Multiple Choice
1. A patien is admitted to the labor and delivery unit, and a plan of care based on that
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patient’s needs is developed by which member of the health-care team?
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1) Licensed practical nurse (LPN)/Licensed vocational nurse (LVN)
2) Registered nurse (RN)
3) Nurse practitioner
4) Certified nurse midwife
J 2. How does a nurse practitioner’s role differ from that of a certified nurse midwife with
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regard to maternity care?
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1) The nurse practitioner does not usuallydeliver babies but cares for women before and
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after delivery. J
2) The certified nurse midwife cannot prescribe medications, but a nurse practitioner
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does have prescribing privileges.
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3) The certified nurse midwife is hired bythe hospital, whereas a nurse practitioner
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practices independently and does not have hospital privileges.
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4) The certified nurse midwife and the nurse practitioner have verysimilar roles with
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little difference between the two.
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J 3. The provider explains the need for an amniocentesis, but the patient declines the
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procedure. The nurse supports the patient’s right to make this decision, demonstrating an
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understanding of which ethical principle?
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1) Autonomy
,2) Beneficence
3) Nonmaleficence
4) Justice
J 4. The nurse joins a community outreach program to promote vaccination ofchildren,
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demonstrating which ethical principle?
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1) Autonomy
2) Beneficence
3) Nonmaleficence
4) Justice
J 5. The nurse working in an acute care facility makes it a point to never look at the
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declaration page showing the patient’s insurance or lack of insurance because of a belief that all
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patients should be treated equally. This demonstrates which ethical principle?
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1) Autonomy
2) Beneficence
3) Nonmaleficence
4) Justice
J 6. A patient asks the student nurse whether a medication is safe to take during
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pregnancy. The student thinks it is an approved medication during pregnancy. Which is the
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student’s best response?
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1) “I’m pretty sure it is a safe medication.”
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,2) “I’m not qualified to answer that question.”
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3) “I will ask your obstetric provider.”
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4) “I really don’t know.”
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J 7. Which term describes assisting a family to feel supported, listened to, and competent?
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1) Enable
2) Empathy
3) Egocentric
4) Empowerment
8. Which action should the nurse implement in order to applythe principles of family-
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centered care in the hospital environment?
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1) Implementing strict visitation policy for siblings J J J J J
2) Allowing a child to “cry it out” when parents leave the bedside
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3) Encouraging parents to continue bedtime routines, such as reading a story
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4) Discouraging cultural foods because theycannot be provided by the dietary
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department
J 9. Which anatomical difference between adults and children places a pediatric patient at
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risk for insensible losses?
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1) Large body surface area J J J
2) Obligatory nose breathing J J
, 3) Disproportionate head size J J
4) Poorly developed intercostal chest muscles
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10. Which pediatric anatomical factor increases the risk for respiratory failure when care is
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provided to a child?
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1) Smaller airway J
2) Obligatory nose breathing J J
3) Large posterior head bone occiput
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4) Poorly developed intercostal chest muscles
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11. Which pediatric anatomical factor increases the risk for airway occlusion when care is
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provided to a child?
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1) A large posterior head bone occiput
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2) An increase in total body surface area
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3) A decrease in circulatory blood volume
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4) Intercostal chest muscles that are poorly developed
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12. The nurse is preparing an 8-year-old child for a procedure. Which statement is true of
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assent?
1) Feedback from the child is part of the agreement or assent.
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2) All children 7 or older can participate in assent.
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3) Assent only applies to emancipated children.
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4) The health-care team does not need to include the parent or guardian in assent.
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