while lying on her back. Which intervention should the RN perform next?
A.Raise the head of the bed
B.Take the client's blood pressure
C.Administer oxygen via face mask
23. What self-care measure is most important for the registered nurse to include while teaching a menopausal woman who chooses not to use hormone therapy?
A.Performing regular weight-bearing exercises.
B.Decreasing the intake of dairy products.
C.Taking Vitamin E and B complex vitamin supplements.
The RN is performing a medication reconciliation with a client who has been prescribed sildenafil. Which medication should the RN report to the health care provider for clarification?
A.Nitroglycerine
B.Amoxicillin clavulanate
C.Vitamin B-12