Nursing Evaluation 2011 Test 01

17 Questions | Total Attempts: 506

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Evaluation Quizzes & Trivia

Nursing students competency evaluation. Covering basic and general knowledge.


Questions and Answers
  • 1. 
    After teaching the mother about the neonate’s positive Babinski’s reflex, the nurse determines that the mother understands the instructions when she says that a positive Babinski’s reflex indicates which of the following?
    • A. 

      Possible spinal cord defect.

    • B. 

      Immaturity of the central nervous system.

    • C. 

      Possible partial paralysis.

    • D. 

      Injury to the nerves innervating the legs.

  • 2. 
    When preparing a teaching plan for a client who is to receive a rubella vaccine during the postpartum period, the nurse should include which of the following?
    • A. 

      The vaccine prevents a future fetus from developing congenital anomalies.

    • B. 

      Pregnancy should be avoided for 3 months after the immunization.

    • C. 

      The client should avoid contact with children diagnosed with rubella.

    • D. 

      The injection will provide immunity against the 7-day measles.

  • 3. 
    When instructing s pregnant client diagnosed with a chlamydial infection at 28 weeks’ gestation, which of the following should the nurse include about this infection during pregnancy?
    • A. 

      Possible central nervous systems disorders in the fetus.

    • B. 

      Cesarean delivery most likely necessary.

    • C. 

      Usual treatment with a 10-day course of erythromycin.

    • D. 

      Possible fetal death before delivery.

  • 4. 
    During a home visit on the fifth postpartum day, the client begins to cry and says that she is worried about her ability to care for her baby adequately. She tells the nurse. “I wish I could just get organized…I need 8 hours of sleep!” The nurse determines that she is experiencing which of the following?
    • A. 

      Taking-in phase of childbearing; she is exhibiting typical signs of adaptation.

    • B. 

      Postpartum blues phase of childbearing; she needs psychological counseling.

    • C. 

      Letting-go phase of childbearing; she needs help to assume the maternal role.

    • D. 

      Taking-hold phase of childbearing; she is feeling inadequate about neonatal care.

  • 5. 
    A client asks, “Can my partner and I still engage in sexual intercourse while I’m pregnant?” The nurse’s response is based on which of the following?
    • A. 

      Although sexual desire may change, intercourse is safe during an uncomplicated pregnancy.

    • B. 

      Throughout the pregnancy, coitus interruptus is the preferred method for sexual activity.

    • C. 

      Engaging in intercourse must be avoided until the client is at least 16 weeks pregnant.

    • D. 

      The couple should refrain from engaging in sexual intercourse during the last trimester.

  • 6. 
    A client who visits the clinic 2 months after having a Pap smear and beginning oral contraceptives tells the nurse that her menstrual flow has decreased since taking the oral contraceptives. The nurse should instruct the client that she most likely needs which of the following?
    • A. 

      Another Pap smear.

    • B. 

      Thorough endocrine workup.

    • C. 

      Continuation of the oral contraceptives.

    • D. 

      Lower dosage of oral contraceptives.

  • 7. 
    Which of the following client statements indicates that the nurse’s teaching about oral contraceptive agents has been successful?
    • A. 

      “Despite their effectiveness, about 25% of women stop taking them after 1 year.”

    • B. 

      “These agents usually only cause a few minor advrse effects when you take them.”

    • C. 

      “Oral contraceptives inhibit ovulation and change the consistency of cervical mucus.”

    • D. 

      “I can make these drugs more effective by monitoring my basal body temperature.”

  • 8. 
    When assessing an 18 year old primipara who delivered a viable neonate under epidural anesthesia 24 hours ago, the nurse determines that the fundus is firm but to the right of midline. Based on this finding the nurse further assesses for which of the following?
    • A. 

      Uterine inversion.

    • B. 

      Paralyctic ileus.

    • C. 

      Urinary retention.

    • D. 

      Perineal hematoma.

  • 9. 
    A 30 year old multiparous client has been prescribed oral contraceptives as a method of birth control. The nurse instructs the client that decreased effectiveness may occur if the client is prescribed which drug?
    • A. 

      Indomethacin (Indocin).

    • B. 

      Amitriptyline (Elavil).

    • C. 

      Omeprazole (Prilosec).

    • D. 

      Ampicillin.

  • 10. 
    Twenty four hours after delivery, the nurse documents that involution is progressing normally after palpating the client’s fundus at which of the following locations?
    • A. 

      Slightly below the level of the umbilicus.

    • B. 

      Midway between the umbilicus and the symphysis pubis.

    • C. 

      Barely above the upper margain of the symphysis pubis.

    • D. 

      Slightly above the level of the umbilicus.

  • 11. 
    Which of the following nursing interventions is most important postoperatively for an infant who has received a ventriculoperitoneal shunt?
    • A. 

      Initiating oral feedings.

    • B. 

      Monitoring intake and output.

    • C. 

      Allowing the infant to rest undisturbed.

    • D. 

      Providing age-appropriate diversionary activities.

  • 12. 
    Which of the following instructions should the nurse include in the teaching plan about skin care for the mother of a child with atopic dermatitis?
    • A. 

      Soaking the child in a tub for 30 minutes to soften the skin.

    • B. 

      Using an antibacterial soap two times a week.

    • C. 

      Using a mild soap followed by patting the skin to dry it.

    • D. 

      Washing clothes in a strong detergent to prevent infections.

  • 13. 
    When the nurse is teaching a group of parents about common childhood problems, a parent asks, “Why are children more likely to develop ear infections than adults are?” The nurse bases the response to this question on the understanding that the key anatomic difference between adults and children is due to which of the following structures?
    • A. 

      Nasopharynx.

    • B. 

      Eustachian tubes.

    • C. 

      Ear canals.

    • D. 

      Tympanic membranes.

  • 14. 
    Parents of a child with cystic fibrosis demonstrate knowledge of the effects of hot weather on their child when they state that hot weather is hazardous because the child has which of the following?
    • A. 

      Poor ability to concentrate urine.

    • B. 

      Little skin pigment to prevent sunburn.

    • C. 

      Poorly functioning temperature control center.

    • D. 

      Abnormally high salt loss through perspiration.

  • 15. 
    Which of the following behaviors by a neonate attempting an initial feeding should indicate to the nurse that the neonate may have tracheoesophageal fistula?
    • A. 

      Sucking attempts that are too poorly coordinated to be effective.

    • B. 

      Projectile vomiting that occurs after drinking 4 oz.

    • C. 

      Coughing, choking, and cyanosis that occur after several swallows of formula.

    • D. 

      Sleeping that occurs after taking 10 ml of formula with an inability to be stimulated to take more.

  • 16. 
    Which of the following families should the nurse determine as most in need of follow-up?
    • A. 

      A single mother with a 7-month-old child whose immunizations are delayed.

    • B. 

      A two-parent family whose 3-year-old has a fractured leg from an automobile accident.

    • C. 

      A single parent with a toddler who has third-degree burns over 20% of the body.

    • D. 

      A two-parent family with a foster child who has a history of caustic liquid ingestion.

  • 17. 
    A mother brings her child to the emergency department after the child has taken “some white pills just a short while ago.” What should lead the nurse to determine that the pills taken were most probably acetaminophen?
    • A. 

      Nausea and vomiting.

    • B. 

      Nosebleed.

    • C. 

      Seizure activity.

    • D. 

      Deep, rapid respirations.

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