A)
B)
C)
D)
Ans:
Origin: Chapter 01, 1
Format: Multiple Choice
Chapter: 1
Client Needs: B
Cognitive Level: Comprehension
Difficulty: Moderate
Integrated Processes: Nursing Process
Objective: 2
Page: 9
The United States ranks 21st for maternal
mortality and 27th for infant mortality
1. rates when compared to the rest of the
world. Which factor has the greatest
impact on decreasing these rates?
Resolving all language and cultural
differences
Ensuring early and adequate prenatal care
Providing more extensive women's
shelters
Encouraging all women to eat a balanced
diet
B
Response:
The lack of prenatal care during
pregnancy is a major factor contributing
to a poor outcome. Prenatal care is well
known to prevent complications of
pregnancy and to support the birth of
healthy infants. Infant mortality
commonly includes problems occurring at
birth or shortly thereafter. Thus, ensuring
early and adequate prenatal care would
have the greatest impact on decreasing
these rates. Resolving all language and
cultural differences would be helpful but
is unrealistic. Providing more extensive
women's shelters would be helpful for
women who are victims of abuse.
Encouraging all women to eat a balanced
diet is helpful but would not decrease
infant mortality rates.
Origin: Chapter 01, 2
Format: Multiple Choice
Chapter: 1
A)
B)
C)
D)
Ans:
A)
Client Needs: B
Cognitive Level: Comprehension
Difficulty: Moderate
Integrated Processes: Nursing Process
Objective: 2
Page: 6
When integrating the principles of family2. centered care, the nurse would include
which of the following?
Childbirth is viewed as a medical event.
Families are unable to make informed
choices.
Childbirth results in changes in
relationships.
Families require little information to make
appropriate decisions.
C
Response:
Family-centered care is based on the
following principles. Childbirth affects the
entire family and relationships will
change. Childbirth is viewed as a normal,
healthy event in the life of the family.
Families are capable of making decisions
about their own care if given adequate
information and professional support.
Origin: Chapter 01, 3
Format: Multiple Choice
Chapter: 1
Client Needs: B
Cognitive Level: Comprehension
Difficulty: Moderate
Integrated Processes: Teaching/Learning
Objective: 1
Page: 5
When preparing a teaching plan for a
group of women who are pregnant for the
first time, the nurse expects to review how
3. maternity care has changed over the years.
Which of the following would the nurse
include when discussing events of the
20th century?
Epidemics of puerperal fever
B)
C)
D)
Ans:
A)
B)
C)
D)
Ans:
First cesarean birth
X-rays used to assess pelvic size
Development of free-standing birth
centers
D
Response:
In the 20th century (1900s), free-standing
birth centers were developed. Puerperal
fever epidemics, the first cesarean birth,
and the use of x-rays to assess pelvic size
were events occurring during the 19th
century (1800s).
Origin: Chapter 01, 4
Format: Multiple Choice
Chapter: 1
Client Needs: B
Cognitive Level: Knowledge
Difficulty: Moderate
Integrated Processes: Nursing Process
Objective: 3
Page: 9
Which of the following is the most
4. common cause of pregnancy-related
mortality?
Hemorrhage
Embolism
Hypertension
Infection
B
Response:
According to the most recent statistics
available, embolism is the leading cause
of pregnancy-related mortality,
accounting for 20% of deaths. This is
followed by hemorrhage (17%),
pregnancy-related hypertension (16%),
and infection (13%).
Origin: Chapter 01, 5
Format: Multiple Choice
Chapter: 1
Client Needs: D-3
A)
B)
C)
D)
Ans:
A)
Cognitive Level: Application
Difficulty: Moderate
Integrated Processes: Nursing Process
Objective: 3
Page: 11
The nurse is working with a group of
community leaders to develop a plan to
address the special health needs of
5.
women. Which of the following
conditions would the group address as the
major problem?
Smoking
Heart disease
Diabetes
Cancer
B
Response:
The group needs to address cardiovascular
disease, the number-one cause of death in
women regardless of racial or ethnic
group. Smoking is related to heart disease
and cancer, although heart disease and
cancer can occur in any woman regardless
of her smoking history. Cancer is the
second leading cause of death, with
women having a one in three lifetime risk
of developing cancer. Diabetes is another
important health condition that can affect
women, but it is not the major health
problem that heart disease is.
Origin: Chapter 01, 6
Format: Multiple Choice
Chapter: 1
Client Needs: B
Cognitive Level: Comprehension
Difficulty: Moderate
Integrated Processes: Nursing Process
Objective: 7
Page: 29
When assessing a family for barriers to
6. health care, the nurse would consider
which factor to be most important?
Language
B)
C)
D)
Ans:
A)
B)
C)
D)
Ans:
Health care workers' attitudes
Transportation
Finances
D
Response:
Financial barriers are one of the most
important factors that limit care. Families
may not have any medical insurance, may
not have enough insurance to cover the
services they need, or may not be able to
pay for services. Language, health care
workers' attitudes, and transportation are
also barriers to health care but are not as
fundamentally important as finances.
Origin: Chapter 01, 7
Format: Multiple Choice
Chapter: 1
Client Needs: D-1
Cognitive Level: Application
Difficulty: Moderate
Integrated Processes: Nursing Process
Objective: 2
Page: 6
A 3-year-old boy with encephalitis is
scheduled for a lumbar puncture. Which
7.
of the following actions by the nurse
would demonstrate atraumatic care?
Using EMLA prior to lumbar puncture
Having his anxious mother stay in the
waiting room
Explaining, using medical terms, what
will happen
Starting the child's intravenous infusion in
his room
A
Response:
Using EMLA prior to the lumbar puncture
reduces the pain associated with the
procedure and is an example of atraumatic
care. The presence of a parent during
procedures is supportive for the child and
should be encouraged because it can
reduce stress. The explanation of what
will happen should be given on the child's
level. The IV should not be started in the
child's hospital room, which should
remain a “safe” area.
A)
B)
C)
D)
Ans:
Origin: Chapter 01, 8
Format: Multiple Choice
Chapter: 1
Client Needs: A-1
Cognitive Level: Application
Difficulty: Difficult
Integrated Processes: Nursing Process
Objective: 2
Page: 7
The nurse is caring for a 14-year-old girl
with multiple health problems. Which of
8.
the following activities would best reflect
evidence-based practice by the nurse?
Following blood pressure monitoring
recommendations
Determining how often vital signs are
monitored
Using hospital protocol for ordering
diagnostic tests
Deciding on the medication dose
A
Response:
Using hospital protocol for ordering a
diagnostic test, determining how often
vital signs are monitored, and deciding on
the medication dose would be the
physician's responsibility. However,
following blood pressure monitoring
recommendations would be part of
evidence-based practice reflected in the
nursing care delivered.
Origin: Chapter 01, 9
Format: Multiple Choice
Chapter: 1
Client Needs: A-1
Cognitive Level: Application
Difficulty: Moderate
A)
B)
C)
D)
Ans:
A)
B)
Integrated Processes: Nursing Process
Objective: 2
Page: 8
The nurse is providing care to an ill child
and his family. Which of the following
9.
activities would deviate from the basic
principles of case management?
Collaborating with the family throughout
the care path
Focusing on both the client's and the
family's needs
Coordinating care provided by the
interdisciplinary team
Ensuring quality care regardless of the
cost
D
Response:
Ensuring quality care regardless of the
cost is not part of case management, but
providing cost-effective, high-quality care
is. Collaborating with the family
throughout the care path, coordinating
care provided by the interdisciplinary
team, and focusing on client and family
needs are key components of case
management that increase family
satisfaction.
Origin: Chapter 01, 10
Format: Multiple Choice
Chapter: 1
Client Needs: A-1
Cognitive Level: Application
Difficulty: Difficult
Integrated Processes: Nursing Process
Objective: 5
Page: 15
A 10-year-old girl who is living with a
foster family is brought to the clinic for
10.
evaluation. When caring for this child,
which intervention is a priority?
Determining if the child is being bullied at
school
Dealing with mixed expectations of
C)
D)
Ans:
A)
B)
C)
D)
Ans:
parents
Establishing who the child's actual
caretaker is
Performing a comprehensive health
assessment
D
Response:
The child may have lived with several
different families and may not have
complete medical files, so performing a
comprehensive health assessment will be
important. Determining if the child is
being bullied at school is not specific to
any one family structure. Assessing for
problems related to mixed expectations of
parents is common in a blended family.
Establishing who the caretaker is would
be necessary with a communal family.
Origin: Chapter 01, 11
Format: Multiple Choice
Chapter: 1
Client Needs: A-1
Cognitive Level: Application
Difficulty: Moderate
Integrated Processes: Nursing Process
Objective: 5
Page: 16
The mother of an 8-year-old girl with a
broken arm is the nurturer in the family.
11.
The mother would be the focus of which
activity?
Teaching proper care procedures
Dealing with insurance coverage
Determining success of treatment
Transmitting information to family
members
A
Response:
The mother is the nurturer and thus the
primary caregiver, so she would be the
best family member to learn proper care
procedures. Dealing with insurance
coverage is the responsibility of the
family's financial manager, transmitting
information to family members is the
gatekeeper's duty, and determining the
success of treatment would likely fall to
the family decision maker.
A)
B)
C)
D)
Ans:
Origin: Chapter 01, 12
Format: Multiple Choice
Chapter: 1
Client Needs: B
Cognitive Level: Analysis
Difficulty: Moderate
Integrated Processes: Teaching/Learning
Objective: 5
Page: 18
The nurse is teaching discipline strategies
to the parents of a 4-year-old boy. Which
12.
response by the parents indicates a need
for more teaching?
“We should remove temptations that lead
to bad behavior.”
“We need to explain how we expect him
to behave.”
“We should tell him we get angry when
he's bad.”
“We must praise the child for good
behavior.”
C
Response:
This response indicates the need to restate
that it is important to let the child know
that it is not him but rather his behavior
that is bad. Removing temptations, setting
expectations, and praising good behavior
are important concepts the parents need to
learn.
Origin: Chapter 01, 13
Format: Multiple Choice
Chapter: 1
Client Needs: C
Cognitive Level: Application
Difficulty: Moderate
A)
B)
C)
D)
Ans:
A)
B)
C)
Integrated Processes: Teaching/Learning
Objective: 5
Page: 18
A mother confides to the nurse that she is
thinking of divorce. Which suggestion by
13. the nurse would be most helpful in
minimizing the effects of the divorce on
the couple's son?
"Tell him together, using appropriate
terms."
"Reassure him that no one loves him more
than you."
"Do special things with him to make up
for the divorce."
"Share your feelings about your spouse
with the child."
A
Response:
Both parents should tell the child about
the divorce together, using appropriate
terms. The other responses are
unacceptable behaviors for the mother,
such as competing with the spouse and
using the child as a confidant.
Origin: Chapter 01, 14
Format: Multiple Choice
Chapter: 1
Client Needs: B
Cognitive Level: Application
Difficulty: Difficult
Integrated Processes: Teaching/Learning
Objective: 5
Page: 18
The nurse is teaching discipline strategies
to the parents of a 12-year-old girl. Which
14.
of the following topics is an example of
positive reinforcement discipline?
Unplugging the DVD player for the
weekend
Taking a chore away from the child for a
week
Having her clean up the kitchen for a
week
D)
Ans:
A)
B)
C)
D)
Ans:
Ignoring her request if she doesn't say
“please”
B
Response:
Taking a chore away from the child for a
week is an excellent way to reward her for
positive behavior. Unplugging the DVD
player and assigning an extra chore are
examples of negative reinforcement.
Ignoring her until she uses good manners
is an example of extinction.
Origin: Chapter 01, 15
Format: Multiple Choice
Chapter: 1
Client Needs: B
Cognitive Level: Application
Difficulty: Moderate
Integrated Processes: Teaching/Learning
Objective: 6
Page: 21
Parents are complaining about the amount
of time their 14-year-old girl spends on
15. the Internet. Which of the following
would be most important to address with
the parents?
“Limit her use of the Internet to an hour
per day.”
“Does she do her homework and socialize
in person?”
“Place the computer where you can keep
an eye on her.”
“You need to warn her about protecting
her identity.”
B
Response:
Although having the computer in a family
area is better than putting it in her room,
and warning her about protecting her
identity is key, it is important to determine
if the child is neglecting responsibilities,
schoolwork, household activities, friends,
or other forms of personal interaction.
Once this is determined, then reasonable
time limits for the child's use of the
Internet can be established.
A)
B)
C)
D)
Ans:
Origin: Chapter 01, 16
Format: Multiple Choice
Chapter: 1
Client Needs: A-1
Cognitive Level: Application
Difficulty: Difficult
Integrated Processes: Nursing Process
Objective: 8
Page: 35
A preschool child is scheduled to undergo
a diagnostic test. Which action by the
16.
nurse would violate a child's bill of health
care rights?
Arranging for her mother to be with her
Telling the child the test will not hurt
Assuring the child that the test will be
done quickly
Introducing the child to the lab
technicians
B
Response:
Telling the child the test will not hurt
lacks veracity. It is not a lie, but it does
not honor the child's right to be educated
honestly about his or her health care.
Arranging for the mother to be with the
child, assuring the child that the test will
be done quickly, and introducing the child
to the lab technicians are actions that
honor the child's bill of health care rights.
Origin: Chapter 01, 17
Format: Multiple Choice
Chapter: 1
Client Needs: A-1
Cognitive Level: Application
Difficulty: Difficult
Integrated Processes: Nursing Process
Objective: 8
Page: 32
A)
B)
C)
D)
Ans:
A)
The school nurse is trying to get consent
to care for an 11-year-old boy with
diabetic ketoacidosis. His parents are out
17.
of town on vacation and the child is
staying with a neighbor. Which action
would be the priority?
Getting telephone consent, with two
people listening to the verbal consent
Providing emergency care without
parental consent
Contacting the child's aunt or uncle to
obtain consent
Advocating for parens patriae to proceed
with care for the child
A
Response:
The priority action would be to contact the
neighbor for an emergency number to
reach the parents and get their verbal
consent, with two witnesses listening
simultaneously. If the nurse cannot reach
the parents and there is no relative or
other person with written authorization to
act on the parent's behalf, then the
physician may initiate emergency care
without the parent's consent. Parens
patriae would be reserved for situations
where the parents are neglectful,
irresponsible, or incompetent.
Origin: Chapter 01, 18
Format: Multiple Choice
Chapter: 1
Client Needs: A-1
Cognitive Level: Application
Difficulty: Moderate
Integrated Processes: Nursing Process
Objective: 8
Page: 33
A 9-month-old with glaucoma requires
surgery. The infant's parents are divorced.
18.
To obtain informed consent, which action
would be most appropriate?
Contacting the father for informed consent
B)
C)
D)
Ans:
A)
B)
C)
D)
Ans:
Obtaining informed consent from the
mother
Seeking a court ruling on the course of
care
Determining whether there is sole or joint
custody by the parents
D
Response:
The most appropriate action would be to
determine legal custody by court decree.
If the parents have joint custody, then
either parent may give consent, but it is
always best to have consent given by both
parents. The parent with only physical
custody may give consent for emergency
care. The last resort is getting a court
ruling; usually this is not necessary unless
the parents disagree about the care of the
child.
Origin: Chapter 02, 1
Format: Multiple Choice
Chapter: 2
Client Needs: B
Cognitive Level: Application
Difficulty: Moderate
Integrated Processes: Caring
Objective: 1
Page: 42
The nurse is caring for a 2-week-old girl
with a metabolic disorder. Which of the
19. following activities would deviate from
the characteristics of family-centered
care?
Softening unpleasant information or
prognoses
Evaluating and changing the nursing plan
of care
Collaborating with the child and family as
equals
Showing respect for the family's beliefs
and wishes
A
Response:
Family-centered care requires that the
nurse provide open and honest
information to the child and family. It is
inappropriate to soften unpleasant
information or prognoses. Evaluating and
changing the nursing plan of care to fit the
needs of the child and family,
collaborating with them as equals, and
showing respect for their beliefs and
wishes are guidelines for family-centered
care.
A)
B)
C)
D)
Ans:
Origin: Chapter 02, 2
Format: Multiple Choice
Chapter: 2
Client Needs: D-3
Cognitive Level: Application
Difficulty: Difficult
Integrated Processes: Caring
Objective: 4
Page: 46
The nurse is providing home care for a 6year-old girl with multiple medical
20. challenges. Which of the following
activities would be considered tertiary
level of prevention?
Arranging for a physical therapy session
Teaching the parents to administer
albuterol
Reminding the parents to give the full
course of antibiotics
Giving DTaP vaccination at proper
intervals
A
Response:
The tertiary level of prevention involves
restorative, rehabilitative, or quality of life
care, such as arranging for a physical
therapy session. Teaching the parents to
administer albuterol and reminding them
to give the full course of antibiotics as
prescribed are part of the secondary level
of prevention, which focuses on diagnosis
and treatment of illness. Giving a DTaP
vaccination at proper intervals is an
example of the primary level of
prevention, which centers on health
promotion and illness prevention.
A)
B)
C)
D)
Ans:
Origin: Chapter 02, 3
Format: Multiple Choice
Chapter: 2
Client Needs: B
Cognitive Level: Application
Difficulty: Moderate
Integrated Processes: Communication an
d Documentation
Objective: 9
Page: 60
The nurse is caring for a 4-year-old boy
with Ewing's sarcoma who is scheduled
21. for a CT scan tomorrow. Which of the
following best reflects therapeutic
communication?
Telling him he will get a shot when he
wakes up tomorrow morning
Telling him how cool he looks in his
baseball cap and pajamas
Using family-familiar words and soft
words when possible
Describing what it is like to get a CT scan
using words he understands
D
Response:
Describing what it is like to get a CT scan
using age-appropriate words is the best
example of therapeutic communication. It
is goal-directed, focused, and purposeful
communication. Using family-familiar
words and soft words is a good teaching
technique. Telling him how cool he looks
in his baseball cap and pajamas is not
goal-directed communication. Telling the
child he will get a shot when he wakes up
could keep him awake all night.
Origin: Chapter 02, 4
Format: Multiple Choice
A)
B)
C)
D)
Ans:
Chapter: 2
Client Needs: C
Cognitive Level: Application
Difficulty: Moderate
Integrated Processes: Communication an
d Documentation
Objective: 9
Page: 60
The nurse is caring for a 14-year-old boy
with cancer. Which of the following
22.
communication techniques would be least
effective for him?
Letting him choose juice or soda to take
his pills
Seeking his input on all decisions
Discussing the benefits of chemotherapy
with him
Avoiding undue criticism of
noncompliance
A
Response:
Letting him choose juice or soda to take
his pills is the least effective
communication technique for an
adolescent. It may provide some sense of
control but is not as effective as seeking
his input on all care decisions, including
him in discussions of the benefits of
chemotherapy, and avoiding undue
criticism of noncompliance.
Origin: Chapter 02, 5
Format: Multiple Choice
Chapter: 2
Client Needs: B
Cognitive Level: Application
Difficulty: Moderate
Integrated Processes: Teaching/Learning
Objective: 10
Page: 64
The nurse is educating the parents of a 7year-old girl who has just been diagnosed
23. with epilepsy. Which of the following
teaching techniques would be most
appropriate?
A)
B)
C)
D)
Ans:
Assessing the parents' knowledge of
anticonvulsant medications
Demonstrating proper seizure safety
procedures
Discussing the surgical procedures for
epilepsy
Giving the parents information in small
amounts at a time
D
Response:
Parents, when given a life-altering
diagnosis, need time to absorb
information and to ask questions.
Therefore, giving the parents information
in small amounts at a time is best. The
child has just been diagnosed with
epilepsy, and surgical intervention is not
used unless seizures persist despite
medication therapy. Therefore, discussing
surgery would be inappropriate at this
time. Assessing the parents' knowledge of
anticonvulsant medications identifies a
knowledge gap and need to learn, but it
would be unreasonable to think that they
would understand the medications
because the diagnosis had just been made.
Demonstrating proper seizure safety
procedures is an effective way to present
information to an adult.
Origin: Chapter 02, 6
Format: Multiple Choice
Chapter: 2
Client Needs: D-1
Cognitive Level: Analysis
Difficulty: Difficult
Integrated Processes: Nursing Process
Objective: 8
Page: 51
The nurse is making a home visit to a
client who had a cesarean birth 3 days
ago. Assessment reveals that she is
24.
complaining of intermittent pain, rating it
as 8 on a scale of 1 to 10. She states, “I'm
pretty tired. And with this pain, I haven't
A)
B)
C)
D)
Ans:
A)
been drinking and eating like I should.
The medication helps a bit but not much.
My mom has been helping with the baby.”
Her incision is clean, dry, and intact.
Which nursing diagnosis would the nurse
identify as the priority for this client?
Impaired skin integrity related to cesarean
birth incision
Fatigue related to effects of surgery and
caretaking activities
Imbalanced nutrition, less than body
requirements, related to poor fluid and
food intake
Acute pain related to incision and
cesarean birth
D
Response:
The client reports a pain rating of 8 out of
10 and states that the medication is
helping only a bit. She also mentions that
the pain is interfering with her ability to
eat and drink. Therefore, the priority
nursing diagnosis is acute pain related to
incision and cesarean birth. Her incision is
clean, dry, and intact, so impaired skin
integrity is not the problem. She is
fatigued, but her complaints of pain
supercede her fatigue. Although her
nutritional intake is reduced, it is due to
the pain.
Origin: Chapter 02, 7
Format: Multiple Choice
Chapter: 2
Client Needs: B
Cognitive Level: Comprehension
Difficulty: Moderate
Integrated Processes: Nursing Process
Objective: 6
Page: 46
When caring for childbearing families
from cultures different from one's own,
25.
which of the following must be
accomplished first?
Adapt to the practices of the family's
B)
C)
D)
Ans:
A)
B)
C)
D)
Ans:
culture
Determine similarities between both
cultures
Assess personal feelings about that culture
Learn as much as possible about that
culture
C
Response:
The first step is to develop cultural
awareness, engaging in self-exploration
beyond one's own culture, seeing patients
from different cultures, and examining
personal biases and prejudices toward
other cultures. Once this occurs, the nurse
can learn as much about the culture as
possible and become familiar with
similarities and differences between his or
her own culture and the family's culture.
The nurse would adapt nursing care to
address the practices of the family's
culture to provide culturally competent
care.
Origin: Chapter 02, 8
Format: Multiple Choice
Chapter: 2
Client Needs: B
Cognitive Level: Analysis
Difficulty: Difficult
Integrated Processes: Teaching/Learning
Objective: 3
Page: 42
After teaching a group of students about
the changes in health care delivery and
funding, which of the following if
26. identified by the group as a current trend
seen in the maternal and child health care
settings would indicate that the teaching
was successful?
Increase in ambulatory care
Decrease in family poverty level
Increase in hospitalization of children
Decrease in managed care
A
Response:
The health care system has moved from
reactive treatment strategies in hospitals to
a proactive approach in the community,
resulting in an increased emphasis on
health promotion and illness prevention in
the community through the use of
community-based settings such as
ambulatory care. Poverty levels have not
decreased and the hospitalization of
children has not increased. Case
management also is a primary focus of
care.
A)
B)
C)
D)
Ans:
Origin: Chapter 02, 9
Format: Multiple Choice
Chapter: 2
Client Needs: D-3
Cognitive Level: Application
Difficulty: Moderate
Integrated Processes: Nursing Process
Objective: 4
Page: 45
The nurse would recommend the use of
which supplement as a primary prevention
27.
strategy to prevent neural tube defects in
pregnant women?
Calcium
Folic acid
Vitamin C
Iron
B
Response:
Prevention of neural tube defects in the
offspring of pregnant women via the use
of folic acid is an example of a primary
prevention strategy. Calcium, vitamin C,
and iron have no effect on the prevention
of neural tube defects.
Origin: Chapter 02, 10
Format: Multiple Choice
Chapter: 2
A)
B)
C)
D)
Ans:
Client Needs: B
Cognitive Level: Application
Difficulty: Moderate
Integrated Processes: Nursing Process
Objective: 4
Page: 45
Which action would the nurse include in a
primary prevention program in the
28.
community to help reduce the incidence
of HIV infection?
Provide treatment for clients who test
positive for HIV
Monitor viral load counts periodically
Educate clients about how to practice safe
sex
Offer testing for clients who practice
unsafe sex
C
Response:
Primary prevention involves preventing
disease before it occurs. Therefore,
educating clients about safe sex practices
would be an example of a primary
prevention strategy. Providing treatment
for clients who test positive for HIV,
monitoring viral loads periodically, and
offering testing for clients who practice
unprotected sex are examples of
secondary preventive strategies, which
focus on early detection and treatment of
adverse health conditions.
Origin: Chapter 02, 11
Format: Multiple Choice
Chapter: 2
Client Needs: A-1
Cognitive Level: Application
Difficulty: Moderate
Integrated Processes: Nursing Process
Objective: 11
Page: 68
When assuming the role of discharge
planner for a child requiring ventilator
29.
support at home, the nurse would do
which of the following?
A)
B)
C)
D)
Ans:
A)
B)
C)
D)
Ans:
Confer with the school nurse or teacher
Teach new self-care skills to the child
Determine if there is a need for backup
power
Discuss coverage with the family's
insurance company
C
Response:
The nurse should establish if there is a
need for backup power during discharge
planning. Conferring with a school nurse
or teacher and dealing with insurance
companies are case management
activities. Teaching self-care skills are
activities associated with the nurse's role
as an educator.
Origin: Chapter 02, 12
Format: Multiple Choice
Chapter: 2
Client Needs: B
Cognitive Level: Application
Difficulty: Moderate
Integrated Processes: Caring
Objective: 9
Page: 54
When speaking to a group of parents at a
local elementary school, the nurse
describes school nursing as a specialized
practice of nursing based on the fact that a
30.
healthy child has a better chance to
succeed in school. Which of the following
best describes the strategy school nurses
use to achieve student success?
They coordinate all school health
programs.
They link community health services.
They work to minimize health-related
barriers to learning.
They promote student health and safety.
C
Response:
School nurses work to remove or
minimize health barriers to learning to
give students the best opportunity for
academic success. Coordinating school
health programs, linking community
health programs, and promoting health
and safety are individual components
within the main effort of removing or
minimizing health barriers.
A)
B)
C)
D)
Ans:
Origin: Chapter 02, 13
Format: Multiple Choice
Chapter: 2
Client Needs: C
Cognitive Level: Application
Difficulty: Moderate
Integrated Processes: Caring
Objective: 8
Page: 68
The parents of an 8-year-old with cancer
are telling the nurse their problems and
successes when caring for their child. In
31. response, the nurse arranges for social
services to meet with the parents to help
them obtain financial assistance. The
nurse is acting in which role?
Educator
Advocate
Case manager
Direct care provider
B
Response:
The nurse is acting as an advocate,
representing the client and family to a
third party, by ensuring that the family has
the resources and services to provide care
for their child. The nurse acts as a direct
care provider through assessment,
observation of physical care, and actually
providing physical care. The role of
educator would require the nurse to give
rather than receive information. Case
management involves coordinating
elements of a nursing plan of care.
A)
B)
C)
D)
Ans:
Origin: Chapter 02, 14
Format: Multiple Choice
Chapter: 2
Client Needs: B
Cognitive Level: Application
Difficulty: Moderate
Integrated Processes: Nursing Process
Objective: 7
Page: 53
The nurse is speaking to a group of
parents of medically fragile children about
32. day-care center options. When describing
these centers, which statement would the
nurse include as an advantage?
They encourage greater parental
involvement in care.
Their capabilities are similar to an acute
care facility.
Insurance and Medicare cover their costs.
They decrease the need for
rehospitalization.
D
Response:
The advantage of medically fragile daycare centers is that they decrease the need
for rehospitalization. They give parents
respite from caregiving during the day.
They don't have the capabilities of a
hospital, but they are equipped to meet the
needs of the children they serve. Private
insurance or Medicare does not always
cover the cost.
Origin: Chapter 02, 15
Format: Multiple Choice
Chapter: 2
Client Needs: B
Cognitive Level: Application
Difficulty: Moderate
Integrated Processes: Nursing Process
Objective: 3
Page: 43
When explaining community-based
33. nursing vs. nursing in the acute care
setting to a group of nursing students, the
A)
B)
C)
D)
Ans:
A)
B)
C)
D)
Ans:
nurse describes the challenges associated
with community-based nursing. Which of
the following would the nurse include?
Increased time available for education
Improved access to resources
Decision making in isolation
Greater environmental structure
C
Response:
Community-based nurses often have to
make decisions in isolation. This is in
contrast to the acute care setting, where
other health care professionals are readily
available. Nursing care and procedures in
the community also are becoming more
complex and time-consuming, leaving
limited time for education. Nurses
working in the community have fewer
resources available and the environment is
less structured and controlled when
compared to the acute care setting.
Origin: Chapter 03, 1
Format: Multiple Choice
Chapter: 3
Client Needs: B
Cognitive Level: Comprehension
Difficulty: Moderate
Integrated Processes: Teaching/Learning
Objective: 3
Page: 83
When describing the menstrual cycle to a
group of young women, the nurse explains
34.
that estrogen levels are highest during
which phase of the endometrial cycle?
Menstrual
Proliferative
Secretory
Ischemic
B
Response:
Estrogen levels are the highest during the
proliferative phase of the endometrial
cycle, when the endometrial glands
enlarge in response to increasing amounts
of estrogen. Progesterone is the
predominant hormone of the secretory
phase. Levels of estrogen and
progesterone drop sharply during the
ischemic phase and fall during the
menstrual phase.
A)
B)
C)
D)
Ans:
Origin: Chapter 03, 3
Format: Multiple Choice
Chapter: 3
Client Needs: B
Cognitive Level: Application
Difficulty: Moderate
Integrated Processes: Nursing Process
Objective: 3
Page: 79
Origin: Chapter 03, 2
Format: Multiple Choice
Chapter: 3
Client Needs: B
Cognitive Level: Analysis
Difficulty: Moderate
Integrated Processes: Teaching/Learning
Objective: 1
Page: 81
After teaching a group of adolescent girls
about female reproductive development,
35. the nurse determines that teaching was
successful when the girls state that
menarche is defined as a woman's first:
Sexual experience
Full hormonal cycle
Menstrual period
Sign of breast development
C
Response:
Menarche is defined as the establishment
of menstruation. It does not refer to the
woman's first sexual experience, full
hormonal cycle, or sign of breast
development.
36.
A client with a 28-day cycle reports that she ovulated on May 10. The nurse would
expect the client's next menses to begin on: