NURS 495 Review |240 questions with verified
answers
A 21 year old gravida 1 para 0 is in labor. The nurse observes that the
patient is having intense contractions 2-3 minutes apart lasting 80-90
seconds. She says she has an urge to push sometimes and feels like she
is going to vomit. The nurse would expect to find her:
a. dilated 3-4 cm and 100% effaced.
b. dilated 5-6 cm and 75% effaced.
c. dilated 7-8 cm and 50% effaced.
d. dilated 8-9 cm and 90% effaced. Ans✓✓✓ d
A 25 year old primigravida at 40 weeks gestation is in the active stage of
labor. She is being monitored with an internal transducer and a fetal
scalp clip. Upon reviewing the monitoring strip, the nurse notices
decelerations of the fetal heart rate. Which pattern will most likely
indicate fetal hypoxia and acidosis?
a
Decelerations that are mirror images of the uterine contractions.
b
Mild decelerations that occur at variable times and have a rapid return
to baseline.
c
,Decelerations that occur in response to fetal head compression.
d
Decelerations that have a delayed onset and have a very slow return to
baseline well after the end of the uterine contraction. Ans✓✓✓ d
A 27 year old primigravida is experiencing regular uterine contractions.
They are moderate to strong, 3 - 5 minutes apart and last for 40 - 70
seconds. Her cervix is 4 cm dilated and the fetus is at a station of +2.
She is becoming more serious and inner directed. The nurse would
analyze that she is exhibiting symptoms of what phase of the first stage
of labor?
a
Latent phase
b
Pushing phase
c
Transitional phase
d
Active phase Ans✓✓✓ d
A 3-year-old has arrived in the emergency department. The nurse
documents the following assessment findings in the patient's chart,
knowing that they are consistent with which disease process?5/15 1100
Patient admitted to ER with Temp of 103.6° F (39.8°C), HR 120, RR 28.
,Respirations are shallow and breath sounds are decreased with rales
auscultated on the right side. Patient has a harsh cough and mother
states he has had a discolored productive cough at home. S. Jones, RN
a. Bronchiolitis
b. Pneumonia
c. Asthma
d. Pertussis Ans✓✓✓ b. Pneumonia
A 4-year old child presents with possible rheumatic fever. Which
findings will the nurse observe in this patient?
a. Macular rash that is pruritic
b. Decreased antistreptolysin O titer
c. Elevated C-reactive protein
d. Decreased erythrocyte sedimentation rate Ans✓✓✓ c. Elevated C-
reactive protein
A 4-year-old pediatric patient resists going to sleep. Which is the most
appropriate action by the nurse?
a. Adding a daytime nap
b. Allowing the child to sleep longer in the morning
, c. Maintaining the child's home sleep routine
d. Offering the child a bedtime snack Ans✓✓✓ c. Maintaining the child's
home sleep routine
A 40-year-old patient presents to the triage area of the ER with
uncontrollable crying and anxiety. The patient states her partner of 18
years has recently asked for a divorce. The patient is observed fidgeting
in a chair and wringing her hands. Which response by the nurse is most
therapeutic?
a. "You must stop crying so we can discuss your feelings about the
divorce."
b. "Once you find a job, you will feel better and more secure in your
new life."
c. "I can see how upset you are. Let's sit here and talk about how you're
feeling."
d. "Once you have a lawyer looking out for your interests, you will feel
better." Ans✓✓✓ c. "I can see how upset you are. Let's sit here and talk
about how you're feeling."
A cardiac nurse educator is reviewing the use of a fixed rate mode
pacemaker with a group of newly hired nurses. Which statement by a
newly hired nurse indicates understanding of the review?
a. "This means the pacemaker fires in an asynchronous pattern"
answers
A 21 year old gravida 1 para 0 is in labor. The nurse observes that the
patient is having intense contractions 2-3 minutes apart lasting 80-90
seconds. She says she has an urge to push sometimes and feels like she
is going to vomit. The nurse would expect to find her:
a. dilated 3-4 cm and 100% effaced.
b. dilated 5-6 cm and 75% effaced.
c. dilated 7-8 cm and 50% effaced.
d. dilated 8-9 cm and 90% effaced. Ans✓✓✓ d
A 25 year old primigravida at 40 weeks gestation is in the active stage of
labor. She is being monitored with an internal transducer and a fetal
scalp clip. Upon reviewing the monitoring strip, the nurse notices
decelerations of the fetal heart rate. Which pattern will most likely
indicate fetal hypoxia and acidosis?
a
Decelerations that are mirror images of the uterine contractions.
b
Mild decelerations that occur at variable times and have a rapid return
to baseline.
c
,Decelerations that occur in response to fetal head compression.
d
Decelerations that have a delayed onset and have a very slow return to
baseline well after the end of the uterine contraction. Ans✓✓✓ d
A 27 year old primigravida is experiencing regular uterine contractions.
They are moderate to strong, 3 - 5 minutes apart and last for 40 - 70
seconds. Her cervix is 4 cm dilated and the fetus is at a station of +2.
She is becoming more serious and inner directed. The nurse would
analyze that she is exhibiting symptoms of what phase of the first stage
of labor?
a
Latent phase
b
Pushing phase
c
Transitional phase
d
Active phase Ans✓✓✓ d
A 3-year-old has arrived in the emergency department. The nurse
documents the following assessment findings in the patient's chart,
knowing that they are consistent with which disease process?5/15 1100
Patient admitted to ER with Temp of 103.6° F (39.8°C), HR 120, RR 28.
,Respirations are shallow and breath sounds are decreased with rales
auscultated on the right side. Patient has a harsh cough and mother
states he has had a discolored productive cough at home. S. Jones, RN
a. Bronchiolitis
b. Pneumonia
c. Asthma
d. Pertussis Ans✓✓✓ b. Pneumonia
A 4-year old child presents with possible rheumatic fever. Which
findings will the nurse observe in this patient?
a. Macular rash that is pruritic
b. Decreased antistreptolysin O titer
c. Elevated C-reactive protein
d. Decreased erythrocyte sedimentation rate Ans✓✓✓ c. Elevated C-
reactive protein
A 4-year-old pediatric patient resists going to sleep. Which is the most
appropriate action by the nurse?
a. Adding a daytime nap
b. Allowing the child to sleep longer in the morning
, c. Maintaining the child's home sleep routine
d. Offering the child a bedtime snack Ans✓✓✓ c. Maintaining the child's
home sleep routine
A 40-year-old patient presents to the triage area of the ER with
uncontrollable crying and anxiety. The patient states her partner of 18
years has recently asked for a divorce. The patient is observed fidgeting
in a chair and wringing her hands. Which response by the nurse is most
therapeutic?
a. "You must stop crying so we can discuss your feelings about the
divorce."
b. "Once you find a job, you will feel better and more secure in your
new life."
c. "I can see how upset you are. Let's sit here and talk about how you're
feeling."
d. "Once you have a lawyer looking out for your interests, you will feel
better." Ans✓✓✓ c. "I can see how upset you are. Let's sit here and talk
about how you're feeling."
A cardiac nurse educator is reviewing the use of a fixed rate mode
pacemaker with a group of newly hired nurses. Which statement by a
newly hired nurse indicates understanding of the review?
a. "This means the pacemaker fires in an asynchronous pattern"
