NUR 3306 Final Exam Review
What is the most appropriate nursing intervention when writing a care plan for a pregnant
woman and using the nursing diagnosis "Readiness for enhanced family coping due to new
role?"
1. Provide breast-feeding support
2. Educate the client about nutrition and overeating, exercise, and stress management
techniques
3. Help the client move toward an enriching lifestyle
4. Assess the structure, resources, and coping abilities of the family -
Assess the structure, resources, and coping abilities of the family
A nurse is presenting a class to new mothers preparing for postpartum discharge from the
hospital. What topics would the nurse be sure to include in teaching? (Select all that apply.)
1. Choking prevention
2. Bundling the baby
3. Reading to the baby
4. Sleep positioning
5. Suffocation prevention -
- Choking prevention
- Sleep positioning
- Suffocation prevention
At each prenatal visit, a client provides a urine sample to the health care provider. What is
this urine sample tested for at each visit?
1. White blood cells and albumin
2. Protein and glucose
3. Glucose and white blood cells
4. Protein and albumin -
Protein and glucose
Which assessment finding is priority for the nurse to address during an assessment of a one-
week-old neonate?
1. Poor pupillary reflex
2. Small tonsils and adenoids
3. Lack of deciduous teeth
4. Mucus in the nasal passages -
Mucus in the nasal passages
A woman in her second trimester of pregnancy calls the obstetrician's office and tells the
nurse that she is having pains all around her umbilicus. What would be the nurse's best
response?
1|Page
,1. "These are called Braxton Hicks contractions. They are a kind of 'practice' for when the
baby is born."
2. "These pains are caused by the stretching of ligaments as your uterus grows. They are
nothing to worry about.'
3. "You are having growing pains. There is nothing to worry about."
4. "You are having preterm labor. Go to the emergency room right away." -
"These pains are caused by the stretching of ligaments as your uterus grows. They are
nothing to worry about.'
The nurse is collecting a history on a 4-year-old and discovers that the child is being cared for
by his grandmother during the days while the parents are at work. The grandmother's house
was built in the early 1940s. Which lab should the nurse prepare to collect from the child?
1. Bleeding time
2. Lead level
3. Iron level
4. Potassium level -
Lead level
The nurse is educating a new mother about safety precautions for a child who is beginning to
walk. What information should the nurse include in this teaching session?
1. Wearing helmets when bike riding
2. Increasing formula intake to meet caloric needs
3. Team sport precautions
4. Setting up gates around stairs -
Setting up gates around stairs
A client has just been diagnosed with osteopenia. To help prevent progression to
osteoporosis, the nurse would teach this client about what?
1. Vitamin A supplements
2. Vitamin D supplements
3. Vitamin E supplements
4. Vitamin B12 supplements -
Vitamin D supplements
When caring for an older adult, the nurse would know that wound healing rate reduces
normally with aging by
1. 40%
2. 20%
3. 50%
4. 30% -
50%
2|Page
, The nurse is preparing to conduct an admission assessment on an older adult client. What
would be important to do before interviewing this client?
1. Make sure the door is not blocked
2. Turn up the client's hearing aid
3. Speak in a louder than normal voice
4. Reduce or eliminate background noise -
Reduce or eliminate background noise
The nurse has entered a client's room to begin a head-to-toe assessment. The client appears
anxious, is pale, and is struggling to breathe. What is the nurse's priority action?
1. Count respirations.
2. Assess blood pressure.
3. Check for pupil reaction.
4. Ensure a patent airway. -
Ensure a patent airway.
The nurse enters a client's room to administer scheduled medications through a barcode
system. The client is not wearing an armband. What is the nurse's best action?
1. Ask the client for name and birth date, then administer the medications.
2. Confirm the client's identity with visitors who are present.
3. Scan the barcode on the client's chart, then administer the medications.
4. Leave the room to obtain another armband for the client.
Q-
Leave the room to obtain another armband for the client.
A hospitalized client complains of pain 10/10 one hour after receiving a dose of intravenous
Morphine sulfate intravenously. The next dose is not due for over an hour. What is the nurse's
best action?
1. Document the pain assessment findings and reassess in 30 minutes.
2. Tell the client he/she can not have anymore pain medication.
3. Notify the healthcare provider.
4. Administer another dose of Morphine early. -
Notify the healthcare provider.
The RN may delegate which care component to a nursing assistant?
1. Evaluating vital signs
2. Check client's pain level
3. Ambulation assistance
4. Wound care and assessment -
Ambulation assistance
The RN working on a surgical unit should question which of these orders before completing
it?
1. Check intracranial pressure
3|Page
What is the most appropriate nursing intervention when writing a care plan for a pregnant
woman and using the nursing diagnosis "Readiness for enhanced family coping due to new
role?"
1. Provide breast-feeding support
2. Educate the client about nutrition and overeating, exercise, and stress management
techniques
3. Help the client move toward an enriching lifestyle
4. Assess the structure, resources, and coping abilities of the family -
Assess the structure, resources, and coping abilities of the family
A nurse is presenting a class to new mothers preparing for postpartum discharge from the
hospital. What topics would the nurse be sure to include in teaching? (Select all that apply.)
1. Choking prevention
2. Bundling the baby
3. Reading to the baby
4. Sleep positioning
5. Suffocation prevention -
- Choking prevention
- Sleep positioning
- Suffocation prevention
At each prenatal visit, a client provides a urine sample to the health care provider. What is
this urine sample tested for at each visit?
1. White blood cells and albumin
2. Protein and glucose
3. Glucose and white blood cells
4. Protein and albumin -
Protein and glucose
Which assessment finding is priority for the nurse to address during an assessment of a one-
week-old neonate?
1. Poor pupillary reflex
2. Small tonsils and adenoids
3. Lack of deciduous teeth
4. Mucus in the nasal passages -
Mucus in the nasal passages
A woman in her second trimester of pregnancy calls the obstetrician's office and tells the
nurse that she is having pains all around her umbilicus. What would be the nurse's best
response?
1|Page
,1. "These are called Braxton Hicks contractions. They are a kind of 'practice' for when the
baby is born."
2. "These pains are caused by the stretching of ligaments as your uterus grows. They are
nothing to worry about.'
3. "You are having growing pains. There is nothing to worry about."
4. "You are having preterm labor. Go to the emergency room right away." -
"These pains are caused by the stretching of ligaments as your uterus grows. They are
nothing to worry about.'
The nurse is collecting a history on a 4-year-old and discovers that the child is being cared for
by his grandmother during the days while the parents are at work. The grandmother's house
was built in the early 1940s. Which lab should the nurse prepare to collect from the child?
1. Bleeding time
2. Lead level
3. Iron level
4. Potassium level -
Lead level
The nurse is educating a new mother about safety precautions for a child who is beginning to
walk. What information should the nurse include in this teaching session?
1. Wearing helmets when bike riding
2. Increasing formula intake to meet caloric needs
3. Team sport precautions
4. Setting up gates around stairs -
Setting up gates around stairs
A client has just been diagnosed with osteopenia. To help prevent progression to
osteoporosis, the nurse would teach this client about what?
1. Vitamin A supplements
2. Vitamin D supplements
3. Vitamin E supplements
4. Vitamin B12 supplements -
Vitamin D supplements
When caring for an older adult, the nurse would know that wound healing rate reduces
normally with aging by
1. 40%
2. 20%
3. 50%
4. 30% -
50%
2|Page
, The nurse is preparing to conduct an admission assessment on an older adult client. What
would be important to do before interviewing this client?
1. Make sure the door is not blocked
2. Turn up the client's hearing aid
3. Speak in a louder than normal voice
4. Reduce or eliminate background noise -
Reduce or eliminate background noise
The nurse has entered a client's room to begin a head-to-toe assessment. The client appears
anxious, is pale, and is struggling to breathe. What is the nurse's priority action?
1. Count respirations.
2. Assess blood pressure.
3. Check for pupil reaction.
4. Ensure a patent airway. -
Ensure a patent airway.
The nurse enters a client's room to administer scheduled medications through a barcode
system. The client is not wearing an armband. What is the nurse's best action?
1. Ask the client for name and birth date, then administer the medications.
2. Confirm the client's identity with visitors who are present.
3. Scan the barcode on the client's chart, then administer the medications.
4. Leave the room to obtain another armband for the client.
Q-
Leave the room to obtain another armband for the client.
A hospitalized client complains of pain 10/10 one hour after receiving a dose of intravenous
Morphine sulfate intravenously. The next dose is not due for over an hour. What is the nurse's
best action?
1. Document the pain assessment findings and reassess in 30 minutes.
2. Tell the client he/she can not have anymore pain medication.
3. Notify the healthcare provider.
4. Administer another dose of Morphine early. -
Notify the healthcare provider.
The RN may delegate which care component to a nursing assistant?
1. Evaluating vital signs
2. Check client's pain level
3. Ambulation assistance
4. Wound care and assessment -
Ambulation assistance
The RN working on a surgical unit should question which of these orders before completing
it?
1. Check intracranial pressure
3|Page
