N434 Exam 1 Practice Questions With Complete Solutions
14-wk pregnant pt tells RN she always has a glass
of wine with dinner before she became pregnant.
She has abstained during her first trimester &
would like to know if it is safe for her to have a
glass of wine with dinner now. Which response by
the nurse is MOST appropriate?
a. "As you are in your second trimester, there is no
problem with having a one drink with dinner."
b. "One drink every night is too much. One drink
three times a week should be fine".
c. "As you are in your second trimester, you can
drink as much as you would like".
d. "It is important to abstain from drinking alcohol
throughout the entire pregnancy". Correct
Answers *d. "It is important to abstain from
drinking alcohol throughout the entire
pregnancy".*
There is no safe amount and mothers should be
encouraged to not drink while they are pregnant.
21 y/o insulin dependent DM pt presents for annual
check up. She's been married for 3 yrs &
considering to get pregnant. What is the *best*
education RN can provide?
a. achieve best possible control of her DM b4 trying
,b. consult PCP about changing oral tx prior to
c. provide urine culture to r/o UTI
d. obtain fasting glucose test & kidney function test
Correct Answers a. achieve best possible control of
her DM b4 trying
A couple is concerned their unborn baby could
develop cystic fibrosis an autosomal recessive
disease. What is the nurses BEST response?
a. "There is a 25% chance, however both parents
must be carriers of gene".
b. "There is a 50% chance and only one parent has
to be the carrier of the gene".
c. "There is a 25% chance and only one parent has
to be carrier of the gene".
d. "There is a 50% chance, however both parents
must be carriers of the gene". Correct Answers *a.
"There is a 25% chance, however both parents
must be carriers of gene".*
Key word is autosomal recessive
A hospitalized patient with a history of chronic
stable angina tells the nurse that she is having
chest pain. The nurse bases his actions on the
knowledge that ischemia
a. will always progress to myocardial infarction.
b. can be relieved by rest, nitroglycerin, or both.
, c. is often associated with vomiting and extreme
fatigue.
d. indicates that irreversible myocardial damage is
occurring. Correct Answers b. can be relieved by
rest, nitroglycerin, or both.
A patient admitted with syncope has continuous
ECG monitoring. An examination of the rhythm
strip reveals the following: atrial rate 74 beats/min
and regular; ventricular rate 62 beats/min and
irregular; P wave normal shape; PR interval
lengthens progressively until a P wave is not
conducted; QRS normal shape. The priority nursing
intervention would be to
a. give epinephrine 1 mg IV push.
b. prepare for synchronized cardioversion.
c. observe for symptoms of hypotension or angina.
d. apply transcutaneous pacemaker pads on the
patient. Correct Answers c. observe for symptoms
of hypotension or angina.
A patient is admitted to the ICU with a diagnosis of
NSTEMI. Which drugs(s) would the nurse expect
the patient to receive? (select all that apply)
a. Oral statin therapy
b. Antiplatelet therapy
c Thrombolytic therapy
d. Prophylactic antibiotics
14-wk pregnant pt tells RN she always has a glass
of wine with dinner before she became pregnant.
She has abstained during her first trimester &
would like to know if it is safe for her to have a
glass of wine with dinner now. Which response by
the nurse is MOST appropriate?
a. "As you are in your second trimester, there is no
problem with having a one drink with dinner."
b. "One drink every night is too much. One drink
three times a week should be fine".
c. "As you are in your second trimester, you can
drink as much as you would like".
d. "It is important to abstain from drinking alcohol
throughout the entire pregnancy". Correct
Answers *d. "It is important to abstain from
drinking alcohol throughout the entire
pregnancy".*
There is no safe amount and mothers should be
encouraged to not drink while they are pregnant.
21 y/o insulin dependent DM pt presents for annual
check up. She's been married for 3 yrs &
considering to get pregnant. What is the *best*
education RN can provide?
a. achieve best possible control of her DM b4 trying
,b. consult PCP about changing oral tx prior to
c. provide urine culture to r/o UTI
d. obtain fasting glucose test & kidney function test
Correct Answers a. achieve best possible control of
her DM b4 trying
A couple is concerned their unborn baby could
develop cystic fibrosis an autosomal recessive
disease. What is the nurses BEST response?
a. "There is a 25% chance, however both parents
must be carriers of gene".
b. "There is a 50% chance and only one parent has
to be the carrier of the gene".
c. "There is a 25% chance and only one parent has
to be carrier of the gene".
d. "There is a 50% chance, however both parents
must be carriers of the gene". Correct Answers *a.
"There is a 25% chance, however both parents
must be carriers of gene".*
Key word is autosomal recessive
A hospitalized patient with a history of chronic
stable angina tells the nurse that she is having
chest pain. The nurse bases his actions on the
knowledge that ischemia
a. will always progress to myocardial infarction.
b. can be relieved by rest, nitroglycerin, or both.
, c. is often associated with vomiting and extreme
fatigue.
d. indicates that irreversible myocardial damage is
occurring. Correct Answers b. can be relieved by
rest, nitroglycerin, or both.
A patient admitted with syncope has continuous
ECG monitoring. An examination of the rhythm
strip reveals the following: atrial rate 74 beats/min
and regular; ventricular rate 62 beats/min and
irregular; P wave normal shape; PR interval
lengthens progressively until a P wave is not
conducted; QRS normal shape. The priority nursing
intervention would be to
a. give epinephrine 1 mg IV push.
b. prepare for synchronized cardioversion.
c. observe for symptoms of hypotension or angina.
d. apply transcutaneous pacemaker pads on the
patient. Correct Answers c. observe for symptoms
of hypotension or angina.
A patient is admitted to the ICU with a diagnosis of
NSTEMI. Which drugs(s) would the nurse expect
the patient to receive? (select all that apply)
a. Oral statin therapy
b. Antiplatelet therapy
c Thrombolytic therapy
d. Prophylactic antibiotics
