NUR 418 Exam 1 Questions and Correct
Answers Latest
Question 1
A nurse is caring for a patient receiving magnesium sulfate for pre-eclampsia. Which
findings indicate that the patient's clinical situation is deteriorating? Select all that
apply.
1. "FHR baseline variability is maintained."
2. "Blood pressure is continuing to increase despite therapy."
3. "Uterine contractions are becoming more irregular."
4. "Patient states that her vision is becoming slightly blurred."
5. "Adventitious lung sounds heard on auscultation."
Correct Answer
2. "Blood pressure is continuing to increase despite therapy."
4. "Patient states that her vision is becoming slightly blurred."
5. "Adventitious lung sounds heard on auscultation."
Question 2
A nurse is caring for a 5-year-old who broke his arm and is complaining of pain. What
statement by the nurse to the child would be most helpful?
1. "I bet your arm will stop hurting really soon."
2. "You don't have to stand pain; I can give you medicine."
3. "You didn't do anything wrong that caused the hurt."
4. "Wait until you see the cool cast you are going to get."
Correct Answer
3. "You didn't do anything wrong that caused the hurt."
Children aged 2 to 7 years often view pain as a punishment. The most comforting
thing the nurse can say is to reassure the child that this is not the case.
Page 1 of 73
,Question 3
The nurse on a pediatric unit is caring for a child with short bowel syndrome. When
providing nutritional therapy for the child, the nurse checks for feeding intolerance by
making which daily assessments? Select all that apply.
1. "Intake and output."
2. "Stool volume."
3. "Specific gravity."
4. "Vital signs."
5. "Weight."
Correct Answer
1. "Intake and output."
3. "Specific gravity."
5. "Weight."
Question 4
A nurse is caring for a patient from a culture with which the nurse is totally unfamiliar.
What action by the nurse will best promote effective communication?
1. Call for a professional interpreter to translate information.
2. Pattern voice tone and eye contact after the patient's behaviors.
3. Talk slowly and deliberately using simple language and cues.
4. Use nonverbal communication as much as possible with the patient.
Correct Answer
2. Pattern voice tone and eye contact after the patient's behaviors.
Page 2 of 73
,Question 5
A group of student nurses are reviewing the Nurse Practice Act. Which statements
indicate that teaching has been effective? Select all that apply.
1. "Nurse Practice Acts are the same across the United States."
2. "Roles and responsibilities are specified by type of license."
3. "Information for initial application."
4. "Criteria for renewal of professional license."
5. "Describes required elements for professional nursing programs."
Correct Answer
2. "Roles and responsibilities are specified by type of license."
3. "Information for initial application."
4. "Criteria for renewal of professional license."
5. "Describes required elements for professional nursing programs."
Question 6
A nurse is teaching a patient pregnant in the second trimester who has been
diagnosed with a partial placenta previa. Which information is most important to
document?
1. Patient and partner show no anxiety or helplessness and were given educational
support material.
2. Patient instructed that bleeding may occur as placenta totally covers the cervical os.
3. Patient instructed to tell all health-care providers that vaginal exams are prohibited.
4. Patient received information about placenta previa and understood it well.
Correct Answer
3. Patient instructed to tell all health-care providers that vaginal exams are
prohibited.
If the patient needs care from another health-care provider, she must tell them that,
due to her placenta previa, all vaginal exams are prohibited. This is an important
safety measure that must be taught and clearly documented.
Page 3 of 73
, Question 7
A nurse working with a pregnant patient who is a recent immigrant to the United
States notes that her husband rarely accompanies her to prenatal visits, and when he
does, he sits in the waiting room. What action by the nurse is best?
1. Ask the patient what role men in her culture play in pregnancy.
2. Ask the patient why her husband doesn't seem involved.
3. Encourage the man to participate to support his wife.
4. Research the couple's cultural background and health beliefs.
Correct Answer
1. Ask the patient what role men in her culture play in pregnancy.
Question 8
A woman's birthing plan includes completing the latent phase of the first stage of
labor at home. When should the nurse teach the woman to come into the birthing
unit?
1. After 10 hours of mild contractions
2. When contractions are 3 to 5 minutes apart
3. When contractions are experienced in the back
4. When strong contractions occur 2 to 3 minutes apart
Correct Answer
2. When contractions are 3 to 5 minutes apart
During the latent phase of labor, contractions are typically 5 minutes apart, last 30
to 45 seconds, and are considered mild. When contractions become more frequent
(every 3 to 5 minutes) and are of moderate to strong intensity, the woman has
entered the active phase of labor; this is when the patient should come into the
birthing unit.
Page 4 of 73
Answers Latest
Question 1
A nurse is caring for a patient receiving magnesium sulfate for pre-eclampsia. Which
findings indicate that the patient's clinical situation is deteriorating? Select all that
apply.
1. "FHR baseline variability is maintained."
2. "Blood pressure is continuing to increase despite therapy."
3. "Uterine contractions are becoming more irregular."
4. "Patient states that her vision is becoming slightly blurred."
5. "Adventitious lung sounds heard on auscultation."
Correct Answer
2. "Blood pressure is continuing to increase despite therapy."
4. "Patient states that her vision is becoming slightly blurred."
5. "Adventitious lung sounds heard on auscultation."
Question 2
A nurse is caring for a 5-year-old who broke his arm and is complaining of pain. What
statement by the nurse to the child would be most helpful?
1. "I bet your arm will stop hurting really soon."
2. "You don't have to stand pain; I can give you medicine."
3. "You didn't do anything wrong that caused the hurt."
4. "Wait until you see the cool cast you are going to get."
Correct Answer
3. "You didn't do anything wrong that caused the hurt."
Children aged 2 to 7 years often view pain as a punishment. The most comforting
thing the nurse can say is to reassure the child that this is not the case.
Page 1 of 73
,Question 3
The nurse on a pediatric unit is caring for a child with short bowel syndrome. When
providing nutritional therapy for the child, the nurse checks for feeding intolerance by
making which daily assessments? Select all that apply.
1. "Intake and output."
2. "Stool volume."
3. "Specific gravity."
4. "Vital signs."
5. "Weight."
Correct Answer
1. "Intake and output."
3. "Specific gravity."
5. "Weight."
Question 4
A nurse is caring for a patient from a culture with which the nurse is totally unfamiliar.
What action by the nurse will best promote effective communication?
1. Call for a professional interpreter to translate information.
2. Pattern voice tone and eye contact after the patient's behaviors.
3. Talk slowly and deliberately using simple language and cues.
4. Use nonverbal communication as much as possible with the patient.
Correct Answer
2. Pattern voice tone and eye contact after the patient's behaviors.
Page 2 of 73
,Question 5
A group of student nurses are reviewing the Nurse Practice Act. Which statements
indicate that teaching has been effective? Select all that apply.
1. "Nurse Practice Acts are the same across the United States."
2. "Roles and responsibilities are specified by type of license."
3. "Information for initial application."
4. "Criteria for renewal of professional license."
5. "Describes required elements for professional nursing programs."
Correct Answer
2. "Roles and responsibilities are specified by type of license."
3. "Information for initial application."
4. "Criteria for renewal of professional license."
5. "Describes required elements for professional nursing programs."
Question 6
A nurse is teaching a patient pregnant in the second trimester who has been
diagnosed with a partial placenta previa. Which information is most important to
document?
1. Patient and partner show no anxiety or helplessness and were given educational
support material.
2. Patient instructed that bleeding may occur as placenta totally covers the cervical os.
3. Patient instructed to tell all health-care providers that vaginal exams are prohibited.
4. Patient received information about placenta previa and understood it well.
Correct Answer
3. Patient instructed to tell all health-care providers that vaginal exams are
prohibited.
If the patient needs care from another health-care provider, she must tell them that,
due to her placenta previa, all vaginal exams are prohibited. This is an important
safety measure that must be taught and clearly documented.
Page 3 of 73
, Question 7
A nurse working with a pregnant patient who is a recent immigrant to the United
States notes that her husband rarely accompanies her to prenatal visits, and when he
does, he sits in the waiting room. What action by the nurse is best?
1. Ask the patient what role men in her culture play in pregnancy.
2. Ask the patient why her husband doesn't seem involved.
3. Encourage the man to participate to support his wife.
4. Research the couple's cultural background and health beliefs.
Correct Answer
1. Ask the patient what role men in her culture play in pregnancy.
Question 8
A woman's birthing plan includes completing the latent phase of the first stage of
labor at home. When should the nurse teach the woman to come into the birthing
unit?
1. After 10 hours of mild contractions
2. When contractions are 3 to 5 minutes apart
3. When contractions are experienced in the back
4. When strong contractions occur 2 to 3 minutes apart
Correct Answer
2. When contractions are 3 to 5 minutes apart
During the latent phase of labor, contractions are typically 5 minutes apart, last 30
to 45 seconds, and are considered mild. When contractions become more frequent
(every 3 to 5 minutes) and are of moderate to strong intensity, the woman has
entered the active phase of labor; this is when the patient should come into the
birthing unit.
Page 4 of 73
