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PNLE Maternal and Child Health Nursing Exam 3
PNLE Maternal and Child Health Nursing Exam 3
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CARE PLANS TOOLS & APPS BULLETS
feeding, usually
Child Health Nursing
through a gastric
tube (a tube
Exam 3
passed into the
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A. Abruption placenta.
B. Caput succedaneum.
C. Pathological hyperbilirubinemia.
D. Umbilical cord prolapse.
A. Sit up.
B. Pick up and hold a rattle.
C. Roll over.
D. Hold the head up.
11. The physician calls the nursing unit to leave an order. The
senior nurse had conversation with the other staff. The newly
hired nurse answers the phone so that the senior nurses may
continue their conversation. The new nurse does not
knowthe physician or the client to whom the order pertains.
The nurse should:
A. Ask the physician to call back after the nurse has read
the hospital policy manual.
B. Take the telephone order.
C. Refuse to take the telephone order.
D. Ask the charge nurse or one of the other senior staff
nurses to take the telephone order.
12. The staff nurse on the labor and delivery unit is assigned
to care to a primigravida in transition complicated by
hypertension. A new pregnant woman in active labor is
admitted in the same unit. The nurse manager assigned the
same nurse to the second client. The nurse feels that the
client with hypertension requires one-to-one care. What
would be the initial actionof the nurse?
A. 40 years of age.
B. 20 years of age.
C. 35 years of age.
D. 20 years of age.
16. The nurse noticed that the signed consent form has an
error. The form states, “Amputation of the right leg” instead of
the left leg that is to be amputated. The nurse has
administered already the preoperative medications. What
should the nurse do?
A. Call the physician to reschedule the surgery.
B. Call the nearest relative to come in to sign a new form.
C. Cross out the error and initial the form.
D. Have the client sign another form.
17. The nurse in the nursing care unit checks the iuctuation
in the water-seal compartment of a closed chest drainage
system. The iuctuation has stopped, the nurse would:
18. The pediatric nurse in the neonatal unit was informed that
the baby that is brought to the mother in the hospital room is
wrong. The nurse determines that two babies were placed in
the wrong cribs. The most appropriate nursing action would
be to:
A. Tinnitus
B. Nausea and vomiting
C. Vision problem
D. Slowing in the heart rate
20. Which of the following treatment modality is appropriate
for a client with paranoid tendency?
A. Activity therapy.
B. Individual therapy.
C. Group therapy.
D. Family therapy.
22. A pregnant client tells the nurse that she is worried about
having urinary frequency. What will be the most appropriate
nursing response?
23. Which of the following will help the nurse determine that
the expression of hostility is useful?
A. Leopold maneuvers.
B. Fundal height.
C. Positive radioimmunoassay test (RIA test).
D. Auscultation of fetal heart tones.
A. Oxytocin.
B. Estrogen.
C. Progesterone.
D. Relaxin.
A. Ovum viability.
B. Tubal motility.
C. Spermatozoal viability.
D. Secretory endometrium.
A. “I’ll give you a sleeping pill to help you get more sleep
now.”
B. “Perhaps you’d like to sit here at the nurse’s station for a
while.”
C. “Would you like me to show you where the bathroom is?”
D. “What woke you up?”
A. Antihistamines.
B. NSAIDs.
C. Antacids.
D. Salicylates.
A. “The spouse, but not the rest of the family, may override
the advance directive.”
B. “An advance directive is required for a “do not
resuscitate” order.”
C. “A durable power of attorney, a form of advance directive,
may only be held by a blood relative.”
D. “The advance directive may be enforced even in the face
of opposition by the spouse.”
40. A client diagnosed with schizophrenia is shouting and
banging on the door leading to the outside, saying, “I need to
go to an appointment.” What is the appropriate nursing
intervention?
42. The client’s jaw and cheekbone is sutured and wired. The
nurse anticipates that the most important thing that must be
ready at the bedside is:
A. Suture set.
B. Tracheostomy set.
C. Suction equipment.
D. Wire cutters.
A. 3+ peripheral pulses.
B. Change in level of consciousness and headache.
C. Occasional dysrhythmias.
D. Heart rate of 100/bpm.
A. Absence of ferning.
B. Thin, clear, good spinnbarkeit.
C. Thick, cloudy.
D. Yellow and sticky.
A. Icterus neonatorum
B. Multiple hemangiomas
C. Erythema toxicum
D. Milia
A. Provide distraction.
B. Support but limit the behavior.
C. Prohibit the behavior.
D. Point out the behavior.
A. Intellectualization.
B. Suppression.
C. Repression.
D. Denial.
A. Treat infection.
B. Suppress labor contraction.
C. Stimulate the production of surfactant.
D. Reduce the risk of hypertension.
A. Flat in bed.
B. On the side only.
C. With the foot of the bed elevated.
D. With the head elevated 45-degrees (semi-Fowler’s).
A. A toy gun.
B. A stuffed animal.
C. A ball.
D. Legos.
88. The nurse in the nursing care unit is aware that one of the
medical staff displays unlikely behaviors like confusion,
agitation, lethargy and unkempt appearance. This behavior
has been reported to the nurse manager several times, but no
changes observed. The nurse should:
A. 1 g
B. 500 mg
C. 250 mg
D. 125 mg
94. The nurse advised the pregnant woman that smoking and
alcohol should be avoided during pregnancy. The nurse takes
into account that the developing fetus is most vulnerable to
environment teratogens that cause malformation during:
95. A male client tells the nurse that there is a big bug in his
bed. The most therapeutic nursing response would be:
A. Silence.
B. “Where’s the bug? I’ll kill it for you.”
C. “I don’t see a bug in your bed, but you seem afraid.”
D. “You must be seeing things.”
A. Beginning of labor.
B. Bladder infection.
C. Constipation.
D. Tension on the round ligament.
A. Panic reaction.
B. Medication overdose.
C. Toxic reaction to an antibiotic.
D. Delirium tremens.