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Question 1 of 30
1. Question
1 point(s)Category: Physiological IntegrityA client with bacterial pneumonia is admitted to the pediatric unit. What would the nurse expect the admitting assessment to reveal?
CorrectIncorrect -
Question 2 of 30
2. Question
1 point(s)Category: Safe and Effective Care EnvironmentThe nurse is caring for a client admitted with epiglottitis. Because of the possibility of complete obstruction of the airway, which of the following should the nurse have available?
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Question 3 of 30
3. Question
1 point(s)Category: Physiological IntegrityA 25-year-old client with Grave’s disease is admitted to the unit. What would the nurse expect the admitting assessment to reveal?
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Question 4 of 30
4. Question
1 point(s)Category: Health Promotion and MaintenanceThe nurse is providing dietary instructions to the mother of an 8-year-old child diagnosed with celiac disease. Which of the following foods, if selected by the mother, would indicate her understanding of the dietary instructions?
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Question 5 of 30
5. Question
1 point(s)Category: Physiological IntegrityThe nurse is caring for an 80-year-old with chronic bronchitis. Upon the morning rounds, the nurse finds an O2 sat of 76%. Which of the following actions should the nurse take first?
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Question 6 of 30
6. Question
1 point(s)Category: Physiological IntegrityA gravida 3 para 0 is admitted to the labor and delivery unit. The doctor performs an amniotomy. Which observation would the nurse be expected to make after the amniotomy?
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Question 7 of 30
7. Question
1 point(s)Category: Physiological IntegrityThe client is admitted to the unit. A vaginal exam reveals that she is 2cm dilated. Which of the following statements would the nurse expect her to make?
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Question 8 of 30
8. Question
1 point(s)Category: Physiological IntegrityThe client is having fetal heart rates of 90–110 bpm during the contractions. The first action the nurse should take is:
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Question 9 of 30
9. Question
1 point(s)Category: Physiological IntegrityIn evaluating the effectiveness of IV Pitocin for a client with secondary dystocia, the nurse should expect:
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Question 10 of 30
10. Question
1 point(s)Category: Physiological IntegrityA vaginal exam reveals a footling breech presentation. The nurse should take which of the following actions at this time?
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Question 11 of 30
11. Question
1 point(s)Category: Physiological IntegrityA vaginal exam reveals that the cervix is 4cm dilated, with intact membranes and a fetal heart tone rate of 160–170 bpm. The nurse decides to apply an external fetal monitor. The rationale for this implementation is:
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Question 12 of 30
12. Question
1 point(s)Category: Physiological IntegrityThe following are all nursing diagnoses appropriate for a gravida 1 para 0 in labor. Which one would be most appropriate for the primigravida as she completes the early phase of labor?
CorrectIncorrect -
Question 13 of 30
13. Question
1 point(s)Category: Physiological IntegrityAs the client reaches 8 cm dilation, the nurse notes late decelerations on the fetal monitor. The FHR baseline is 165–175 bpm with variability of 0–2bpm. What is the most likely explanation of this pattern?
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Question 14 of 30
14. Question
1 point(s)Category: Physiological IntegrityThe nurse notes variable decelerations on the fetal monitor strip. The most appropriate initial action would be to:
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Question 15 of 30
15. Question
1 point(s)Category: Physiological IntegrityWhich of the following is a characteristic of a reassuring fetal heart rate pattern?
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Question 16 of 30
16. Question
1 point(s)Category: Physiological IntegrityThe rationale for inserting a French catheter every hour for the client with epidural anesthesia is:
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Question 17 of 30
17. Question
1 point(s)Category: Health Promotion and MaintenanceA client in the family planning clinic asks the nurse about the most likely time for her to conceive. The nurse explains that conception is most likely to occur when:
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Question 18 of 30
18. Question
1 point(s)Category: Health Promotion and MaintenanceA client tells the nurse that she plans to use the rhythm method of birth control. The nurse is aware that the success of the rhythm method depends on the:
CorrectIncorrect -
Question 19 of 30
19. Question
1 point(s)Category: Health Promotion and MaintenanceA client with diabetes asks the nurse for advice regarding methods of birth control. Which method of birth control is most suitable for the client with diabetes?
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Question 20 of 30
20. Question
1 point(s)Category: Physiological IntegrityThe doctor suspects that the client has an ectopic pregnancy. Which symptom is consistent with a diagnosis of ectopic pregnancy?
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Question 21 of 30
21. Question
1 point(s)Category: Health Promotion and MaintenanceThe nurse is teaching a pregnant client about nutritional needs during pregnancy. Which menu selection will best meet the nutritional needs of the pregnant client?
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Question 22 of 30
22. Question
1 point(s)Category: Physiological IntegrityThe client with hyperemesis gravidarum is at risk for developing:
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Question 23 of 30
23. Question
1 point(s)Category: Health Promotion and MaintenanceA client tells the doctor that she is about 20 weeks pregnant. The most definitive sign of pregnancy is:
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Question 24 of 30
24. Question
1 point(s)Category: Physiological IntegrityThe nurse is caring for a neonate whose mother is diabetic. The nurse will expect the neonate to be:
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Question 25 of 30
25. Question
1 point(s)Category: Health Promotion and MaintenanceWhich of the following instructions should be included in the nurse’s teaching regarding oral contraceptives?
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Question 26 of 30
26. Question
1 point(s)Category: Health Promotion and MaintenanceThe nurse is discussing breastfeeding with a postpartum client. Breastfeeding is contraindicated in the postpartum client with:
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Question 27 of 30
27. Question
1 point(s)Category: Physiological IntegrityA client is admitted to the labor and delivery unit complaining of vaginal bleeding with very little discomfort. The nurse’s first action should be to:
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Question 28 of 30
28. Question
1 point(s)Category: Physiological IntegrityA client telephones the emergency room stating that she thinks that she is in labor. The nurse should tell the client that labor has probably begun when:
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Question 29 of 30
29. Question
1 point(s)Category: Health Promotion and MaintenanceThe nurse is teaching a group of prenatal clients about the effects of cigarette smoke on fetal development. Which characteristic is associated with babies born to mothers who smoked during pregnancy?
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Question 30 of 30
30. Question
1 point(s)Category: Physiological IntegrityThe physician has ordered an injection of RhoGam for the postpartum client whose blood type is A negative but whose baby is O positive. To provide postpartum prophylaxis, RhoGam should be administered:
CorrectIncorrect