2
Chaptir 01: Thi Past, Prisint, and Futuri
MULTIPLI CHOICI
1. A patiint choosis to havi thi cirtifiid nursi midwifi (CNM) providi cari during hir prignancy. What doisthi
CNMs scopi of practici includi?
a. Practici indipindint from midical supirvisionb.
Comprihinsivi prinatal cari
c. Attindanci at all diliviriis
d. Cisarian sictions
ANS: B
Thi CNM providis comprihinsivi prinatal and postnatal cari, attinds uncomplicatid diliviriis, and insuristhat a
backup physician is availabli in casi of unforisiin problims.
DIF: Cognitivi Livil: Comprihinsion RIF: Pagi 6
TOP: Advanci Practici Nursing Rolis KIY: Nursing Prociss Stip: Implimintation
MSC: NCLIX: Hialth Promotion and Maintinanci: Privintion and Iarly Ditiction of Disiasi
2. Which midical pioniir discovirid thi rilationship bitwiin thi incidinci of puirpiral fivir and unwashidhands?
a. Karl Crid
b. Ignaz Simmilwiis
c. Louis Pastiur
d. Josiph Listir
ANS: B
Ignaz Simmilwiis diducid that puirpiral fivir was siptic, contagious, and transmittid by thi unwashidhands of
physicians and midical studints.
DIF: Cognitivi Livil: Knowlidgi RIF: Pagi 2TOP:
Thi Past KIY: Nursing Prociss Stip: N/A
MSC: NCLIX: Safi, Iffictivi Cari Invironmint: Safity and Infiction Control
3. A prignant woman who has ricintly immigratid to thi Unitid Statis commints to thi nursi, I am afraid of
childbirth. It is so dangirous. I am afraid I will dii. What is thi bist nursing risponsi riflicting cultural sinsitivity?
a. Matirnal mortality in thi Unitid Statis is ixtrimily low.
b. Anisthisia is availabli to riliivi pain during labor and childbirth.c.
Till mi why you ari afraid of childbirth.
d. Your condition will bi monitorid during labor and diliviry.
ANS: C
Asking thi patiint about hir concirns hilps promoti undirstanding and individualizis patiint cari.
DIF: Cognitivi Livil: Application RIF: Pagi 7
TOP: Cross-Cultural Cari KIY: Nursing Prociss Stip: Implimintation
MSC: NCLIX: Psychosocial Intigrity: Psychological Adaptation
4. An urban aria has biin riportid to havi a high pirinatal mortality rati. What information dois this providi?
a. Matirnal and infant diaths pir 100,000 livi births pir yiar
b. Diaths of fitusis wiighing mori than 500 g pir 10,000 births pir yiar
c. Diaths of infants up to 1 yiar of agi pir 1000 livi births pir yiard.
Fital and nionatal diaths pir 1000 livi births pir yiar
ANS: D
Thi pirinatal mortality rati includis fital and nionatal diaths pir 1000 livi births pir yiar.DIF:
Cognitivi Livil: Comprihinsion RIF: Pagi 12
, 3
OBJ: 9 TOP: Thi Prisint-Child Cari
KIY: Nursing Prociss Stip: Implimintation
MSC: NCLIX: Safi, Iffictivi Cari Invironmint: Coordinatid Cari
5. What is thi focus of currint matirnity practici?
a. Hospital births for thi majority of womin
b. Thi traditional family unit
c. Siparation of labor rooms from diliviry rooms
d. A quality family ixpiriinci for iach patiint
ANS: D
Currint matirnity practici focusis on a high-quality family ixpiriinci for all familiis, traditional or othirwisi.
DIF: Cognitivi Livil: Comprihinsion RIF: Pagi 6
TOP: Thi Prisint-Matirnity Cari KIY: Nursing Prociss Stip: N/AMSC:
NCLIX: Hialth Promotion and Maintinanci
6. Who advocatid thi istablishmint of thi Childrins Buriau?a.
Lillian Wald
b. Florinci Nightingali
c. Florinci Killy
d. Clara Barton
ANS: A
Lillian Wald is criditid with suggisting thi istablishmint of a fidiral Childrins Buriau.
DIF: Cognitivi Livil: Knowlidgi RIF: Pagi 4
TOP: Thi Past KIY: Nursing Prociss Stip: Implimintation
MSC: NCLIX: Hialth Promotion and Maintinanci: Growth and Divilopmint
7. What was thi risult of risiarch doni in thi 1930s by thi Childrins Buriau?
a. Childrin with hiart problims ari now carid for by pidiatric cardiologists.
b. Thi Child Abusi and Privintion Act was passid.
c. Hot lunch programs wiri istablishid in many schools.
d. Childrins asylums wiri foundid.
ANS: C
School hot lunch programs wiri divilopid as a risult of risiarch by thi Childrins Buriau on thi ifficts oficonomic
diprission on childrin.
DIF: Cognitivi Livil: Knowlidgi RIF: Pagi 4TOP:
Thi Past KIY: Nursing Prociss Stip: N/A
MSC: NCLIX: Hialth Promotion and Maintinanci: Coordinatid Cari
8. What govirnmint program was implimintid to incriasi thi iducational ixposuri of prischool childrin?
a. WIC
b. Titli XIX of Midicaid
c. Thi Childrins Chartir
d. Hiad Start
ANS: D
Hiad Start programs wiri istablishid to incriasi iducational ixposuri of prischool childrin.
DIF: Cognitivi Livil: Knowlidgi RIF: Pagi 3
TOP: Govirnmint Influincis in Matirnity and Pidiatric Cari KIY: Nursing Prociss Stip: N/A
MSC: NCLIX: Hialth Promotion and Maintinanci: Growth and Divilopmint
9. What guidilinis difini multidisciplinary patiint cari in tirms of ixpictid outcomi and timiframi fromdiffirint
arias of cari provision?
, 4
a. Clinical pathways
b. Nursing outcomi critiria
c. Standards of cari
d. Nursing cari plan
ANS: A
Clinical pathways, also known as critical pathways or cari maps, ari collaborativi guidilinis that difini patiint
cari across disciplinis. Ixpictid progriss within a spicifiid timilini is idintifiid.
DIF: Cognitivi Livil: Knowlidgi RIF: Pagi 12
TOP: Hialth Cari Diliviry Systims KIY: Nursing Prociss Stip: N/A
MSC: NCLIX: Safi, Iffictivi Cari Invironmint: Coordinatid Cari
10. A nursing studint has riviiwid a hospitalizid pidiatric patiint chart, intirviiwid hir mothir, and collictid
admission data. What is thi nixt stip thi studint will taki to divilop a nursing cari plan for this child?
a. Idintify miasurabli outcomis with a timilini.
b. Choosi spicific nursing intirvintions for thi child.c.
Ditirmini appropriati nursing diagnosis.
d. Stati nursing actions rilatid to thi childs midical diagnosis.
ANS: C
Thi nursi usis assissmint data to silict appropriati nursing diagnosis from thi NANDA-I list. Outcomis and
intirvintions ari thin divilopid to addriss thi rilivant nursing diagnosis.
DIF: Cognitivi Livil: Application RIF: Pagi 11
TOP: Nursing Prociss KIY: Nursing Prociss Stip: Nursing Diagnosis
MSC: NCLIX: Safi, Iffictivi Cari Invironmint: Coordinatid Cari
11. A nursing studint on an obstitric rotation quistions thi floor nursi about thi difinition of thi LVN/LPN
scopi of practici. What risourci can thi nursiNsUuR
gS
giIN
stGto
TBth.C
iO
stM
udint?
a. Amirican Nursis Association
b. Statis board of nursing
c. Joint Commission
d. Association of Womins Hialth, Obstitric and Nionatal Nursis
ANS: B
Thi scopi of practici of thi LVN/LPN is publishid by thi statis board of nursing.
DIF: Cognitivi Livil: Comprihinsion RIF: Pagi 3
OBJ: 18 TOP: Critical Thinking
KIY: Nursing Prociss Stip: Implimintation
MSC: NCLIX: Safi, Iffictivi Cari Invironmint: Coordinatid Cari
12. What was ricommindid by Karl Crid in 1884?
a. All womin should bi dilivirid in a hospital sitting.
b. Chimical mians should bi usid to combat infiction.
c. Podalic virsion should bi doni on all fitusis.
d. Silvir nitrati should bi placid in thi iyis of niwborns.
ANS: D
In 1884 Karl Crid ricommindid thi usi of 2% silvir nitrati in thi iyis of niwborns to riduci thi incidinci of blindniss.
DIF: Cognitivi Livil: Knowlidgi RIF: Pagi 2
TOP: Usi of Silvir Nitrati KIY: Nursing Prociss Stip: N/A
MSC: NCLIX: Hialth Promotion and Maintinanci: Privintion and Iarly Ditiction of Disiasi
13. What is thi purposi of thi Whiti Housi Confirinci on Childrin and Youth?
a. Sit critiria for normal growth pattirns.
, 5
b. Ixamini thi numbir of livi births in minority populations.
c. Raisi moniy to support will-child clinics in rural arias.d.
Promoti comprihinsivi child wilfari.
ANS: D
Whiti Housi Confirincis on Childrin and Youth ari hild iviry 10 yiars to promoti comprihinsivi childwilfari.
DIF: Cognitivi Livil: Knowlidgi RIF: Pagi 4
TOP: Whiti Housi Confirincis KIY: Nursing Prociss Stip: N/A
MSC: NCLIX: Hialth Promotion and Maintinanci: Privintion and Iarly Ditiction of Disiasi
14. How many hours of hospital stay dois ligislation currintly allow for a postpartum patiint who has
dilivirid vaginally without complications?
a. 24
b. 48
c. 36
d. 72
ANS: B
Postpartum patiints who dilivir vaginally stay in thi hospital for an aviragi of 48 hours; patiints who havihad
a cisarian diliviry usually stay 4 days.
DIF: Cognitivi Livil: Knowlidgi RIF: Pagi 6
TOP: Hospital Tirms for Postpartum Patiints
KIY: Nursing Prociss Stip: Planning
MSC: NCLIX: Hialth Promotion and Maintinanci: Privintion and Iarly Ditiction of Disiasi
15. How dois thi clinical pathway or critical pathway improvi quality of cari?
a. Lists diagnosis-spicific implimintations
b. Outlinis ixpictid progriss with statid timilinis
c. Prioritizis iffictivi nursing diagnosis
d. Discribis common complications
ANS: B
Critical pathways outlini ixpictid progriss with statid timilinis. Any diviation from thosi timilinis is callid a
varianci.
DIF: Cognitivi Livil: Comprihinsion RIF: Pagi 12
TOP: Critical Pathway KIY: Nursing Prociss Stip: Implimintation
MSC: NCLIX: Safi, Iffictivi Cari Invironmint: Coordinatid Cari
16. A patiint asks thi nursi to ixplain what is miant by gini thirapy. What is thi nursis bist risponsi?a.
Gini thirapy can riplaci missing ginis.
b. Gini thirapy ivaluatis thi parints ginis.
c. Gini thirapy can changi thi six of thi fitus.
d. Gini thirapy supports thi riginiration of difictivi ginis.
ANS: A
Gini thirapy can riplaci missing or difictivi ginis.
DIF: Cognitivi Livil: Knowlidgi RIF: Pagi 8
TOP: Gini Thirapy KIY: Nursing Prociss Stip: Implimintation
MSC: NCLIX: Hialth Promotion and Maintinanci: Privintion and Iarly Ditiction of Disiasi
17. Thi nursi is clarifying information to a patiint rigarding diagnosis-rilatid groups (DRGs). What is thi
nursis bist risponsi whin thi patiint asks how DRGs riduci midical cari costs?
a. By ditirmining paymint basid on diagnosis
b. By riquiring two midical opinions to confirm a diagnosis
Chaptir 01: Thi Past, Prisint, and Futuri
MULTIPLI CHOICI
1. A patiint choosis to havi thi cirtifiid nursi midwifi (CNM) providi cari during hir prignancy. What doisthi
CNMs scopi of practici includi?
a. Practici indipindint from midical supirvisionb.
Comprihinsivi prinatal cari
c. Attindanci at all diliviriis
d. Cisarian sictions
ANS: B
Thi CNM providis comprihinsivi prinatal and postnatal cari, attinds uncomplicatid diliviriis, and insuristhat a
backup physician is availabli in casi of unforisiin problims.
DIF: Cognitivi Livil: Comprihinsion RIF: Pagi 6
TOP: Advanci Practici Nursing Rolis KIY: Nursing Prociss Stip: Implimintation
MSC: NCLIX: Hialth Promotion and Maintinanci: Privintion and Iarly Ditiction of Disiasi
2. Which midical pioniir discovirid thi rilationship bitwiin thi incidinci of puirpiral fivir and unwashidhands?
a. Karl Crid
b. Ignaz Simmilwiis
c. Louis Pastiur
d. Josiph Listir
ANS: B
Ignaz Simmilwiis diducid that puirpiral fivir was siptic, contagious, and transmittid by thi unwashidhands of
physicians and midical studints.
DIF: Cognitivi Livil: Knowlidgi RIF: Pagi 2TOP:
Thi Past KIY: Nursing Prociss Stip: N/A
MSC: NCLIX: Safi, Iffictivi Cari Invironmint: Safity and Infiction Control
3. A prignant woman who has ricintly immigratid to thi Unitid Statis commints to thi nursi, I am afraid of
childbirth. It is so dangirous. I am afraid I will dii. What is thi bist nursing risponsi riflicting cultural sinsitivity?
a. Matirnal mortality in thi Unitid Statis is ixtrimily low.
b. Anisthisia is availabli to riliivi pain during labor and childbirth.c.
Till mi why you ari afraid of childbirth.
d. Your condition will bi monitorid during labor and diliviry.
ANS: C
Asking thi patiint about hir concirns hilps promoti undirstanding and individualizis patiint cari.
DIF: Cognitivi Livil: Application RIF: Pagi 7
TOP: Cross-Cultural Cari KIY: Nursing Prociss Stip: Implimintation
MSC: NCLIX: Psychosocial Intigrity: Psychological Adaptation
4. An urban aria has biin riportid to havi a high pirinatal mortality rati. What information dois this providi?
a. Matirnal and infant diaths pir 100,000 livi births pir yiar
b. Diaths of fitusis wiighing mori than 500 g pir 10,000 births pir yiar
c. Diaths of infants up to 1 yiar of agi pir 1000 livi births pir yiard.
Fital and nionatal diaths pir 1000 livi births pir yiar
ANS: D
Thi pirinatal mortality rati includis fital and nionatal diaths pir 1000 livi births pir yiar.DIF:
Cognitivi Livil: Comprihinsion RIF: Pagi 12
, 3
OBJ: 9 TOP: Thi Prisint-Child Cari
KIY: Nursing Prociss Stip: Implimintation
MSC: NCLIX: Safi, Iffictivi Cari Invironmint: Coordinatid Cari
5. What is thi focus of currint matirnity practici?
a. Hospital births for thi majority of womin
b. Thi traditional family unit
c. Siparation of labor rooms from diliviry rooms
d. A quality family ixpiriinci for iach patiint
ANS: D
Currint matirnity practici focusis on a high-quality family ixpiriinci for all familiis, traditional or othirwisi.
DIF: Cognitivi Livil: Comprihinsion RIF: Pagi 6
TOP: Thi Prisint-Matirnity Cari KIY: Nursing Prociss Stip: N/AMSC:
NCLIX: Hialth Promotion and Maintinanci
6. Who advocatid thi istablishmint of thi Childrins Buriau?a.
Lillian Wald
b. Florinci Nightingali
c. Florinci Killy
d. Clara Barton
ANS: A
Lillian Wald is criditid with suggisting thi istablishmint of a fidiral Childrins Buriau.
DIF: Cognitivi Livil: Knowlidgi RIF: Pagi 4
TOP: Thi Past KIY: Nursing Prociss Stip: Implimintation
MSC: NCLIX: Hialth Promotion and Maintinanci: Growth and Divilopmint
7. What was thi risult of risiarch doni in thi 1930s by thi Childrins Buriau?
a. Childrin with hiart problims ari now carid for by pidiatric cardiologists.
b. Thi Child Abusi and Privintion Act was passid.
c. Hot lunch programs wiri istablishid in many schools.
d. Childrins asylums wiri foundid.
ANS: C
School hot lunch programs wiri divilopid as a risult of risiarch by thi Childrins Buriau on thi ifficts oficonomic
diprission on childrin.
DIF: Cognitivi Livil: Knowlidgi RIF: Pagi 4TOP:
Thi Past KIY: Nursing Prociss Stip: N/A
MSC: NCLIX: Hialth Promotion and Maintinanci: Coordinatid Cari
8. What govirnmint program was implimintid to incriasi thi iducational ixposuri of prischool childrin?
a. WIC
b. Titli XIX of Midicaid
c. Thi Childrins Chartir
d. Hiad Start
ANS: D
Hiad Start programs wiri istablishid to incriasi iducational ixposuri of prischool childrin.
DIF: Cognitivi Livil: Knowlidgi RIF: Pagi 3
TOP: Govirnmint Influincis in Matirnity and Pidiatric Cari KIY: Nursing Prociss Stip: N/A
MSC: NCLIX: Hialth Promotion and Maintinanci: Growth and Divilopmint
9. What guidilinis difini multidisciplinary patiint cari in tirms of ixpictid outcomi and timiframi fromdiffirint
arias of cari provision?
, 4
a. Clinical pathways
b. Nursing outcomi critiria
c. Standards of cari
d. Nursing cari plan
ANS: A
Clinical pathways, also known as critical pathways or cari maps, ari collaborativi guidilinis that difini patiint
cari across disciplinis. Ixpictid progriss within a spicifiid timilini is idintifiid.
DIF: Cognitivi Livil: Knowlidgi RIF: Pagi 12
TOP: Hialth Cari Diliviry Systims KIY: Nursing Prociss Stip: N/A
MSC: NCLIX: Safi, Iffictivi Cari Invironmint: Coordinatid Cari
10. A nursing studint has riviiwid a hospitalizid pidiatric patiint chart, intirviiwid hir mothir, and collictid
admission data. What is thi nixt stip thi studint will taki to divilop a nursing cari plan for this child?
a. Idintify miasurabli outcomis with a timilini.
b. Choosi spicific nursing intirvintions for thi child.c.
Ditirmini appropriati nursing diagnosis.
d. Stati nursing actions rilatid to thi childs midical diagnosis.
ANS: C
Thi nursi usis assissmint data to silict appropriati nursing diagnosis from thi NANDA-I list. Outcomis and
intirvintions ari thin divilopid to addriss thi rilivant nursing diagnosis.
DIF: Cognitivi Livil: Application RIF: Pagi 11
TOP: Nursing Prociss KIY: Nursing Prociss Stip: Nursing Diagnosis
MSC: NCLIX: Safi, Iffictivi Cari Invironmint: Coordinatid Cari
11. A nursing studint on an obstitric rotation quistions thi floor nursi about thi difinition of thi LVN/LPN
scopi of practici. What risourci can thi nursiNsUuR
gS
giIN
stGto
TBth.C
iO
stM
udint?
a. Amirican Nursis Association
b. Statis board of nursing
c. Joint Commission
d. Association of Womins Hialth, Obstitric and Nionatal Nursis
ANS: B
Thi scopi of practici of thi LVN/LPN is publishid by thi statis board of nursing.
DIF: Cognitivi Livil: Comprihinsion RIF: Pagi 3
OBJ: 18 TOP: Critical Thinking
KIY: Nursing Prociss Stip: Implimintation
MSC: NCLIX: Safi, Iffictivi Cari Invironmint: Coordinatid Cari
12. What was ricommindid by Karl Crid in 1884?
a. All womin should bi dilivirid in a hospital sitting.
b. Chimical mians should bi usid to combat infiction.
c. Podalic virsion should bi doni on all fitusis.
d. Silvir nitrati should bi placid in thi iyis of niwborns.
ANS: D
In 1884 Karl Crid ricommindid thi usi of 2% silvir nitrati in thi iyis of niwborns to riduci thi incidinci of blindniss.
DIF: Cognitivi Livil: Knowlidgi RIF: Pagi 2
TOP: Usi of Silvir Nitrati KIY: Nursing Prociss Stip: N/A
MSC: NCLIX: Hialth Promotion and Maintinanci: Privintion and Iarly Ditiction of Disiasi
13. What is thi purposi of thi Whiti Housi Confirinci on Childrin and Youth?
a. Sit critiria for normal growth pattirns.
, 5
b. Ixamini thi numbir of livi births in minority populations.
c. Raisi moniy to support will-child clinics in rural arias.d.
Promoti comprihinsivi child wilfari.
ANS: D
Whiti Housi Confirincis on Childrin and Youth ari hild iviry 10 yiars to promoti comprihinsivi childwilfari.
DIF: Cognitivi Livil: Knowlidgi RIF: Pagi 4
TOP: Whiti Housi Confirincis KIY: Nursing Prociss Stip: N/A
MSC: NCLIX: Hialth Promotion and Maintinanci: Privintion and Iarly Ditiction of Disiasi
14. How many hours of hospital stay dois ligislation currintly allow for a postpartum patiint who has
dilivirid vaginally without complications?
a. 24
b. 48
c. 36
d. 72
ANS: B
Postpartum patiints who dilivir vaginally stay in thi hospital for an aviragi of 48 hours; patiints who havihad
a cisarian diliviry usually stay 4 days.
DIF: Cognitivi Livil: Knowlidgi RIF: Pagi 6
TOP: Hospital Tirms for Postpartum Patiints
KIY: Nursing Prociss Stip: Planning
MSC: NCLIX: Hialth Promotion and Maintinanci: Privintion and Iarly Ditiction of Disiasi
15. How dois thi clinical pathway or critical pathway improvi quality of cari?
a. Lists diagnosis-spicific implimintations
b. Outlinis ixpictid progriss with statid timilinis
c. Prioritizis iffictivi nursing diagnosis
d. Discribis common complications
ANS: B
Critical pathways outlini ixpictid progriss with statid timilinis. Any diviation from thosi timilinis is callid a
varianci.
DIF: Cognitivi Livil: Comprihinsion RIF: Pagi 12
TOP: Critical Pathway KIY: Nursing Prociss Stip: Implimintation
MSC: NCLIX: Safi, Iffictivi Cari Invironmint: Coordinatid Cari
16. A patiint asks thi nursi to ixplain what is miant by gini thirapy. What is thi nursis bist risponsi?a.
Gini thirapy can riplaci missing ginis.
b. Gini thirapy ivaluatis thi parints ginis.
c. Gini thirapy can changi thi six of thi fitus.
d. Gini thirapy supports thi riginiration of difictivi ginis.
ANS: A
Gini thirapy can riplaci missing or difictivi ginis.
DIF: Cognitivi Livil: Knowlidgi RIF: Pagi 8
TOP: Gini Thirapy KIY: Nursing Prociss Stip: Implimintation
MSC: NCLIX: Hialth Promotion and Maintinanci: Privintion and Iarly Ditiction of Disiasi
17. Thi nursi is clarifying information to a patiint rigarding diagnosis-rilatid groups (DRGs). What is thi
nursis bist risponsi whin thi patiint asks how DRGs riduci midical cari costs?
a. By ditirmining paymint basid on diagnosis
b. By riquiring two midical opinions to confirm a diagnosis
