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1. What are the causative organisms for otitis media? A. Streptococcus pneumo-
niae
A. Streptococcus pneumoniae C. Hemophilus influenzae
B. Clostridioides Difficile F. Moraxella catarrhalis
C. Hemophilus influenzae
D. Neisseria gonorrhoeae
E. Treponema Pallidum
F. Moraxella catarrhalis
2. A nurse provides care for a female patient who states D. Nurse cannot stop pa-
she is in a physically abusive relationship. What is tients, who are sufferers of
one of the most common—but difficult—issues nurs- abuse, from returning to
es must reconcile? the abuser's house
A. Nurses cannot provide materials for social services
and shelters
B. Nurses are required to call child protective services
if child abuse is suspected
C. Nurses must witness an interaction between an
abuser and their victim before suspecting any abuse
D. Nurse cannot stop patients, who are sufferers of
abuse, from returning to the abuser's house
3. A nurse performs an assessment on a three-year-old B. The girl has trouble
girl. What is a sign that the little girl is experiencing sleeping and cries a lot at
sexual abuse? night
A. The mother mentions she saw her daughter per-
form masturbation
B. The girl has trouble sleeping and cries a lot at night
C. The presence of a small scratch on the girl's fore-
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head
D. The girl has been sleeping more than usual
4. What are some signs and symptoms of neonatal ab- A. Hyperreflexia
stinence syndrome? Select all that apply: C. Excessive hunger
D. A persistent shrill crying
A. Hyperreflexia
B. Prolonged levels of sleep
C. Excessive hunger
D. A persistent shrill crying
E. Lethargy
F. Hyporeflexia
5. An HCP orders Azithromycin (Zithromax) for a patient. C. Take medication 1-2
What information should the nurse include in the pa- hours prior to eating
tient's education?
A. Take medication 1 hour after eating
B. Take medication with a meal
C. Take medication 1-2 hours prior to eating
D. Take medication before going to bed
6. When is a congenital heart anomaly most likely to B. Between 3rd and 5th
form? week of gestation
A. Between 2nd and 4th week of gestation
B. Between 3rd and 5th week of gestation
C. Between 4th and 6th week of gestation
D. Between 5th and 7th week of gestation
7. What clinical manifestation should a nurse expect to B. Bulging fontanel
find in a neonate with hydrocephalus?
Rationale: Bulging
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A. An external sac that contains nerves, spinal fluid, fontanels are expected
and the meninges findings in a patient
B. Bulging fontanel with hydrocephalus. An
C. Clonus in the ankle external sac that con-
D. Positive Babinski sign tains nerves, spinal fluid
and the meninges indi-
cates myelomeningocele.
A positive Babinski sign
and clonus in the ankle are
expected findings in a pa-
tient with Cerebral Palsy
(CP
8. A neonatal nurse takes the temperature of a newborn D. Place a small cap on the
baby and notices the temperature is slightly below infant's head.
the normal range at 36 degrees Celsius. What action
should the nurse take first? Rationale: Only acceptable
answer is the "place a
A. Notify the HCP small cap on the infant's
B. Place the infant under a warmer head;" however, the nurse
C. Notify the mother that the baby has to be placed in could swaddle the baby or
the nursery for observation over the next four hours apply skin-to-skin contact
D. Place a small cap on the infant's head. with the mother
9. Healthcare spending is significantly higher in the Unit- C. Increased obesity rate
ed States as compared to other developed countries. in the USA
This is especially true with regard to OBGYN field.
What accounts for such an increase?
A. No universal healthcare in the US
B. A higher percentage of senior citizens in the US
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C. Increased obesity rate in the USA
D. A declining middle class in the USA
10. The mother of a 6-year-old boy called her son's pedia- C. Bacterial
trician's office on suspicion that he has conjunctivitis.
The nurse who triages the calls asks the mother to de-
scribe the appearance of his eye. The mother reports,
"a thick, yellowish/greenish discharge. What type of
conjunctivitis does the nurse suspect the child has?
A. Viral
B. Allergic
C. Bacterial
D. Conjunctivitis
11. A nurse provides patient education to a pregnant B
woman with diabetes. The education touches upon
diabetic ketoacidosis (DKA). What should be included B. This can lead to fetal
in this teaching? death at any point in the
pregnancy
A. This should not be thought of as a life-threatening
emergency
B. This can lead to fetal death at any point in the
pregnancy
C. The chances of significant harm to the baby will
decrease throughout the pregnancy
D. This can lead to a low birth weight for the child
12. A public health nurse educates middle school stu- C. Regulated by the ovari-
dents on menstruation and how it involves periodic an hormones
bleeding. What is also true about menstruation?
A. Occurs every 28 days