RENR PRACTICE TEST 4 EXAM QUESTIONS AND ANSWERS

RENR PRACTICE TEST 4 EXAM QUESTIONS AND ANSWERS 1. Nutritional needs during pregnancy are affected by a. the mother’s age. b. the sex of the infant. c. the mothers food cravings. d. whether the mother works. 2. A pregnant woman’s energy needs must be met in order to a. spare vitamins. b. spare adipose stores. c. prevent fetal deformity. d. spare protein. 3. Drinking 3 to 4 cups of milk a day during pregnancy is recommended because it is a good source of a. folate. b. iron. c. vitamin D. d. vitamin C. 4. A very overweight pregnant woman older than 30 years of age is at high risk for a. anemia. b. gestational diabetes. c. edema. d. phenylketonuria. 5. After questioning a pregnant woman about her fluid intake, the nurse discovers that the patient is drinking four glasses of diet cola per day. Which response by the nurse is best? a. As long as you get enough fluid, soda is all right to drink. b. Less than two cups of caffeine a day is probably OK. c. The major worry with soda is the sugar content. d. You really should switch to decaffeinated colas. 6. The client tells the nurse that his lips are dry and he feels thirsty. Which of the following validates the client’s statement? a. Pitting edema of 1+ to ankles b. BP 100/60 mm Hg c. Sodium 145 Meq/L d. Skin turgor no tenting 7. The nurse explains to the prenatal class attendees that at full term about 10 to 11% of the maternal weight gain is attributed to which of the following? A. Blood, uterine, and breast tissue B. Fetal tissue C. Maternal reserves D. Placental fluid 8. The pediatric nurse explains to a new mother that two factors, nature and nurture, may influence the formation of her child’s essence. Which factor among the following would be considered nature? a. Cultural aspects b. Parenting skills c. The era in which the child develops d. Traits inherent in the infant 9. The pediatric nurse teaches the parents of a 3-month-old baby the principles of growth and development that will occur in their child’s lifetime. Which statement accurately describes one of these principles? a. Each child progresses through predictable stages within a predictable timeframe. b. Growth and development begin in infancy and continue until the adult years. c. Growth refers to the ongoing process of adapting throughout the life span. d. Within each child, body systems develop at the same rate. 10. After administering the Captopril as prescribed, which of the following statement by the nurse to the client is MOST significant? a. “If you feel dizzy do not hesitate to call the nurse b. “Rise slowly from a lying to a sitting position” c. “Are you allergic to any medication?” d. “If you have a dry cough, report it to the nurse” 11. During a well-child visit, the pediatric nurse assesses a 2-year-old child for language development. Which developmental domain is the nurse assessing? a. Cognitive b. Family development c. Moral/spiritual d. Psychosocial 12. A mother takes her 10-year-old son to the pediatrician for a sprained wrist. During the medical history, the pediatric nurse listens to the mother describe her son as busy playing basketball all day long with the other boys in the neighborhood. Based on the nurse’s assessment, which stage of Freud’s psychosocial development is this child experiencing? a. Anal stage b. Genital stage c. Latency stage d. Phallic stage 13. A pediatric nurse examines a 7-year-old at a well-child visit. Based on Erikson’s theory, which basic task does the nurse anticipate for this child? a. Balance independence and self-sufficiency against uncertainty and misgiving. b. Develop a sense of confidence through mastery of different tasks. c. Develop resourcefulness to achieve and learn new things without self-reproach. d. Recognize there are people in his or her life who can be trusted to take care of basic needs. 14. A nurse has started admitting a new person on home care and is beginning to establish a relationship. Which of the following would be the most important thing for the nurse to do? a. Complete the paperwork in a timely fashion b. Establish open communication c. Conduct a complete physical health assessment d. Provide feedback to the person’s questions 15. Which of the following best describes person-centered communication? a. The nurse says to the person seeking care, “Why do you continue to drink when you know it is not good for you?” b. The nurse responds to person seeking cares request for pain medicine by saying, “It is not time for your pain medicine. You had it hours ago.” c. The client says to the nurse, “I think my husband is cheating on me.” The nurse responds by saying, “You think your husband is cheating on you?” d. The client says to the nurse, “I can’t believe I have cancer.” The nurse responds by saying, “One of my closest friends had cancer and had to have chemotherapy.” 16. A nurse is counseling someone who has recently been diagnosed with diabetes. The nurse says, “Tell me more about how this diagnosis has affected your daily activities”. Which of the following best describes the type of communication the nurse is using? a. Verbal communication b. Nonverbal communication c. Metacommunication d. Functional communication 17. Which of the following should be the nurse’s PRIORITY action when she identifies an elevated ST segment in an ECG report? i. Administer aspirin ii. Place in semi-fowlers position iii. Administer oxygen iv. Get a defibrillator a. i and iv b. ii and iii c. iii and iv d. i, ii and iii 18. Which of the following scenarios best describes a nurse using