PREBOARDS 2
Nursing Practice II 5 In charting neurologic assessment, Cel must
understand that the following should be indicated
Situation 1: Cel is a beginning nurse. she still has to be EXCEPT:
monitored when it comes to charting. A. skin elasticity
B. facial symmetry
1. Cel must know that in narrative charting, C. movement of extremities
documentation of client care should be _______.
D. level of consciousness
choose the best answer.eceived education about GERD
indicates that the nurse may need to provide additional
teaching?
SITUATION 2: Baby Sharon a newly delivered baby girl
A. descriptive was delivered normally in maternity clinic. Nurse Juvy
is performing her initial routine assessment
B. formatted
6 Nurse Juvy’s assessment reveal the following: Heart
C. extensive
Rate is 110 beats per minute, has a vigorous cry, moves
D. chronologic actively and with good flexion, normal skin color and
bluish extremities. What would be the APGAR Score of
Baby Sharon?
2. Which statement is not true about medical record A. 7 points
that Cel must understand? charts ______ B. 10 points
C. 5 points
A. Can be accessed by researcher.
D. 9 points
B. Contents must be kept confidential.
C. Can be given out only with client's written consent.
D. Can be borrowed by any nursing student.
3. The following are the methods of charting, EXCEPT:
A. Focus
B. Narrative
C. POMR
D. Sequential
7. Baby Sharon was placed on phototherapy. What
precaution should Nurse Juvy observe?
4 In the PIE method of charting, the meaning of P is – A. Put sunglasses on the newborn to protect his/her eyes
Problem, Intervention, Evaluation B. Be certain that the newborn's intake is adequate
A. Discharge C. Assess the newborn for symptoms of headache
B. Teaching D. Keep the newborn wrapped to prevent sunburn
C. Admission
D. Planning/Problems
, 8 Physiologic jaundice among newborn babies usually
occur on, which of the following? It occurs _________.
12 The NICU nurse prepares for the arrival of the
A. within 24 hours from birth newborn. Which of the following PRIORITY item should
B. 7 days after birth be placed at the newborn's bedside?
C. upon birth A. specific gravity urinometer
D. between the 2nd and the 3rd day after birth B. rectal thermometer
C. blood pressure cuff
D. bottle of sterile normal saline
9 If transient discoloration of Baby Sharon’s skin is
noted while under phototherapy, what is this 13. For this patient who is to undergo surgery (closure
phenomenon called? of the sac), what would be the PRIORITY nursing
A. Cyanosis diagnosis? It is risk for___________
B. Jaundice A. activity intolerance
C. Hyperbilirubinemia B. infection
D. Bronze baby syndrome C. respiration
D. altered growth & development
10 If Baby Sharon develops dehydration, what is the
FIRST sign to look for by Nurse Juvy? 14 Which of the following is the PRIMARY reason for
A. Oliguria surgical repair of myelomeningocele?
B. Sunken fontanels A. decrease risk of infection
C. Soft and depressed eyeballs B. correct the neurologic defect
D. Non—elastic skin/ poor skin turgor on thighs and C. prevent seizure disorders
abdomen D. prevent hydrocephalus
SITUATION 3: A nurse assigned in a neonatal intensive
15 What would be the BEST response of the nurse when
care unit receives a telephone call from the delivery
a mother with neural tube defect asks what she can do
room and is told that a newborn with spina bifida
to decrease the chances of having another baby with
(myelomeningocele type) will be transported to the
the sane defect?
unit immediately.
A. "Folic acid should be taken before and after
11 Which of the following definition MOST accurately conception.
describes meningomyelocele? It is a ___________.
B. "Multivitamin supplements are recommended during
A. spinal cord tumor containing nerve roots pregnancy.'’
B. complete exposure of the spinal cord and meninges C. "A well—balanced diet promotes normal. fetal
development."
C. herniation of spinal cord, cerebro—spinal fluid and
meninges into a sac D. " Increased dietary iron improves the health of
mother and fetus.'’
D. sac formation containing meninges and spinal fluid
Nursing Practice II 5 In charting neurologic assessment, Cel must
understand that the following should be indicated
Situation 1: Cel is a beginning nurse. she still has to be EXCEPT:
monitored when it comes to charting. A. skin elasticity
B. facial symmetry
1. Cel must know that in narrative charting, C. movement of extremities
documentation of client care should be _______.
D. level of consciousness
choose the best answer.eceived education about GERD
indicates that the nurse may need to provide additional
teaching?
SITUATION 2: Baby Sharon a newly delivered baby girl
A. descriptive was delivered normally in maternity clinic. Nurse Juvy
is performing her initial routine assessment
B. formatted
6 Nurse Juvy’s assessment reveal the following: Heart
C. extensive
Rate is 110 beats per minute, has a vigorous cry, moves
D. chronologic actively and with good flexion, normal skin color and
bluish extremities. What would be the APGAR Score of
Baby Sharon?
2. Which statement is not true about medical record A. 7 points
that Cel must understand? charts ______ B. 10 points
C. 5 points
A. Can be accessed by researcher.
D. 9 points
B. Contents must be kept confidential.
C. Can be given out only with client's written consent.
D. Can be borrowed by any nursing student.
3. The following are the methods of charting, EXCEPT:
A. Focus
B. Narrative
C. POMR
D. Sequential
7. Baby Sharon was placed on phototherapy. What
precaution should Nurse Juvy observe?
4 In the PIE method of charting, the meaning of P is – A. Put sunglasses on the newborn to protect his/her eyes
Problem, Intervention, Evaluation B. Be certain that the newborn's intake is adequate
A. Discharge C. Assess the newborn for symptoms of headache
B. Teaching D. Keep the newborn wrapped to prevent sunburn
C. Admission
D. Planning/Problems
, 8 Physiologic jaundice among newborn babies usually
occur on, which of the following? It occurs _________.
12 The NICU nurse prepares for the arrival of the
A. within 24 hours from birth newborn. Which of the following PRIORITY item should
B. 7 days after birth be placed at the newborn's bedside?
C. upon birth A. specific gravity urinometer
D. between the 2nd and the 3rd day after birth B. rectal thermometer
C. blood pressure cuff
D. bottle of sterile normal saline
9 If transient discoloration of Baby Sharon’s skin is
noted while under phototherapy, what is this 13. For this patient who is to undergo surgery (closure
phenomenon called? of the sac), what would be the PRIORITY nursing
A. Cyanosis diagnosis? It is risk for___________
B. Jaundice A. activity intolerance
C. Hyperbilirubinemia B. infection
D. Bronze baby syndrome C. respiration
D. altered growth & development
10 If Baby Sharon develops dehydration, what is the
FIRST sign to look for by Nurse Juvy? 14 Which of the following is the PRIMARY reason for
A. Oliguria surgical repair of myelomeningocele?
B. Sunken fontanels A. decrease risk of infection
C. Soft and depressed eyeballs B. correct the neurologic defect
D. Non—elastic skin/ poor skin turgor on thighs and C. prevent seizure disorders
abdomen D. prevent hydrocephalus
SITUATION 3: A nurse assigned in a neonatal intensive
15 What would be the BEST response of the nurse when
care unit receives a telephone call from the delivery
a mother with neural tube defect asks what she can do
room and is told that a newborn with spina bifida
to decrease the chances of having another baby with
(myelomeningocele type) will be transported to the
the sane defect?
unit immediately.
A. "Folic acid should be taken before and after
11 Which of the following definition MOST accurately conception.
describes meningomyelocele? It is a ___________.
B. "Multivitamin supplements are recommended during
A. spinal cord tumor containing nerve roots pregnancy.'’
B. complete exposure of the spinal cord and meninges C. "A well—balanced diet promotes normal. fetal
development."
C. herniation of spinal cord, cerebro—spinal fluid and
meninges into a sac D. " Increased dietary iron improves the health of
mother and fetus.'’
D. sac formation containing meninges and spinal fluid
