NUR208 EAQ 1: Health and Maintenance Exam (2024/ 2025 Update) Questions and
Verified Answers| 100% Correct
A 26-year-old G1 P0 client at 29 weeks' gestation has gained 8 lb (3.6 kg) in 2 weeks; her blood pressure
has increased from 128/74 Hg to 150/90 mm Hg; and she has developed 1+ proteinuria on urine
dipstick. Which condition do these signs suggest?
1
Mild preeclampsia
2
Severe preeclampsia
3
Chronic hypertension
4
Gestational hypertension - (answer)Mild preeclampsia
"Preeclampsia is hypertension that develops after 20 weeks' gestation in a previously normotensive
woman. With mild preeclampsia the systolic blood pressure is below 160 mm Hg and diastolic BP is
below 110 mm Hg. Proteinuria is present, but there is no evidence of organ dysfunction. Severe
preeclampsia is a systolic blood pressure of greater than 160 mm Hg or diastolic blood pressure of at
least 110 mm Hg and proteinuria of 5 g or more per 24-hour specimen. Chronic hypertension is
hypertension that is present before the pregnancy or diagnosed before 20 weeks' gestation. Gestational
hypertension is the onset of hypertension during pregnancy without other signs or symptoms of
preeclampsia and without preexisting hypertension. Test-Taking Tip: Read carefully and answer the
question asked; pay attention to specific details in the question."
Which hormone aids in regulating intestinal calcium and phosphorous absorption?
1
Insulin
2
Thyroxine
3
Glucocorticoids
4
,NUR208 EAQ 1: Health and Maintenance Exam (2024/ 2025 Update) Questions and
Verified Answers| 100% Correct
Parathyroid hormone - (answer)3
Adrenal glucocorticoids aid in regulating intestinal calcium and phosphorous absorption by increasing or
decreasing protein metabolism. Insulin acts together with growth hormone to build and maintain
healthy bone tissue. Thyroxine increases the rate of protein synthesis in all types of tissues. Parathyroid
hormone secretion increases in response to decreased serum calcium concentration and stimulates the
bones to promote osteoclastic activity.
Which information would the nurse base a response on to a mother who asks for guidance regarding
who to tell of the diagnosis of diabetes of her child, who plays on the soccer team?
1
Children with diabetes who participate in active sports can have episodes of hypoglycemia.
2
Children may have to leave athletic teams if school authorities learn that they have diabetes.
3
The school nurse will treat the child if clinical findings of hypoglycemia are recognized early.
4
The coach might violate confidentiality by discussing the child's condition with other faculty members. -
(answer)1
The people associated with the school who are interacting with the child should be told about the child's
condition. Knowledgeable people can be alert for early signs of hypoglycemia and have snacks available
for the child to help prevent a hypoglycemic episode. Forcing the child to leave the team is a form of
discrimination; children with diabetes are allowed to engage in activities as long as their diabetes
remains under control. The adult who is with the child when the signs of hypoglycemia first appear
should be prepared to treat the child; this person may or may not be the nurse. Information about the
child's health status is on a "need to know" basis; professionals are expected to honor confidentiality.
Which domain of the nursing intervention phase includes electrolyte and acid-base management?
1
Domain 1
2
Domain 2
,NUR208 EAQ 1: Health and Maintenance Exam (2024/ 2025 Update) Questions and
Verified Answers| 100% Correct
3
Domain 3
4
Domain 4 - (answer)Domain 2
Domain 2 of the nursing intervention phase includes electrolyte and acid-base management. Domain 2,
or the physiological complex, includes care that supports homeostatic regulation. Domain 1 includes
care that supports physical functioning. Domain 3 incorporates care that supports psychosocial
functioning and facilitates lifestyle changes. Domain 4 involves care that supports protection against
harm.
The nurse is preparing to teach a community health program for senior citizens. Which physical findings
would the nurse include that are typical in older adults?
1
Increased skin elasticity and an increase in testosterone production
2
Impaired fat digestion and an increase in pepsin production
3
Increased blood pressure and decreased cardiac output
4
An increase in body warmth and some swallowing difficulties - (answer)With aging, narrowing of the
arteries causes some increase in the systolic and diastolic blood pressures. Decreases occur in diastolic
pressure, diastolic filling, and beta-adrenergic stimulation; increases occur in arterial pressure, systolic
pressure, wave velocity, and left ventricular end diastolic pressure. Decreased cardiac output and
cardiac reserve decrease the older adult's response to stress. Changes in libido may occur. Testosterone
appears to influence the frequency of nocturnal erections; however, low testosterone levels do not
affect erections produced by erotic stimuli. There is a loss of skin elasticity. By the age of 60, gastric
secretions decrease 70% to 80% of those of the average adult. A decrease in pepsin may hinder protein
digestion. There may be a decrease in subcutaneous fat and decreasing body warmth. Some swallowing
difficulties occur because older people are susceptible to fluid loss and electrolyte imbalance. This
results from decreased thirst sensation, difficulty swallowing, chronic disease, reduced kidney function,
diminished cognition, or adverse medication reactions.
, NUR208 EAQ 1: Health and Maintenance Exam (2024/ 2025 Update) Questions and
Verified Answers| 100% Correct
Which cognitive developmental stage would the nurse expect for a 3-year-old child?
1
Intuitive
2
Abstract
3
Concrete
4
Preconceptual - (answer)According to Piaget, at approximately 2 years of age the toddler enters the
preconceptual phase of cognitive thought, which lasts, at most, until about 4 years of age; the
preconceptual phase is a subdivision of the preoperational stage, which lasts from 2 years to 7 years of
age. Four-year-old children are in the stage of intuitive thought, which gives rise to imaginative play.
Abstract thought is developed during the adolescent ages of 15 to 20 years. Concrete operational
thought occurs in school-age children when they perform actions mentally rather than through
behavior, as in the earlier years.
On a routine prenatal visit, which is the sign or symptom that a healthy primigravida at 20 weeks'
gestation will most likely report for the first time?
1
Quickening
2
Palpitations
3
Pedal edema
4
Vaginal spotting - (answer)The recognition of fetal movement or quickening commonly occurs in
primigravidas at 18 to 20 weeks' gestation; it is felt about 2 weeks earlier in multigravidas. Palpitations
should not occur in the healthy primigravidas. Pedal edema may occur at the end of the pregnancy as
the gravid uterus presses on the femoral arteries, impeding circulation. Immediate follow-up care is
required when it occurs this early in the pregnancy. Vaginal spotting is abnormal and requires
immediate follow-up care.
Verified Answers| 100% Correct
A 26-year-old G1 P0 client at 29 weeks' gestation has gained 8 lb (3.6 kg) in 2 weeks; her blood pressure
has increased from 128/74 Hg to 150/90 mm Hg; and she has developed 1+ proteinuria on urine
dipstick. Which condition do these signs suggest?
1
Mild preeclampsia
2
Severe preeclampsia
3
Chronic hypertension
4
Gestational hypertension - (answer)Mild preeclampsia
"Preeclampsia is hypertension that develops after 20 weeks' gestation in a previously normotensive
woman. With mild preeclampsia the systolic blood pressure is below 160 mm Hg and diastolic BP is
below 110 mm Hg. Proteinuria is present, but there is no evidence of organ dysfunction. Severe
preeclampsia is a systolic blood pressure of greater than 160 mm Hg or diastolic blood pressure of at
least 110 mm Hg and proteinuria of 5 g or more per 24-hour specimen. Chronic hypertension is
hypertension that is present before the pregnancy or diagnosed before 20 weeks' gestation. Gestational
hypertension is the onset of hypertension during pregnancy without other signs or symptoms of
preeclampsia and without preexisting hypertension. Test-Taking Tip: Read carefully and answer the
question asked; pay attention to specific details in the question."
Which hormone aids in regulating intestinal calcium and phosphorous absorption?
1
Insulin
2
Thyroxine
3
Glucocorticoids
4
,NUR208 EAQ 1: Health and Maintenance Exam (2024/ 2025 Update) Questions and
Verified Answers| 100% Correct
Parathyroid hormone - (answer)3
Adrenal glucocorticoids aid in regulating intestinal calcium and phosphorous absorption by increasing or
decreasing protein metabolism. Insulin acts together with growth hormone to build and maintain
healthy bone tissue. Thyroxine increases the rate of protein synthesis in all types of tissues. Parathyroid
hormone secretion increases in response to decreased serum calcium concentration and stimulates the
bones to promote osteoclastic activity.
Which information would the nurse base a response on to a mother who asks for guidance regarding
who to tell of the diagnosis of diabetes of her child, who plays on the soccer team?
1
Children with diabetes who participate in active sports can have episodes of hypoglycemia.
2
Children may have to leave athletic teams if school authorities learn that they have diabetes.
3
The school nurse will treat the child if clinical findings of hypoglycemia are recognized early.
4
The coach might violate confidentiality by discussing the child's condition with other faculty members. -
(answer)1
The people associated with the school who are interacting with the child should be told about the child's
condition. Knowledgeable people can be alert for early signs of hypoglycemia and have snacks available
for the child to help prevent a hypoglycemic episode. Forcing the child to leave the team is a form of
discrimination; children with diabetes are allowed to engage in activities as long as their diabetes
remains under control. The adult who is with the child when the signs of hypoglycemia first appear
should be prepared to treat the child; this person may or may not be the nurse. Information about the
child's health status is on a "need to know" basis; professionals are expected to honor confidentiality.
Which domain of the nursing intervention phase includes electrolyte and acid-base management?
1
Domain 1
2
Domain 2
,NUR208 EAQ 1: Health and Maintenance Exam (2024/ 2025 Update) Questions and
Verified Answers| 100% Correct
3
Domain 3
4
Domain 4 - (answer)Domain 2
Domain 2 of the nursing intervention phase includes electrolyte and acid-base management. Domain 2,
or the physiological complex, includes care that supports homeostatic regulation. Domain 1 includes
care that supports physical functioning. Domain 3 incorporates care that supports psychosocial
functioning and facilitates lifestyle changes. Domain 4 involves care that supports protection against
harm.
The nurse is preparing to teach a community health program for senior citizens. Which physical findings
would the nurse include that are typical in older adults?
1
Increased skin elasticity and an increase in testosterone production
2
Impaired fat digestion and an increase in pepsin production
3
Increased blood pressure and decreased cardiac output
4
An increase in body warmth and some swallowing difficulties - (answer)With aging, narrowing of the
arteries causes some increase in the systolic and diastolic blood pressures. Decreases occur in diastolic
pressure, diastolic filling, and beta-adrenergic stimulation; increases occur in arterial pressure, systolic
pressure, wave velocity, and left ventricular end diastolic pressure. Decreased cardiac output and
cardiac reserve decrease the older adult's response to stress. Changes in libido may occur. Testosterone
appears to influence the frequency of nocturnal erections; however, low testosterone levels do not
affect erections produced by erotic stimuli. There is a loss of skin elasticity. By the age of 60, gastric
secretions decrease 70% to 80% of those of the average adult. A decrease in pepsin may hinder protein
digestion. There may be a decrease in subcutaneous fat and decreasing body warmth. Some swallowing
difficulties occur because older people are susceptible to fluid loss and electrolyte imbalance. This
results from decreased thirst sensation, difficulty swallowing, chronic disease, reduced kidney function,
diminished cognition, or adverse medication reactions.
, NUR208 EAQ 1: Health and Maintenance Exam (2024/ 2025 Update) Questions and
Verified Answers| 100% Correct
Which cognitive developmental stage would the nurse expect for a 3-year-old child?
1
Intuitive
2
Abstract
3
Concrete
4
Preconceptual - (answer)According to Piaget, at approximately 2 years of age the toddler enters the
preconceptual phase of cognitive thought, which lasts, at most, until about 4 years of age; the
preconceptual phase is a subdivision of the preoperational stage, which lasts from 2 years to 7 years of
age. Four-year-old children are in the stage of intuitive thought, which gives rise to imaginative play.
Abstract thought is developed during the adolescent ages of 15 to 20 years. Concrete operational
thought occurs in school-age children when they perform actions mentally rather than through
behavior, as in the earlier years.
On a routine prenatal visit, which is the sign or symptom that a healthy primigravida at 20 weeks'
gestation will most likely report for the first time?
1
Quickening
2
Palpitations
3
Pedal edema
4
Vaginal spotting - (answer)The recognition of fetal movement or quickening commonly occurs in
primigravidas at 18 to 20 weeks' gestation; it is felt about 2 weeks earlier in multigravidas. Palpitations
should not occur in the healthy primigravidas. Pedal edema may occur at the end of the pregnancy as
the gravid uterus presses on the femoral arteries, impeding circulation. Immediate follow-up care is
required when it occurs this early in the pregnancy. Vaginal spotting is abnormal and requires
immediate follow-up care.
