مركز الاختبارات الالكترونية و المحوسبة

رقم السؤال: 1 من 51 درجة السؤال: 1

A newborn’s mother is alarmed to find small amounts of blood on her infant girl’s diaper. When the nurse checks the infant’s urine it is straw colored and has no offensive odor. Which explanation to the newborn’s mother is most appropriate?

"It appears your baby has a kidney infection"

"Breast-fed babies often experience this type of bleeding problem due to lack of vitamin C in the breast milk"

"The baby probably passed a small kidney stone"

"Some infants experience menstruation like bleeding when hormones from the mother are not available"

رقم السؤال: 2 من 51 درجة السؤال: 1

An adolescent with a history of asthma reports feeling chest pain to the school nurse. The nurse determines the adolescent has not had asthmatic problems in years. Which of the following should the nurse do next?

Obtain a peak flow reading

Instruct the adolescent to lie down for 30 minutes

Call a parent for more information

Give two puffs of a short-acting bronchodilator

رقم السؤال: 3 من 51 درجة السؤال: 1

A child diagnosed with asthma states she would like to join a school sports team. Which sport would be most appropriate?

Soccer

Track

Swimming

Cheerleading

رقم السؤال: 4 من 51 درجة السؤال: 1

A neonate is admitted to a hospital’s central nursery. The neonate’s vital signs are: temperature = 96.5 degrees F., heart rate = 120 bpm, and respirations = 40/minute. The infant is pink with slight acrocyanosis. The priority nursing diagnosis for the neonate is

Ineffective thermoregulation related to fluctuating environmental temperatures.

Potential for infection related to lack of immunity.

Altered nutrition, less than body requirements related to diminished sucking reflex.

Altered elimination pattern related to lack of nourishment.

رقم السؤال: 5 من 51 درجة السؤال: 1

As a nurse you are always alerted to monitor status asthmaticus who will likely and initially manifest symptoms of:

metabolic alkalosis

respiratory acidosis

respiratory alkalosis

metabolic acidosis

رقم السؤال: 6 من 51 درجة السؤال: 1

You will give health instructions to a case of bronchial asthma. The health instruction will include the following EXCEPT:

Avoid emotional stress and extreme temperature

Avoid pollution like smoking

Avoid pollens, dust seafood

Practice respiratory isolation

رقم السؤال: 7 من 51 درجة السؤال: 1

By keeping the nursery temperature warm and wrapping the neonate in blankets, the nurse is preventing which type of heat loss?

Conduction

Convection

Evaporation

Radiation

رقم السؤال: 8 من 51 درجة السؤال: 1

The nurse manager is presenting education to her staff to promote consistency in the interventions used with lactating mothers. She emphasizes that the optimum time to initiate lactation is

as soon as possible after the infant’s birth.

after the mother has rested for 4-6 hours.

during the infant’s second period of reactivity.

after the infant has taken sterile water without complications.

رقم السؤال: 9 من 51 درجة السؤال: 1

A woman delivers a 3.250 g neonate at 42 weeks’ gestation. Which physical finding is expected during an examination if this neonate?

Abundant lanugo

Absence of sole creases

Breast bud of 1-2 mm in diameter

Leathery, cracked, and wrinkled skin

رقم السؤال: 10 من 51 درجة السؤال: 1

The nurse finds a 4-year-old child not breathing. Which intervention should the nurse do first?

Give a precordial thump

Begin giving breaths with a bag-valve-mask at a rate of 16 breaths per minute

Clear the airway

Start chest compressions at a rate of 100 per minute

رقم السؤال: 11 من 51 درجة السؤال: 1

Which of the following foods would not be appropriate for a client with cystic fibrosis?

Roasted pork tenderloin

Fried chicken

Skim milk shake

Egg omelet

رقم السؤال: 12 من 51 درجة السؤال: 1

The most common neonatal sepsis and meningitis infections seen within 24 hours after birth are caused by which organism?

Candida albicans

Chlamydia trachomatis

Escherichia coli

Group B beta-hemolytic streptococci

رقم السؤال: 13 من 51 درجة السؤال: 1

Which child is at greatest risk for sudden infant death syndrome (SIDS)?

A 3-month-old infant

A 6-month-old infant who has had 2 bouts of pneumonia

A first-born child of a 45-year-old mother

A 2-year-old with frequent episodes of 5-second apnea

رقم السؤال: 14 من 51 درجة السؤال: 1

Which action best explains the main role of surfactant in the neonate?

Assists with ciliary body maturation in the upper airways

Helps maintain a rhythmic breathing pattern

Promotes clearing mucus from the respiratory tract

Helps the lungs remain expanded after the initiation of breathing

رقم السؤال: 15 من 51 درجة السؤال: 1

A nurse is providing teaching for a client who has a new prescription for warfarin (Coumadin). Which of the following foods should the patient be taught to avoid?

Spinach

Grapefruit

Peanuts

Milk

رقم السؤال: 16 من 51 درجة السؤال: 1

A client has just given birth at 42 weeks’ gestation. When assessing the neonate, which physical finding is expected?

A sleepy, lethargic baby

Lanugo covering the body

Desquamation of the epidermis

Vernix caseosa covering the body

رقم السؤال: 17 من 51 درجة السؤال: 1

When performing an assessment on a neonate, which assessment finding is most suggestive of hypothermia?

Bradycardia

Hyperglycemia

Metabolic alkalosis

Shivering

رقم السؤال: 18 من 51 درجة السؤال: 1

Situation– Carlo, 16 years old, comes to the ER with acute asthmatic attack. RR is 46/min and he appears to be in acute respiratory distress.

Which of the following nursing actions should be initiated first?

Promote emotional support

Administer oxygen at 6L/min

Suction the client every 30 min

Administer bronchodilator by nebulizer

رقم السؤال: 19 من 51 درجة السؤال: 1

An insulin-dependent diabetic delivered a 10-pound male. When the baby is brought to the nursery, the priority of care is to

clean the umbilical cord with Betadine to prevent infection

give the baby a bath

call the laboratory to collect a PKU screening test

check the baby’s serum glucose level and administer glucose if < 40 mg/dL

رقم السؤال: 20 من 51 درجة السؤال: 1

A 3-year-old child is brought to the emergency room. The child’s mouth is open, and he is drooling and lethargic. The mother reports these symptoms began suddenly within the last 2 hours. Which intervention should the nurse perform first?

Maintain the child in an undisturbed, upright position

Assess the child’s throat using a small tongue depressor

Obtain intravenous access and draw blood cultures

Provide cool liquids to soothe the child’s throat and provide hydration

رقم السؤال: 21 من 51 درجة السؤال: 1

Which condition or treatment best ensures lung maturity in an infant?

Meconium in the amniotic fluid

Glucocorticoid treatment just before delivery

Lecithin to sphingomyelin ratio more than 2:1

Absence of phosphatidylglycerol in amniotic fluid

رقم السؤال: 22 من 51 درجة السؤال: 1

A mother of a term neonate asks what the thick, white, cheesy coating is on his skin. Which correctly describes this finding?

Lanugo

Milia

Nevus flammeus

Vernix

رقم السؤال: 23 من 51 درجة السؤال: 1

While assessing a 2-hour old neonate, the nurse observes the neonate to have acrocyanosis. Which of the following nursing actions should be performed initially?

Activate the code blue or emergency system

Do nothing because acrocyanosis is normal in the neonate

Immediately take the newborn’s temperature according to hospital policy

Notify the physician of the need for a cardiac consult

رقم السؤال: 24 من 51 درجة السؤال: 1

A nurse is teaching a client measures for healthy bones. Which of the following statements by the client requires additional teaching?

I will eat foods high in calcium.

I will increase my fluid intake.

I should participate in weight bearing exercises.

I should get my vit D from the sunlight.

رقم السؤال: 25 من 51 درجة السؤال: 1

A nurse is teaching a nutritional class to a group of newly licensed nurses. Which of the following should be included in the teaching?

Limit saturated fat to 10% of total caloric intake

Good bowel function requires 35 g/day of fiber for women.

Limit cholesterol comsumption to 400 mg/day.

Normal functioning cardiac systems depend on B-complex vitamins

رقم السؤال: 26 من 51 درجة السؤال: 1

A healthy term neonate born by C-section was admitted to the transitional nursery 30 minutes ago and placed under a radiant warmer. The neonate has an axillary temperature of 99.5oF, a respiratory rate of 80 breaths/minute, and a heel stick glucose value of 60 mg/dl. Which action should the nurse take?

Wrap the neonate warmly and place her in an open crib

Administer an oral glucose feeding of 10% dextrose in water

Increase the temperature setting on the radiant warmer

Obtain an order for IV fluid administration

رقم السؤال: 27 من 51 درجة السؤال: 1

After reviewing the client’s maternal history of magnesium sulfate during labor, which condition would the nurse anticipate as a potential problem in the neonate?

Hypoglycemia

Jitteriness

Respiratory depression

Tachycardia

رقم السؤال: 28 من 51 درجة السؤال: 1

Soon after delivery a neonate is admitted to the central nursery. The nursery nurse begins the initial assessment by

auscultate bowel sounds.

determining chest circumference.

inspecting the posture, color, and respiratory effort.

checking for identifying birthmarks.

رقم السؤال: 29 من 51 درجة السؤال: 1

The nurse is preparing to discharge a multipara 24 hours after a vaginal delivery. The client is breastfeeding her newborn. The nurse instructs the client that if engorgement occurs the client should

wear a tight fitting bra or breast binder.

apply warm, moist heat to the breasts.

contact the nurse midwife for a lactation suppressant.

restrict fluid intake to 1000 ml. daily.

رقم السؤال: 30 من 51 درجة السؤال: 1

Aminophylline was ordered for acute asthmatic attack. The mother asked the nurse, what its indication the nurse will say is:

Relax smooth muscles of the bronchial airway

Promote expectoration

Prevent thickening of secretions

Suppress cough

رقم السؤال: 31 من 51 درجة السؤال: 1

Which neonatal behavior is most commonly associated with fetal alcohol syndrome (FAS)?

Hypoactivity

High birth weight

Poor wake and sleep patterns

High threshold of stimulation

رقم السؤال: 32 من 51 درجة السؤال: 1

The nurse instructs a primipara about safety considerations for the neonate. The nurse determines that the client does not understand the instructions when she says

All neonates should be in an approved car seat when in an automobile.

It’s acceptable to prop the infant’s bottle once in awhile.

Pillows should not be used in the infant’s crib.

Infants should never be left unattended on an unguarded surface.

رقم السؤال: 33 من 51 درجة السؤال: 1

A neonate has been diagnosed with caput succedaneum. Which statement is correct about this condition?

It usually resolves in 3-6 weeks

It doesn’t cross the cranial suture line

It’s a collection of blood between the skull and the periosteum

It involves swelling of tissue over the presenting part of the presenting head

رقم السؤال: 34 من 51 درجة السؤال: 1

A nurse is caring for a client on an orthopedic unit who sustained trauma in a motor vehicle crash. Which of the following laboratory values indicates moderate protein deficiency?

Serum albumin 3.5g/dL

Serum prealbumin 5/mg/dL

Serum albumin 4.5 g/dL

Serum prealbumin 10 mg/dL

رقم السؤال: 35 من 51 درجة السؤال: 1

Which of the following behaviors would indicate that a client was bonding with her baby?

The client asks her husband to give the baby a bottle of water.

The client talks to the baby and picks him up when he cries.

The client feeds the baby every three hours.

The client asks the nurse to recommend a good child care manual.

رقم السؤال: 36 من 51 درجة السؤال: 1

The nurse hears the mother of a 5-pound neonate telling a friend on the telephone, “As soon as I get home, I’ll give him some cereal to get him to gain weight?” The nurse recognizes the need for further instruction about infant feeding and tells her

If you give the baby cereal, be sure to use Rice to prevent allergy.

The baby is not able to swallow cereal, because he is too small.

The infant’s digestive tract cannot handle complex carbohydrates like cereal.

If you want him to gain weight, just double his daily intake of formula.

رقم السؤال: 37 من 51 درجة السؤال: 1

The asthmatic client asked you what breathing technique he can best practice when asthmatic attack starts. What will be the best position?

Sit in High-Fowler’s position with extended legs

Sit-up with shoulders back

Push on abdomen during exhalation

Lean forward 30-40 degrees with each exhalation

رقم السؤال: 38 من 51 درجة السؤال: 1

A nurse in a nutritional clinic is calculating body mass index (BMI) for several clients. Which of the following BMI represents an overweight client?

رقم السؤال: 39 من 51 درجة السؤال: 1

The nurse is aware that a neonate of a mother with diabetes is at risk for what complication?

Anemia

Hypoglycemia

Nitrogen loss

Thrombosis

رقم السؤال: 40 من 51 درجة السؤال: 1

A client with group AB blood whose husband has group O has just given birth. The major sign of ABO blood incompatibility in the neonate is which complication or test result?

Negative Coombs test

Bleeding from the nose and ear

Jaundice after the first 24 hours of life

Jaundice within the first 24 hours of life

رقم السؤال: 41 من 51 درجة السؤال: 1

When attempting to interact with a neonate experiencing drug withdrawal, which behavior would indicate that the neonate is willing to interact?

Gaze aversion

Hiccups

Quiet alert state

Yawning

رقم السؤال: 42 من 51 درجة السؤال: 1

Which of the following is an initial sign of carditis in a child diagnosed with rheumatic fever?

Anterior chest wall pain

Irregular heart rhythm

Heart murmur

Low blood pressure

رقم السؤال: 43 من 51 درجة السؤال: 1

The home health nurse visits the Cox family 2 weeks after hospital discharge. She observes that the umbilical cord has dried and fallen off. The area appears healed with no drainage or erythema present. The mother can be instructed to

cover the umbilicus with a band-aid.

continue to clean the stump with alcohol for one week.

apply an antibiotic ointment to the stump.

give him a bath in an infant tub now.

رقم السؤال: 44 من 51 درجة السؤال: 1

When performing nursing care for a neonate after a birth, which intervention has the highest nursing priority?

Obtain a dextrostix

Give the initial bath

Give the vitamin K injection

Cover the neonates head with a cap

رقم السؤال: 45 من 51 درجة السؤال: 1

Which of the following should the nurse include in a discharge teaching plan for parents of a child who has undergone cardiac catheterization for a ventricular septal defect (VSD)?

Restriction of the child’s activities for 2 weeks following the procedure

Sponge bathing until the stitches are removed

Use of prophylactic antibiotics before any dental procedures

Use of a pressure dressing until the health care provider has evaluated the site

رقم السؤال: 46 من 51 درجة السؤال: 1

A 6-month-old client with a ventricular septal defect is receiving Lanoxin elixir for regulation of his heart rate. Which finding should be reported to the doctor?

A blood pressure of 126/80

A blood glucose of 110 mg/dl

A heart rate of 60 bpm

A respiratory rate of 30 per minute

رقم السؤال: 47 من 51 درجة السؤال: 1

Neonates of mothers with diabetes are at risk for which complication following birth?

Atelectasis

Microcephaly

Pneumothorax

Macrosomia

رقم السؤال: 48 من 51 درجة السؤال: 1

A 2-year-old child with tetralogy of Fallot becomes upset during a routine blood draw. The child turns blue and the respiratory rate increases to 45 breaths per minute. Which of the following interventions should the nurse do first?

Notify the provider and request sedation

Assess for irregular heart rhythm and rate

Reassure the child that the pain will be mild

Position the child with the knees to the chest

رقم السؤال: 49 من 51 درجة السؤال: 1

A child with respiratory syncytial virus (RSV) is receiving ribavirin (Virazole), and requires an oxygen tent. Which precaution will the nurse specifically take while caring for the child?

Wear a gown

Wear a mask

Wear a gown and hair net

Wear goggles and a mask

رقم السؤال: 50 من 51 درجة السؤال: 1

The nurse decides on a teaching plan for a new mother and her infant. The plan should include:

Discussing the matter with her in a non-threatening manner

Showing by example and explanation how to care for the infant

Setting up a schedule for teaching the mother how to care for her baby

Supplying the emotional support to the mother and encouraging her independence

رقم السؤال: 51 من 51 درجة السؤال: 1

When teaching umbilical cord care to a new mother, the nurse would include which information?

Apply peroxide to the cord with each diaper change

Cover the cord with petroleum jelly after bathing

Keep the cord dry and open to air

Wash the cord with soap and water each day during a tub bath

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