Community Health Nursing,Maternal And Child Nursing Practice Test
- 1.Calcium gluconate is being administered to a client with pregnancy induced hypertension (PIH). A nursing action that must be initiated as the plan of care throughout injection of the drug is:
- A.
Ventilator assistance
- B.
CVP readings
- C.
EKG tracings
- D.
Continuous CPR
- 2.A pregnant client is receiving oxytocin (Pitocin) for induction of labor. A condition that warrant the nurse in-charge to discontinue I.V. infusion of Pitocin is:
- A.
Contractions every 1 ½ minutes lasting 70-80 seconds.
- B.
Maternal temperature 101.2
- C.
Early decelerations in the fetal heart rate.
- D.
Fetal heart rate baseline 140-160 bpm.
- 3.During vaginal examination of Janah who is in labor, the presenting part is at station plus two.Nurse, correctly interprets it as:
- A.
Presenting part is 2 cm above the plane of the ischial spines.
- B.
Biparietal diameter is at the level of the ischial spines.
- C.
Presenting part in 2 cm below the plane of the ischial spines.
- D.
Biparietal diameter is 2 cm above the ischial spines.
- 4.A pregnant client is receiving magnesium sulfate for severe pregnancy induced hypertension(PIH). The clinical findings that would warrant use of the antidote , calcium gluconate is:
- A.
Urinary output 90 cc in 2 hours.
- B.
Absent patellar reflexes.
- C.
Rapid respiratory rate above 40/min.
- D.
Rapid rise in blood pressure.
- 5.Nurse Michelle is assessing a 24 year old client with a diagnosis of hydatidiform mole. She is aware that one of the following is unassociated with this condition?
- A.
Excessive fetal activity.
- B.
Larger than normal uterus for gestational age.
- C.
Vaginal bleeding
- D.
Elevated levels of human chorionic gonadotropin(HCG).
- 6.May arrives at the health care clinic and tells the nurse that her last menstrual period was 9 weeks ago. She also tells the nurse that a home pregnancy test was positive but she began to have mild cramps and is now having moderate vaginal bleeding. During the physical examination of the client, the nurse notes that May has a dilated cervix. The nurse determines that May is experiencing which type of abortion?
- A.
Inevitable
- B.
Incomplete
- C.
Threatened
- D.
Septic
- 7.Nurse Ryan is aware that the best initial approach when trying to take a crying toddler’s temperature is:
- A.
Talk to the mother first and then to the toddler.
- B.
Bring extra help so it can be done quickly.
- C.
Encourage the mother to hold the child.
- D.
Ignore the crying and screaming.
- 8.Baby Tina a 3 month old infant just had a cleft lip and palate repair. What should the nurse do to prevent trauma to operative site?
- A.
Avoid touching the suture line, even when cleaning.
- B.
Place the baby in prone position.
- C.
Give the baby a pacifier.
- D.
Place the infant’s arms in soft elbow restraints.
- 9.Myra is the public health nurse in a municipality with a total population of about 20,000. There are 3 rural health midwives among the RHU personnel. How many more midwife items will the RHU need?
- A.
1
- B.
2
- C.
3
- D.
The RHU does not need any more midwife item.
- 10.Vangie is a new B.S.N. graduate. She wants to become a Public Health Nurse. Where should she apply?
- A.
Department of Health
- B.
Provincial Health Office
- C.
Regional Health Office
- D.
Rural Health Unit
- 11.When the nurse determines whether resources were maximized in implementing Ligtas Tigdas, she is evaluating
- A.
Effectiveness
- B.
Efficiency
- C.
Adequacy
- D.
Appropriateness
- 12.Which of the following is the most prominent feature of public health nursing?
- A.
It involves providing home care to sick people who are not confined in the hospital.
- B.
Services are provided free of charge to people within the catchments area.
- C.
The public health nurse functions as part of a team providing a public health nursing services.
- D.
Public health nursing focuses on preventive, not curative, services.
- 13.Mommy Linda is playing with her infant, who is sitting securely alone on the floor of the clinic. The mother hides a toy behind her back and the infant looks for it. The nurse is aware that estimated age of the infant would be:
- A.
6 months
- B.
4 months
- C.
8 months
- D.
10 months
- 14.Nurse Hazel is teaching a mother who plans to discontinue breast feeding after 5 months. The nurse should advise her to include which foods in her infant’s diet?
- A.
Skim milk and baby food.
- B.
Whole milk and baby food.
- C.
Iron-rich formula only.
- D.
Iron-rich formula and baby food.
- 15.Which action should nurse Marian include in the care plan for a 2 month old with heart failure?
- A.
Feed the infant when he cries.
- B.
Allow the infant to rest before feeding.
- C.
Bathe the infant and administer medications before feeding.
- D.
Weigh and bathe the infant before feeding.
- 16.According to Freeman and Heinrich, community health nursing is a developmental service. Which of the following best illustrates this statement?
- A.
The community health nurse continuously develops himself personally and professionally.
- B.
Health education and community organizing are necessary in providing community health services.
- C.
Community health nursing is intended primarily for health promotion and prevention and treatment of disease.
- D.
The goal of community health nursing is to provide nursing services to people in their own places of residence.
- 17.Beth a public health nurse takes an active role in community participation. What is the primary goal of community organizing?
- A.
To educate the people regarding community health problems
- B.
To mobilize the people to resolve community health problems
- C.
To maximize the community’s resources in dealing with health problems.
- D.
To maximize the community’s resources in dealing with health problems.
- 18.The nurse is caring for a primigravid client in the labor and delivery area. Which condition would place the client at risk for disseminated intravascular coagulation (DIC)?
- A.
Intrauterine fetal death.
- B.
Placenta accreta.
- C.
Dysfunctional labor.
- D.
Premature rupture of the membranes.
- 19.A fullterm client is in labor. Nurse Betty is aware that the fetal heart rate would be:
- A.
80 to 100 beats/minute
- B.
100 to 120 beats/minute
- C.
120 to 160 beats/minute
- D.
160 to 180 beats/minute
- 20.The skin in the diaper area of a 7 month old infant is excoriated and red. Nurse Hazel should instruct the mother to:
- A.
Change the diaper more often.
- B.
Apply talc powder with diaper changes.
- C.
Wash the area vigorously with each diaper change.
- D.
Decrease the infant’s fluid intake to decrease saturating diapers.
- 21.Nurse Carla knows that the common cardiac anomalies in children with Down Syndrome (trisomy 21) is:
- A.
Atrial septal defect
- B.
Pulmonic stenosis
- C.
Ventricular septal defect
- D.
Endocardial cushion defect
- 22.Malou was diagnosed with severe preeclampsia is now receiving I.V. magnesium sulfate. The adverse effects associated with magnesium sulfate is:
- A.
Anemia
- B.
Decreased urine output
- C.
Hyperreflexia
- D.
Increased respiratory rate
- 23.A 23 year old client is having her menstrual period every 2 weeks that last for 1 week. This type of menstrual pattern is bets defined by:
- A.
Menorrhagia
- B.
Metrorrhagia
- C.
Dyspareunia
- D.
Amenorrhea
- 24.Nurse Gina is aware that the most common condition found during the second-trimester of pregnancy is:
- A.
Metabolic alkalosis
- B.
Respiratory acidosis
- C.
Mastitis
- D.
Physiologic anemia
- 25.Nurse Lynette is working in the triage area of an emergency department. She sees that several pediatric clients arrive simultaneously. The client who needs to be treated first is:
- A.
A crying 5 year old child with a laceration on his scalp.
- B.
A 4 year old child with a barking coughs and flushed appearance.
- C.
A 3 year old child with Down syndrome who is pale and asleep in his mother’s arms.
- D.
A 2 year old infant with stridorous breath sounds, sitting up in his mother’s arms and drooling.
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