1. The nurse is caring for the mother of a newborn.

The nurse recognizes that the

mother needs more teaching regarding cord care because she

A. keeps the cord exposed to the air.

B. washes her hands before sponge bathing her baby.
C. washes the cord and surrounding area well with water at each diaper change.
D. checks it daily for bleeding and drainage.
2. A client telephones the clinic to ask about a home pregnancy test she used this
morning. The nurse understands that the presence of which hormone strongly suggests
a woman is pregnant?

A. Estrogen
B. HCG
C. Alpha-fetoprotein
D. Progesterone
3. The nurse is assessing a six-month-old child. Which developmental skills are
normal and should be expected?

A. Speaks in short sentences.

B. Sits alone.
C. Can feed self with a spoon.
D. Pulling up to a standing position.
4. While teaching a 10 year-old child about their impending heart surgery, the nurse
should

A. Provide a verbal explanation just prior to the surgery

B. Provide the child with a booklet to read about the surgery
C. Introduce the child to another child who had heart surgery three days ago
D. Explain the surgery using a model of the heart
5. When caring for an elderly client it is important to keep in mind the changes in
color vision that may occur. What colors are apt to be most difficult for the elderly to
distinguish?

A. Red and blue.

B. Blue and gold.
C. Red and green.
D. Blue and green.
6. While giving nursing care to a hospitalized adolescent, the nurse should be aware
that the MAJOR threat felt by the hospitalized adolescent is

A. Pain management
 B. Restricted physical activity
C. Altered body image
D. Separation from family
7. A woman who is 32 years old and 35 weeks pregnant has had rupture of
membranes for eight hours and is 4 cm dilated. Since she is a candidate for infection,
the nurse should include which of the following in the care plan?

A. Universal precautions.
B. Oxytocin administration.
C. Frequent temperature monitoring.
D. More frequent vaginal examinations.
8. The nurse prepares for a Denver Screening test with a 3 year-old child in the clinic.
The mother asks the nurse to explain the purpose of the test. The BEST response is to
tell her that the test

A. Measures potential intelligence

B. Assesses a child’s development
C. Evaluates psychological responses
D. Diagnoses specific problems
9. A 27-year-old woman has Type I diabetes mellitus. She and her husband want to
have a child so they consulted her diabetologist, who gave her information on
pregnancy and diabetes. Of primary importance for the diabetic woman who is
considering pregnancy should be

A. a review of the dietary modifications that will be necessary.

B. early prenatal medical care.
C. adoption instead of conception.
D. understanding that this is a major health risk to the mother.
10. The nurse is planning care for an 18 month-old child. Which of the following
should be included the in the child’s care?

A. Hold and cuddle the child often

B. Encourage the child to feed himself finger food
C. Allow the child to walk independently on the nursing unit
D. Engage the child in games with other children
11. The nurse in an infertility clinic is discussing the treatment routine. The nurse
advises the couple that the major stressor for couples being treated for infertility is
usually

A. having to tell their families.

B. the cost of the interventions.
 C. the inconvenience of multiple tests.
D. the right scheduling of sexual intercourse.
12. The nurse is assessing a four month-old infant. The nurse would anticipate finding
that the infant would be able to

A. Hold a rattle
B. Bang two blocks
C. Drink from a cup
D. Wave “bye-bye”
13. The nurse is evaluating a new mother feeding her newborn. Which observation
indicates the mother understands proper feeding methods for her newborn?

A. Holding the bottle so the nipple is always filled with formula.

B. Allowing her seven – pound baby to sleep after taking 1 ½ ounces from the bottle.
C. Burping the baby every ten minutes during the feeding.
D. Warming the formula bottle in the microwave for 15 seconds and giving it
directly to the baby.
14. The nurse is caring for a pregnant client. The client asks how the doctor could tell
she was pregnant ‘just by looking inside.’ The nurse tells her the most likely
explanation is that she had a positive Chadwick’s sign, which is a

A. Bluish coloration of the cervix and vaginal walls

B. Pronounced softening of the cervix
C. Clot of very thick mucous that obstructs the cervical canal
D. Slight rotation of the uterus to the right
15. When caring for an elderly client it is important to keep in mind the changes in
color vision that may occur. What colors are apt to be most difficult for the elderly to
distinguish?

A. Red and blue.

B. Blue and gold.
C. Red and green.
D. Blue and green.
16. The nurse’s FIRST step in nutritional counseling/teaching for a pregnant woman
is to

A. Teach her how to meet the needs of self and her family
B. Explain the changes in diet necessary for pregnant women
C. Question her understanding and use of the food pyramid
D. Conduct a diet history to determine her normal eating routines
17. A woman who is six months pregnant is seen in antepartal clinic. She states she is
having trouble with constipation. To minimize this condition, the nurse should instruct
her to

A. increase her fluid intake to three liters/day.

B. request a prescription for a laxative from her physician.
C. stop taking iron supplements.
D. take two tablespoons of mineral oil daily.
18. The nurse is observing children playing in the hospital playroom. She would
expect to see 4 year-old children playing

A. Competitive board games with older children

B. With their own toys along side with other children
C. Alone with hand held computer games
D. Cooperatively with other preschoolers
19. The nurse is caring for residents in a long term care setting for the elderly. Which
of the following activities will be MOST effective in meeting the growth and
development needs for persons in this age group?

A. Aerobic exercise classes

B. Transportation for shopping trips
C. Reminiscence groups
D. Regularly scheduled social activities
20. A pregnant woman is advised to alter her diet during pregnancy by increasing her
protein and Vitamin C to meet the needs of the growing fetus. Which diet BEST
meets the client’s needs?

A. Scrambled egg, hash browned potatoes, half-glass of buttermilk, large nectarine

B. 3oz. chicken, ½ C. corn, lettuce salad, small banana
C. 1 C. macaroni, ¾ C. peas, glass whole milk, medium pear
D. Beef, ½ C. lima beans, glass of skim milk, ¾ C. strawberries
21. Which age group has the greatest potential to demonstrate regression when they
are sick?

A. Adolescent
B. Young Adult
C. Toddler
D. Infant
22. Which is a major concern when providing drug therapy for older adults?

A. Alcohol is used by older adults to cope with the multiple problems of aging
 B. Hepatic clearance is reduced in older adults
C. Older adults have difficulty in swallowing large tablets
D. Older adults may chew on tablets instead of swallowing them.
23. One of the participants attending a parenting class asks the teacher “what is the
leading cause of death during the first month of life?

A. Congenital Abnormalities
B. Low birth weight
C. SIDS
D. Infection
24. Which stage of development is most unstable and challenging regarding
development of personal identity?

A. Adolescence
B. Toddler hood
C. Childhood
D. Infancy
25. Which age group would have a tendency towards eating disorders?

A. Adolescence
B. Toddler hood
C. Childhood
D. Infancy
26. When assessing an older adult. The nurse may expect an increase in:

A. Nail growth
B. Skin turgor
C. Urine residual
D. Nerve conduction
27. A maternity nurse is providing instruction to a new mother regarding the
psychosocial development of the newborn infant. Using Erikson’s psychosocial
development theory, the nurse would instruct the mother to

A. Allow the newborn infant to signal a need

B. Anticipate all of the needs of the newborn infant
C. Avoid the newborn infant during the first 10 minutes of crying
D. Attend to the newborn infant immediately when crying
28. A mother of a 3-year-old tells a clinic nurse that the child is rebelling constantly
and having temper tantrums. The nurse most appropriately tells the mother to:

A. Punish the child every time the child says “no”, to change the behavior
 B. Allow the behavior because this is normal at this age period
C. Set limits on the child’s behavior
D. Ignore the child when this behavior occurs
29. The parents of a 2-year-old arrive at a hospital to visit their child. The child is in
the playroom when the parents arrive. When the parents enter the playroom, the child
does not readily approach the parents. The nurse interprets this behavior as indicating
that:

A. The child is withdrawn

B. The child is self-centered
C. The child has adjusted to the hospitalized setting
D. This is a normal pattern
30. The mother of a 3-year-old is concerned because her child still is insisting on a
bottle at nap time and at bedtime. Which of the following is the most appropriate
suggestion to the mother?

A. Do not allow the child to have the bottle

B. Allow the bottle during naps but not at bedtime
C. Allow the bottle if it contains juice
D. Allow the bottle if it contains water
31. A nurse is evaluating the developmental level of a 2-year-old. Which of the
following does the nurse expect to observe in this child?

A. Uses a fork to eat

B. Uses a cup to drink
C. Uses a knife for cutting food
D. Pours own milk into a cup
32. The nurse is providing an educational session to new employees, and the topic is
abuse to the older client. The nurse tells the employees that which client is most
characteristic of a victim of abuse

A. A 90-year-old woman with advanced Parkinson’s disease

B. A 68-year-old man with newly diagnosed cataracts
C. A 70-year-old woman with early diagnosed Lyme’s disease
D. A 74-year-old man with moderate hypertension
33. The home care nurse is visiting an older female client whose husband died 6
months ago. Which behavior, by the client, indicates ineffective coping?

A. Visiting her husband’s grave once a month

B. Participating in a senior citizens program
C. Looking at old snapshots of her family
 D. Neglecting her personal grooming
34. A clinic nurse assesses the communication patterns of a 5-month-old infant. The
nurse determines that the infant is demonstrating the highest level of developmental
achievement expected if the infant:

A. Uses simple words such as “mama”

B. Uses monosyllabic babbling
C. Links syllables together
D. Coos when comforted
35. A nurse is preparing to care for a 5-year-old who has been placed in traction
following a fracture of the femur. The nurse plans care, knowing that which of the
following is the most appropriate activity for this child?

A. Large picture books

B. A radio
C. Crayons and coloring book
D. A sports video
36. A 16-year-old is admitted to the hospital for acute appendicitis, and an
appendectomy is performed. Which of the following nursing interventions is most
appropriate to facilitate normal growth and development?

A. Allow the family to bring in the child’s favorite computer games

B. Encourage the parents to room-in with the child
C. Encourage the child to rest and read
D. Allow the child to participate in activities with other individuals in the same
age group when the condition permits
37. The mother of a toddler asks a nurse when it is safe to place the car safety seat in a
face-forward position. The best nursing response is which of the following?

A. When the toddler weighs 20 lbs

B. The seat should not be placed in a face-forward position unless there are safety
locks in the car
C. The seat should never be place in a face-forward position because the risk of the
child unbuckling the harness
D. When the weight of the toddler is greater than 40 lbs
38. The nurse is caring for an agitated older client with Alzheimer’s disease. Which
nursing intervention most likely would calm the client?

A. Playing a radio
B. Turning the lights out
C. Putting an arm around the client’s waist
 D. Encouraging group participation
39. The nurse who volunteers at a senior citizens center is planning activities for the
members who attend the center. Which activity would best promote health and
maintenance for these senior citizens?

A. Gardening every day for an hour

B. Cycling 3 times a week for 20 minutes
C. Sculpting once a week for 40 minutes
D. Walking 3 to 5 times a week for 30 minutes
40. A 16 year old child is hospitalized, according to Erik Erikson, what is an
appropriate intervention?

A. tell the friends to visit the child

B. encourage patient to help child learn lessons missed
C. call the priest to intervene
D. tell the child’s girlfriend to visit the child.