Recalls 6 - NP2 Flashcards
(100 cards)
1
Q
Situation: Nurse Ivy is caring for multiple pregnant clients to gain experience and enhance her knowledge regarding prenatal care.
- Nurse Ivy is assessing a pregnant woman at 20 weeks’ gestation who reports swelling in her legs and frequent headaches. Which assessment finding should Nurse Ivy be most concerned about?
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0/1
A. A blood pressure of 130/85 mmHg
B. Edema of the lower extremities
C. A sudden increase in weight of 2 kg in one week
D. A hemoglobin level of 11.5 g/dL
A
2
Q
- Nurse Ivy is educating a pregnant client about the importance of prenatal vitamins. Which statement by the client indicates a correct understanding of the importance of folic acid?
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1/1
A. “Folic acid helps with my digestion.”
B. “Folic acid can prevent neural tube defects in the baby.”
C. “Folic acid is primarily for boosting my energy levels.”
D. “Folic acid is only necessary in the first trimester.”
A
B. “Folic acid can prevent neural tube defects in the baby.”
3
Q
- Nurse Ivy is assessing a pregnant woman at 28 weeks’ gestation who presents with severe abdominal pain and decreased fetal movement. What should Nurse Ivy’s priority action be?
A. Advise the patient to rest and drink more fluids
B. Conduct a thorough fetal assessment and notify the healthcare provider
C. Suggest over-the-counter pain relief for the abdominal pain
D. Recommend a follow-up appointment in one week
A
B. Conduct a thorough fetal assessment and notify the healthcare provider
3
Q
- Nurse Ivy is assessing a pregnant woman who is 36 weeks’ gestation. The patient is experiencing a sudden onset of shortness of breath and a non-productive cough. What is the most appropriate action for Nurse Ivy to take?
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0/1
A. Encourage the patient to lie down and rest
B. Perform a thorough respiratory assessment and monitor oxygen saturation
C. Increase the patient’s fluid intake
D. Refer the patient to a dietitian for a low-sodium diet
A
4
Q
- Situation: Nurse Ivy is discussing the risk factors for developing gestational diabetes with a pregnant woman. Which factor is a significant risk for developing gestational diabetes?
A. Being underweight before pregnancy
B. Being older than 25 years of age
C. Having a family history of diabetes
D. Having a history of previous uncomplicated pregnancies
A
C. Having a family history of diabetes
4
Q
- Nurse Ivy is preparing a teaching session for a group of pregnant women about labor signs. Which sign should Nurse Ivy emphasize as the most indicative of true labor?
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A. Lightening
B. Braxton Hicks contractions
C. Rupture of membranes
D. Cervical dilation
A
5
Q
Situation: Nurse Colet is reviewing her knowledge regarding the signs of pregnancy. The following questions are regarding this.
- Nurse Colet is assessing a pregnant client who reports frequent urination and nausea. Which of these findings is considered a presumptive sign of pregnancy?
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1/1
A. Positive pregnancy test
B. Fetal heartbeat detected via Doppler
C. Enlargement of the abdomen
D. Nausea and vomiting
A
D. Nausea and vomiting
6
Q
- A pregnant client presents with a positive result on a home pregnancy test. What type of sign of pregnancy does this result represent?
A. Presumptive sign
B. Probable sign
C. Positive sign
D. Diagnostic sign
A
B. Probable sign
6
Q
- Nurse Colet is evaluating a client who has recently missed her menstrual period and has noticed a darkening of the areola. Which of these is considered a probable sign of pregnancy?
A. Amenorrhea
B. Hegar’s sign
C. Quickening
D. Breast tenderness
A
B. Hegar’s sign
7
Q
- Nurse Colet is performing a physical examination and notes a softening of the cervix. Which sign of pregnancy does this finding represent?
A. Presumptive sign
B. Probable sign
C. Positive sign
D. Diagnostic sign
A
B. Probable sign
7
Q
- Nurse Colet is teaching a group of pregnant women about signs of pregnancy. Which statement correctly identifies a positive sign of pregnancy?
A. Breast tenderness
B. Quickening
C. Urinary frequency
D. Fetal heartbeat detected by a Doppler device
A
D. Fetal heartbeat detected by a Doppler device
8
Q
- Nurse Colet is assessing a pregnant client who reports feeling fetal movement. What type of sign of pregnancy does this represent?
A. Presumptive sign
B. Probable sign
C. Positive sign
D. Diagnostic sign
A
A. Presumptive sign
9
Q
- Nurse Colet is discussing the changes in skin pigmentation with a pregnant client. The client reports experiencing a dark line running from the pubic area to the umbilicus. What is this sign called?
A. Linea nigra
B. Chadwick’s sign
C. Ballottement
D. Goodell’s sign
A
A. Linea nigra
9
Q
- What instructions should a nurse give to a pregnant patient who is about to undergo an amniocentesis?
A. Strict bed rest is required after the procedure.
B. Hospitalization is necessary for 24 hours after the procedure.
C. An informed consent needs to be signed before the procedure.
D. A fever is expected after the procedure because of the trauma to the abdomen.
A
C. An informed consent needs to be signed before the procedure.
10
Q
- A pregnant patient in her first trimester contacts a healthcare clinic and reports noticing a thin, colorless vaginal discharge. What should the nurse say to the patient?
A. “Come to the clinic immediately.”
B. “The vaginal discharge may be bothersome, but is a normal occurrence.”
C. “Report to the emergency department at the maternity center immediately.”
D. “Use tampons if the discharge is bothersome, but be sure to change the tampons every 2 hours.”
A
B. “The vaginal discharge may be bothersome, but is a normal occurrence.”
11
Q
- The healthcare provider orders a contraction stress test, which yields a negative result. How should the nurse document these findings?”
A. A normal test result
B. An abnormal test result
C. A high risk for fetal demise
D. The need for a cesarean section
A
A. A normal test result
12
Q
- A nurse is teaching a pregnant patient how to perform ‘kick counts.’ Which statement from the patient would suggest that additional instruction is needed?
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0/1
A. “I will record the number of movements or kicks.”
B. “I need to lie Flat on my back to perform the procedure.”
C. “If I count fewer than 10 kicks in a 2-hour period, it could be because my baby is sleeping.”
D. “I need to place my hands on the largest part of my abdomen and concentrate on the fetal movements to count the kicks.”
A
13
Q
- The nurse is performing an assessment of a pregnant client who is at 28 weeks of gestation. The nurse measures the fundal height in centimeters and notes that the fundal height is 30 cm. How would the nurse interpret this Finding?
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0/1
A. The client is measuring large for gestational age.
B. The client is measuring small for gestational age.
C. The client is measuring normal for gestational age.
D. More evidence is needed to determine size for gestational age.
A
14
Q
- A pregnant client comes in for a routine prenatal visit and reports experiencing irregular contractions. After evaluating the situation, the nurse identifies these as Braxton Hicks contractions. Given this assessment, what would be the appropriate nursing action?
A. Contact the primary health care provider.
B. Instruct the client to maintain bed rest for the remainder of the pregnancy.
C. Inform the client that these contractions are common and may occur throughout the pregnancy.
D. Call the maternity unit and inform them that the client will be admitted in a preterm labor condition.
A
C. Inform the client that these contractions are common and may occur throughout the pregnancy.
15
Q
- A client arrives at the clinic for their first prenatal assessment and informs the nurse that the first day of their last normal menstrual period was October 19, 2023. Using Näegele’s rule, what is the expected date of delivery that the nurse should record in the client’s chart?
A. July 12, 2024
B. July 26, 2024
C. August 12, 2024
D. August 26, 2024
A
B. July 26, 2024
16
Q
SITUATION: Nurse Cianne is utilizing her knowledge regarding the proper task delegation and management in the maternal ward.
- Nurse Cianne is managing a group of patients on the labor and delivery unit. One of her patients is in early labor and has requested a warm bath to help with discomfort. What should Nurse Cianne do?
A. Delegate the task of preparing a warm bath to a nursing assistant.
B. Personally prepare and monitor the warm bath for the patient.
C. Ask the patient to prepare the bath themselves, providing them with instructions.
D. Schedule the bath for a later time when she has more time available.
A
B. Personally prepare and monitor the warm bath for the patient.
16
Q
- Nurse Cianne needs to monitor the client’s vital signs. Which action is most appropriate for Nurse Cianne to delegate?
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0/1
A. Monitoring blood pressure and reporting findings to the healthcare provider.
B. Documenting blood pressure readings and any abnormal findings in the patient’s chart.
C. Measuring and recording blood pressure readings at regular intervals.
D. Explaining to the patient the significance of the blood pressure readings.
A
17
Q
- A client is in early labor and has requested pain management options. Nurse Cianne has several tasks to complete. What should she do regarding the pain management assessment?
A. Delegate the assessment of pain management options to a nursing assistant.
B. Conduct a thorough assessment of pain management options herself.
C. Provide a basic explanation of pain management options and then delegate the detailed discussion to a nursing assistant.
D. Refer the client to a pain management specialist for further discussion.
A
B. Conduct a thorough assessment of pain management options herself.
18
Q
- Nurse Cianne is preparing a teaching session for a pregnant client about the signs of preterm labor. Which task can she delegate to a nursing assistant?
A. Assist in preparing educational materials and handouts.
B. Explaining the signs of preterm labor and answering the client’s questions.
C. Assessing the client’s understanding of preterm labor signs after the teaching session.
D. Reviewing the client’s medical history to tailor the teaching session.
A
A. Assist in preparing educational materials and handouts.
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25. A client on the postpartum unit is experiencing difficulty with breastfeeding. Nurse Cianne needs to ensure the client receives appropriate support. What should she do?
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0/1
A. Delegate the task of providing breastfeeding support to a nursing assistant.
B. Refer the client to a lactation consultant for specialized support.
C. Provide the client with general breastfeeding advice and then delegate follow-up to a nursing assistant.
D. Document the client’s difficulty with breastfeeding and wait for the next shift to address it.
20
26. Nurse Cianne is managing several tasks on the labor and delivery unit. A patient requires continuous fetal monitoring. What is the most appropriate action for Nurse Cianne to take?
A. Delegate continuous fetal monitoring to a nursing assistant.
B. Perform the continuous fetal monitoring herself.
C. Instruct the patient to use a portable fetal monitor at home.
D. Schedule the fetal monitoring for later when more time is available.
B. Perform the continuous fetal monitoring herself.
21
27. A client on the postpartum unit is experiencing postpartum hemorrhage. Nurse Cianne needs to address the situation urgently. Which action should she take?
A. Delegate the task of monitoring the client’s bleeding to a nursing assistant
B. Conduct a thorough assessment of the client’s condition and implement interventions.
C. Provide emotional support to the client while delegating medical tasks to the nursing assistant.
D. Wait for the physician to arrive and assess the situation before taking any action.
B. Conduct a thorough assessment of the client’s condition and implement interventions.
22
Situation: Nurse Sergio, committed to providing holistic care to his patients, has recently decided to deepen his understanding of psychological theories to better support his patients' mental health. Today, he is focusing on Freud's psychoanalytic theory, a cornerstone of modern psychology that has significant implications for understanding behavior and mental processes.
28. Nurse Sergio is working with a patient who insists on having an immediate surgery despite being informed of the risks. The patient is acting impulsively without consideration of consequences. This behavior is most indicative of which Freudian concept?
A. Id
B. Ego
C. Superego
D. Conscience
A. Id
23
30. Nurse Sergio is evaluating a patient who feels immense guilt about their behavior and is excessively concerned with following hospital rules and ethical standards. This behavior most closely aligns with which Freudian concept?
A. Id
B. Ego
C. Superego
D. Subconscious
C. Superego
23
29. Nurse Sergio notices that a patient is anxious and indecisive about treatment options due to conflicting thoughts about their health. The patient is trying to balance their desire for immediate relief with the need for a long-term solution. Which Freudian concept is this patient using?
A. Id
B. Ego
C. Superego
D. Subconscious
B. Ego
24
31. A patient in Nurse Sergio’s care wants to eat a large amount of dessert despite being on a strict diet for health reasons. The patient’s decision is impulsive and driven by immediate pleasure. This scenario best illustrates which part of Freud's model?
A. Id
B. Ego
C. Superego
D. Conscience
A. Id
25
32. Nurse Sergio is counseling a patient who feels torn between their desire to ignore their treatment plan for instant relief and their understanding of the long-term benefits of following it. The patient is struggling to make a decision that considers both immediate and future outcomes. This is an example of which Freudian concept?
A. Id
B. Ego
C. Superego
D. Subconscious
B. Ego
26
33. During a therapy session, Nurse Sergio observes that a patient feels strong internal pressure to be perfect and is overly critical of themselves for minor mistakes. This behavior is most closely related to which Freudian concept?
A. Id
B. Ego
C. Superego
D. Unconscious
C. Superego
27
34. A patient in Nurse Sergio’s care is having difficulty adhering to their prescribed treatment regimen because they are primarily focused on immediate gratification and avoid long-term goals. This behavior reflects the influence of which Freudian concept?
A. Id
B. Ego
C. Superego
D. Conscious
A. Id
28
Situation: Nurse Eson is likely in a scenario where understanding Erik Erikson’s stages of psychosocial development is pertinent to his practice. Erik Erikson was a developmental psychologist known for his theory on the psychosocial development of human beings. His theory outlines eight key stages that a person goes through from infancy to late adulthood, each characterized by a specific conflict that needs resolution.
35. Nurse Eson is caring for a 6-month-old infant who is learning to trust their caregivers. The infant is showing signs of comfort and security when interacted with. According to Erik Erikson’s stages of development, what stage is this infant in?
A. A. Autonomy vs. Shame and Doubt
B. Trust vs. Mistrust
C. Initiative vs. Guilt
D. Industry vs. Inferiority
B. Trust vs. Mistrust
29
36. Nurse Eson is working with a 4-year-old child who is actively exploring their environment and trying new things, but also feels guilty when they make mistakes. This behavior is indicative of which Erikson stage?
A. Trust vs. Mistrust
B. Autonomy vs. Shame and Doubt
C. Initiative vs. Guilt
D. Industry vs. Inferiority
C. Initiative vs. Guilt
30
37. Nurse Eson is caring for a 12-year-old who is struggling with their sense of competence and comparing themselves to peers. They are feeling either industrious or inferior based on their academic and social achievements. This child is in which Erikson stage?
A. Trust vs. Mistrust
B. Initiative vs. Guilt
C. Industry vs. Inferiority
D. Autonomy vs. Shame and Doubt
C. Industry vs. Inferiority
31
38. Nurse Eson is assisting an adolescent who is struggling with their identity and exploring different roles. This adolescent is experiencing identity confusion. According to Erikson, what stage is this individual in?
A. Autonomy vs. Shame and Doubt
B. Industry vs. Inferiority
C. Identity vs. Role Confusion
D. Intimacy vs. Isolation
C. Identity vs. Role Confusion
32
39. Nurse Eson is working with a young adult who is focused on forming meaningful relationships and is concerned about their ability to connect deeply with others. This young adult is in which Erikson stage?
A. Trust vs. Mistrust
B. Autonomy vs. Shame and Doubt
C. Intimacy vs. Isolation
D. Generativity vs. Stagnation
C. Intimacy vs. Isolation
33
40. Nurse Eson is helping a middle-aged adult who is evaluating their contributions to society and feeling either a sense of achievement or stagnation. According to Erikson, which stage is this adult experiencing?
A. Industry vs. Inferiority
B. Intimacy vs. Isolation
C. Generativity vs. Stagnation
D. Integrity vs. Despair
C. Generativity vs. Stagnation
34
41. Nurse Eson is working with an elderly patient who reflects on their life with either a sense of fulfillment and wisdom or regret and dissatisfaction. This patient is in which Erikson stage?
A. Generativity vs. Stagnation
B. Intimacy vs. Isolation
C. Integrity vs. Despair
D. Identity vs. Role Confusion
C. Integrity vs. Despair
35
Situation: Nurse Jean is reviewing her knowledge about play and development. This involves understanding how different types of play and developmental stages interrelate according to key theories in child development. Consider insights from Jean Piaget and Erik Erikson, as well as the practical application of this knowledge in a clinical setting.
42. Nurse Jena is assessing a 2-year-old child who is playing with toy cars in the hospital playroom. The child is pushing the cars around and talking to them as if they were alive. What developmental stage is this child most likely in according to Jean Piaget’s theory?
A. Sensorimotor
B. Preoperational
C. Concrete Operational
D. Formal Operational
B. Preoperational
36
43. Nurse Jena is working with a 7-year-old child who is focused on organizing their toys in a specific order and following rules during playtime. According to Piaget, what cognitive development stage is the child in?
A. Sensorimotor
B. Preoperational
C. Concrete Operational
D. Formal Operational
C. Concrete Operational
37
44. Nurse Jena is observing a 10-year-old child who is feeling very competitive and wants to win in all their hospital-based activities. Which Erikson stage is the child likely navigating?
A. Trust vs. Mistrust
B. Autonomy vs. Shame and Doubt
C. Initiative vs. Guilt
D. Industry vs. Inferiority
D. Industry vs. Inferiority
38
45. Nurse Jena notices that a 3-year-old child is playing alone but talking out loud about their actions and making up stories. According to Piaget, what type of play is this child engaged in?
A. Parallel Play
B. Cooperative Play
C. Symbolic Play
D. Functional Play
C. Symbolic Play
39
46. Nurse Jena is supporting a 16-year-old patient who is exploring different roles and identities through their interests and relationships. Which Erikson stage is this patient in?
A. Trust vs. Mistrust
B. Autonomy vs. Shame and Doubt
C. Initiative vs. Guilt
D. Identity vs. Role Confusion
D. Identity vs. Role Confusion
40
47. Situation: Nurse Jena is interacting with an elderly patient who frequently reflects on their life and expresses feelings of satisfaction with their accomplishments. According to Erikson, which stage of psychosocial development is this patient likely in?
A. Trust vs. Mistrust
B. Autonomy vs. Shame and Doubt
C. Integrity vs. Despair
D. Generativity vs. Stagnation
C. Integrity vs. Despair
41
48. Nurse Jena observes a 5-year-old child engaging in cooperative play with other children, sharing toys, and working together on a simple project. Which stage of Erik Erikson’s psychosocial development does this behavior reflect?
A. Trust vs. Mistrust
B. Autonomy vs. Shame and Doubt
C. Initiative vs. Guilt
D. Industry vs. Inferiority
C. Initiative vs. Guilt
42
49. Nurse Jean is observing an 18-year-old child in the hospital playroom who is playing alone with stuffed toy. The child is deeply focused and does not interact with other children who are nearby. According to Jean Piaget’s theory of play, what type of play is this child engaging in?
A. Parallel Play
B. Cooperative Play
C. Solitary Play
D. Associative Play
C. Solitary Play
43
50. Nurse Jean is observing a 16-year-old adolescent who is participating in a competitive basketball game. The adolescent is focused on both individual performance and teamwork, and is also reflecting on their strategy and skills to improve their game. Which of Jean Piaget’s developmental stages does this type of play and reflection most closely align with?
A. Sensorimotor
B. Preoperational
C. Concrete Operational
D. Formal Operational
D. Formal Operational
43
Situation: Nurse Sonia is working in a maternity hospital and is handling clients who are experiencing abortion.
51. Nurse Sonia is helping a patient who is considering elective abortion for personal reasons. What term describes an abortion performed for reasons other than medical necessity?
A. Spontaneous Abortion
B. Induced Abortion
C. Therapeutic Abortion
D. Habitual Abortion
B. Induced Abortion
44
53. Nurse Sonia is assessing a patient who is experiencing heavy bleeding and cramping and has expelled some of the products of conception. What type of abortion does this describe?
A. Complete Abortion
B. Incomplete Abortion
C. Inevitable Abortion
D. Threatened Abortion
B. Incomplete Abortion
45
52. Nurse Sonia is evaluating a patient who reports spotting and cramping but has no cervical dilation. The patient is worried about the possibility of losing her pregnancy. What type of abortion is the patient most likely experiencing?
A. Threatened Abortion
B. Inevitable Abortion
C. Incomplete Abortion
D. Complete Abortion
A. Threatened Abortion
46
54. A patient has experienced the complete loss of all products of conception and has no further symptoms. What type of abortion has the patient experienced?
A. Missed Abortion
B. Complete Abortion
C. Incomplete Abortion
D. Habitual Abortion
B. Complete Abortion
47
55.Situation: Nurse Sonia is working with a patient who has retained fetal tissue in the uterus after fetal death, with no immediate symptoms of bleeding or cramping. What type of abortion does this describe?
*
0/1
A. Threatened Abortion
B. Incomplete Abortion
C. Complete Abortion
D. Missed Abortion
48
57. Nurse Sonia is discussing with a patient who is considering terminating her pregnancy for personal reasons. What term describes an abortion performed for reasons other than medical necessity?
A. Spontaneous Abortion
B. Induced Abortion
C. Therapeutic Abortion
D. Habitual Abortion
B. Induced Abortion
49
56. A patient has had three consecutive abortions and is concerned about possible underlying issues. What type of abortion might be considered if the patient has recurrent pregnancy losses?
A. Incomplete Abortion
B. Habitual Abortion
C. Missed Abortion
D. Inevitable Abortion
B. Habitual Abortion
50
58. A patient presents with spotting, cramping, and evidence that her cervix is beginning to dilate. Nurse Sonia suspects that the pregnancy may end soon. What type of abortion is the patient most likely experiencing?
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0/1
A. Threatened Abortion
B. Incomplete Abortion
C. Inevitable Abortion
D. Missed Abortion
51
59. During labor, which of the following is NOT a preparation the nurse should make?
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0/1
A. Monitor vital signs frequently.
B. Place the client on a cardiac monitor and on an external fetal monitor.
C. Maintain bed rest, with the client lying supine with the head and shoulders elevated.
D. Administer oxygen as prescribed.
52
Situation: Nurse Bia is working in a maternity hospital and is managing clients who are experiencing or are at risk of preeclampsia, a serious pregnancy complication characterized by high blood pressure and potential damage to organs.
61. Nurse Bia, a home care nurse, is visiting a pregnant client who has been diagnosed with preeclampsia. During the visit, Nurse Bia assesses the client’s condition. Which of the following findings indicates a worsening of preeclampsia and warrants immediate notification to the primary health care provider (PHCP)?
A. Urinary output has increased.
B. Dependent edema has resolved.
C. Blood pressure reading is at the prenatal baseline.
D. The client complains of a headache and blurred vision
D. The client complains of a headache and blurred vision
52
60. Abortion is a pregnancy that ends either spontaneously or therapeutically before how many weeks of gestation?
*
1/1
A. 20 weeks gestation
B. 25 weeks gestation
C. 26 weeks gestation
D. 37 weeks gestation
A. 20 weeks gestation
53
62. Nurse Bia is performing an assessment on a pregnant client in the last trimester with a diagnosis of preeclampsia. She reviews the assessment findings and determines that which finding is most closely associated with a complication of this diagnosis?
A. Enlargement of the breasts
B. Complaints of feeling hot when the room is cool
C. Periods of fetal movement followed by quiet periods
D. Evidence of bleeding, such as in the gums, petechiae, and purpura
D. Evidence of bleeding, such as in the gums, petechiae, and purpura
54
wala
55
64. Nurse Bia is monitoring a pregnant client who is at risk for preeclampsia. At each home care visit, she assesses the client for which sign of preeclampsia?
*
1/1
A. Hypertension
B. Low-grade fever
C. Generalized edema
D. Increased pulse rate
A. Hypertension
56
65. A pregnant client is receiving magnesium sulfate for the management of preeclampsia. Nurse Bia determines that the client is experiencing toxicity from the medication if which findings are noted on assessment?
*
0/1
A. Proteinuria of 3+
B. Respirations of 10 breaths per minute
C. Presence of deep tendon reflexes
D. Urine output of 40 mL in an hour
57
67. Nurse Belle is reviewing the treatment plan for a patient diagnosed with placenta previa. Which of the following interventions is most appropriate?
A. Immediate induction of labor
B. Continuous fetal heart rate monitoring
C. Administering magnesium sulfate
D. Encouraging frequent ambulation
B. Continuous fetal heart rate monitoring
58
Situation: Nurse Belle, the senior nurse on duty of the maternal ward, is caring for patients with placenta previa and abruptio placenta cases.
66. Nurse Belle is assessing a 30-week pregnant patient who presents with painless vaginal bleeding. Which of the following conditions should Nurse Belle be most concerned about?
A. Placenta previa
B. Abruptio placenta
C. Preterm labor
D. Ectopic pregnancy
A. Placenta previa
59
68. A patient with abruptio placenta is in the maternity ward. What symptom would most likely indicate that the patient is experiencing a severe form of this condition?
*
0/1
A. Sudden onset of severe abdominal pain
B. Painless vaginal bleeding
C. Decreased fetal movement
D. Elevated maternal blood pressure
60
69. Nurse Belle is preparing to educate a patient with placenta previa about delivery options. Which statement is most accurate?
A. Vaginal delivery is generally preferred for all cases of placenta previa.
B. Cesarean delivery is often recommended to prevent complications.
C. The patient should aim to deliver at home if bleeding is minimal.
D. The delivery method is chosen based on the patient’s preference alone.
B. Cesarean delivery is often recommended to prevent complications.
61
70. A woman is admitted with abruptio placenta and exhibits signs of fetal distress. What is the most critical intervention Nurse Belle should prepare for?
A. Administering IV fluids
B. Preparing for immediate cesarean section
C. Administering antibiotics
D. Monitoring maternal blood glucose levels
B. Preparing for immediate cesarean section
62
71. Nurse Belle is assessing a patient with placenta previa. Which assessment finding would indicate a worsening of the condition?
A. Mild cramping and spotting
B. Increased uterine contractions
C. Absence of fetal heart tones
D. Slight vaginal discharge
C. Absence of fetal heart tones
63
72. When educating a patient about the signs and symptoms of abruptio placenta, which of the following should Nurse Belle include?
A. Gradual onset of back pain
B. Severe uterine tenderness and pain
C. Absence of vaginal bleeding
D. Consistent fetal movement
B. Severe uterine tenderness and pain
64
73. Nurse Belle is assessing a woman with placenta previa who is experiencing a significant amount of bleeding. What is the priority action?
*
0/1
A. Perform a digital vaginal examination
B. Initiate a blood transfusion
C. Ensure the patient is placed on bed rest
D. Monitor vital signs and prepare for potential emergency delivery
65
74. A patient with abruptio placenta reports a sudden increase in vaginal bleeding and severe abdominal pain. What is the most appropriate immediate nursing action?
A. Reassure the patient and monitor her condition
B. Administer prescribed pain medication
C. Call for a rapid response team and prepare for emergency delivery
D. Suggest the patient practice deep breathing exercises
C. Call for a rapid response team and prepare for emergency delivery
66
75. In managing a patient with placenta previa, which of the following would be an inappropriate intervention by Nurse Belle?
A. Scheduling routine follow-up ultrasounds
B. Encouraging the patient to perform pelvic exercises
C. Advising the patient to report any vaginal bleeding
D. Educating the patient about signs of preterm labor
B. Encouraging the patient to perform pelvic exercises
66
Situation: Nurse Jam is caring for Mommy Charm, a pregnant patient diagnosed with gestational diabetes. During the visit, Nurse Jam evaluates several aspects of Mommy Charm’s condition to manage her diabetes effectively and ensure the health of both mother and baby.
76. Nurse Jam is assessing Mommy Charm, who has been diagnosed with gestational diabetes. What should be Nurse Jam’s primary goal in managing Mommy Charm’s condition?
A. To avoid the use of insulin at all costs
B. To ensure blood glucose levels remain within target ranges to prevent complications
C. To increase the frequency of prenatal visits
D. To recommend an extreme low-carb diet
B. To ensure blood glucose levels remain within target ranges to prevent complications
67
77. Mommy Charm is concerned about her dietary management. Which of the following dietary recommendations should Nurse Jam provide?
A. Avoid all sources of carbohydrates
B. Focus on a balanced diet with controlled portions of complex carbohydrates, protein, and healthy fats
C. Eat frequent small meals high in simple sugars
D. Limit protein intake to avoid kidney strain
B. Focus on a balanced diet with controlled portions of complex carbohydrates, protein, and healthy fats
68
78. Nurse Jam is educating Mommy Charm about monitoring her blood glucose levels. What key instruction should Nurse Jam provide?
A. Only check blood glucose levels if feeling unwell
B. Monitor blood glucose levels before and after meals as instructed
C. Use a home glucose meter only when symptoms are severe
D. Check blood glucose levels once a day
B. Monitor blood glucose levels before and after meals as instructed
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79. During a routine visit, Mommy Charm’s blood glucose levels are higher than her target range. What should be Nurse Jam’s immediate action?
*
0/1
A. Increase Mommy Charm’s insulin dosage without consultation
B. Suggest lifestyle changes and follow up in a week
C. Contact the healthcare provider to discuss potential adjustments to her treatment plan
D. Recommend skipping her next meal to lower blood glucose levels
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80. Nurse Jam is preparing for Mommy Charm’s labor and delivery. Which of the following should be a priority in managing her gestational diabetes during this time?
A. Avoid all intravenous fluids to reduce the risk of hyperglycemia
B. Continuously monitor maternal and fetal blood glucose levels
C. Encourage frequent meals high in sugar
D. Postpone any necessary interventions until after delivery
B. Continuously monitor maternal and fetal blood glucose levels
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82. During a postnatal visit, Nurse Jam finds that Mommy Charm has gained significant weight and her blood glucose levels are high. What should Nurse Jam advise?
A. Start an intense weight loss program immediately
B. Continue monitoring blood glucose levels and follow up with a dietitian for weight management
C. Discontinue all medications used during pregnancy
D. Avoid any physical activity to rest after delivery
B. Continue monitoring blood glucose levels and follow up with a dietitian for weight management
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81. Mommy Charm is worried about her baby’s health due to her gestational diabetes. What should Nurse Jam explain about the common outcomes for babies born to mothers with well-managed gestational diabetes?
A. Babies are always born prematurely
B. Babies will likely be larger than average but generally healthy
C. Babies will need immediate insulin injections
D. Babies are at high risk for congenital abnormalities
B. Babies will likely be larger than average but generally healthy
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83. Mommy Charm reports frequent episodes of hypoglycemia. What should Nurse Jam’s initial intervention be?
A. Increase the dosage of her insulin
B. Provide a quick source of glucose, such as fruit juice or glucose tablets
C. Advise her to skip her next meal
D. Suggest reducing her physical activity level
B. Provide a quick source of glucose, such as fruit juice or glucose tablets
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84. Mommy Charm is anxious about her upcoming cesarean section due to gestational diabetes. What is an appropriate response by Nurse Jam?
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0/1
A. “The cesarean section is usually necessary to avoid complications.”
B. “You might need a cesarean if blood glucose levels are not well controlled, but this will be decided based on your condition.”
C. “Cesarean sections are always required for gestational diabetes.”
D. “You should not worry; a cesarean will not affect the baby.”
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85. Nurse Jam is explaining postpartum care to Mommy Charm. What is a crucial aspect of postpartum care for a patient who had gestational diabetes?
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1/1
A. Immediately stopping all medications used during pregnancy
B. Regular follow-up appointments to monitor glucose levels and screen for type 2 diabetes
C. Avoiding any form of exercise for the first six weeks
D. Eliminating all sugars and carbohydrates from the diet indefinitely
B. Regular follow-up appointments to monitor glucose levels and screen for type 2 diabetes
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Situation: Nurse Princess, a senior nurse, is working in a busy hospital and is known for her strong adherence to ethical principles in healthcare. During her shift, she encounters numerous situations where she must make a decision involving multiple ethical considerations.
86. Nurse Princess is caring for a terminally ill patient who has expressed a wish to stop all treatments and enter hospice care. What is the most appropriate action for Nurse Princess to take in this situation?
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1/1
A. Persuade the patient to continue treatment for their best chance of recovery
B. Respect the patient's wishes and initiate the process for hospice care
C. Ignore the patient’s request and continue the current treatment regimen
D. Consult the patient's family for their insights before making any changes
B. Respect the patient's wishes and initiate the process for hospice care
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87. Nurse Princess is faced with a situation where a patient refuses a blood transfusion due to religious beliefs. What should Nurse Princess do?
A. Administer the blood transfusion to save the patient’s life
B. Respect the patient's refusal and seek alternative treatments
C. Discharge the patient from the hospital immediately
D. Ask the patient to reconsider their decision in light of potential consequences
B. Respect the patient's refusal and seek alternative treatments
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88. Nurse Princess discovers that a colleague is falsifying patient records. What is the most ethical course of action?
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A. Ignore the behavior to avoid conflict with the colleague
B. Report the behavior to a supervisor or appropriate authority
C. Confront the colleague privately and ask them to stop
D. Discuss the issue with the affected patients to ensure they are aware
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89. Nurse Princess is caring for a patient who is unable to make decisions due to their condition. The patient's family requests that Nurse Princess withhold information about the patient's prognosis to avoid distress. What should Nurse Princess do?
A. Withhold information as requested to prevent causing distress
B. Provide full disclosure to the patient’s family only
C. Balance the need for honesty with compassion, providing information appropriate to the patient’s level of understanding
D. Avoid discussing the prognosis until the family agrees on a plan
C. Balance the need for honesty with compassion, providing information appropriate to the patient’s level of understanding
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90. A patient expresses concerns about the cost of their prescribed medication and asks Nurse Princess for alternatives. What is the most ethical response?
A. Tell the patient to speak with their insurance company
B. Ignore the patient’s concerns and continue with the prescribed medication
C. Assist the patient in finding lower-cost alternatives or resources to help with medication costs
D. Advise the patient to discontinue the medication if it is too expensive
C. Assist the patient in finding lower-cost alternatives or resources to help with medication costs
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91. Nurse Princess is asked to perform a procedure that is outside of her scope of practice. What should she do?
A. Perform the procedure if no other staff is available
B. Refuse to perform the procedure and seek guidance from a qualified colleague
C. Perform the procedure and hope that it goes well
D. Ask the patient to sign consent with her performing the procedure
B. Refuse to perform the procedure and seek guidance from a qualified colleague
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92. A patient’s advanced directive specifies no resuscitation in the event of cardiac arrest, but the patient’s family insists on resuscitation. What should Nurse Princess do?
A. Follow the family’s wishes and perform resuscitation
B. Respect the patient’s advanced directive and not perform resuscitation
C. Discuss the situation with the family to change their mind
D. Ignore the advanced directive and seek a court order
B. Respect the patient’s advanced directive and not perform resuscitation
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93. Nurse Princess encounters a situation where a patient requests information about their diagnosis that they have previously refused to know. What should Nurse Princess do?
A. Provide the information without discussion to respect the patient’s request
B. Refuse to provide the information and continue as before
C. Discuss the patient’s request with them to understand their current wishes and provide the information if they are now willing
D. Consult with the patient’s family before providing any information
C. Discuss the patient’s request with them to understand their current wishes and provide the information if they are now willing
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94. Nurse Princess is involved in a research study and is asked to obtain consent from a patient who is clearly distressed and confused. What is the most ethical approach for Nurse Princess?
*
0/1
A. Proceed with the consent process if the patient agrees to sign
B. Ensure the patient fully understands the study before obtaining consent
C. Obtain consent from a family member instead
D. Skip the consent process to avoid further distress for the patient
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95. Nurse Princess is volunteering at a community health fair and notices that some of the attendees are unable to afford basic health screenings. What ethical principle should guide Nurse Princess’s response?
A. Beneficence
B. Non-maleficence
C. Justice
D. Autonomy
C. Justice
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96. While working at a local clinic, Nurse Princess encounters a situation where a patient’s medication is causing severe side effects. What is the most appropriate ethical principle for Nurse Princess to follow?
A. Beneficence
B. Non-maleficence
C. Justice
D. Autonomy
B. Non-maleficence
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97. Nurse Princess learns that a patient is being charged significantly higher rates for a treatment compared to another clinic. What principle should guide Nurse Princess’s advocacy efforts?
A. Beneficence
B. Non-maleficence
C. Justice
D. Autonomy
C. Justice
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98. During a public health seminar, Nurse Princess observes that the information provided is overly complex for the general audience. What ethical principle should Nurse Princess consider when recommending adjustments?
A. Beneficence
B. Non-maleficence
C. Justice
D. Autonomy
A. Beneficence
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99. Nurse Princess is asked to assist a friend with medical advice outside of her professional capacity. What principle should she consider to ensure she does not inadvertently cause harm?
A. Beneficence
B. Non-maleficence
C. Justice
D. Autonomy
B. Non-maleficence
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100. A local community group requests Nurse Princess’s assistance in evaluating health care services in their area. Some services are underfunded and underutilized. What principle should guide Nurse Princess’s recommendations for improving these services?
A. Beneficence
B. Non-maleficence
C. Justice
D. Autonomy
C. Justice
