NUR 114 Final Exam Actual Questions And Correct Detailed Answers New Version Graded
A+
The nursing instructor teaches a group of students about fetal circulation and then asks a
student to describe fetal circulation, specifically the ductus venosus.Which statement by
the student indicates an understanding of the ductus venosus?
1. "It connects the pulmonary artery to the aorta."
2. "It is an opening between the right and left atria."
3. "It connects the umbilical vein to the inferior vena cava."
4. "It connects the umbilical artery to the inferior vena cava." - CORRECT
ANSWER-Answer:3
Rationale: The ductus venosus connects the umbilical vein to the inferior vena cava.The
foramen ovale is a temporary opening between the right and left atria.The ductus
arteriosus joins the aorta and the pulmonary artery.
Test-Taking Strategy:Focus on the subject, an understanding of the description of the
ductus venosus. Use knowledge of fetal circulation to assist in answering.Also note the
relationship of the word venosus in the question and vein in the correct option.
The nursing student is presenting a clinical conference and discusses the cause of β-
thalassemia. The nursing student informs the group that a child at greatest risk of
developing this disorder is which of these?
1.A child of Mexican descent
2.A child of Mediterranean descent
3. A child whose intake of iron is extremely poor
4. A breast-fed/chest fed child of a parent with chronic anemia-CORRECT
pects20
NurseEx
ANSWER-Answer:2
, Rationale: β-Thalassemia is an autosomal recessive disorder characterized by the reduced
production of one of the globin chains in the synthesis of hemoglobin (both parents must
be carriers to produce a child with βthalassemia major). This disorder is found primarily in
individuals of Mediterranean descent. Options 1,3,and 4 are incorrect.
Test-Taking Strategy: Focus on the subject, the child at greatest risk for
βthalassemia major. Think about the pathophysiology of the disorder.
Remember that this disorder occurs primarily in individuals of Mediterranean descent.
The parent of a 3-year-old asks a clinic nurse about appropriate and safe toys for the child.
The nurse would tell the parent that the most appropriate toy for a 3year-old is which?
1.A wagon
2.A golf set
3.A jack set with marbles
4.A farm set with small animals -CORRECT ANSWER-Answer:1
Rationale: Toys for the toddler must be strong, safe, and too large to swallow or place in
the ear or nose. Toddlers need supervision at all times. Push-pull toys,large balls, large
crayons, large trucks, and dolls are some of the appropriate toys.A farm set, a golf set, and
jacks with marbles may contain items that the child could swallow.
Test-Taking Strategy:Note the strategic words, most appropriate, and focus on the
nurse
subject, the appropriate toy for a 3-year-old. Options 2, 3, and 4 can be
, eliminated because they are comparable or alike and could contain items that the child
could swallow. Remember that large and strong toys are safest for the toddler.
The parent of a 3-year-old is concerned because the child still is insisting on a bottle at nap
time and at bedtime. Which is the most appropriate suggestion to the parent?
1. Allow the bottle if it contains juice.
2.Allow the bottle if it contains water.
3. Do not allow the child to have the bottle.
4.Allow the bottle during naps but not at bedtime. - CORRECT ANSWER-Answer:2
Rationale: A toddler should never be allowed to fall asleep with a bottle containing milk,
juice, soda pop, sweetened water, or any other sweet liquid because of the risk of nursing
(bottle-mouth) caries. If a bottle is allowed at nap time or bedtime, it should contain only
water.
Test-Taking Strategy: Note the strategic words, most appropriate.Eliminate options 3 and 4
first because they are comparable or alike statements. From the remaining options,
recalling that nursing (bottle-mouth) caries are a concern in a child will assist in directing
you to the correct option.
The parent of a 4-year-old child tells the pediatric nurse that the child's abdomen seems to
be swollen. During further assessment, the parent tells the nurse that the child is eating
well and that the activity level of the child is unchanged. The nurse, suspecting the
possibility of Wilms' tumor, would plan to avoid which during the physical assessment?
A+
The nursing instructor teaches a group of students about fetal circulation and then asks a
student to describe fetal circulation, specifically the ductus venosus.Which statement by
the student indicates an understanding of the ductus venosus?
1. "It connects the pulmonary artery to the aorta."
2. "It is an opening between the right and left atria."
3. "It connects the umbilical vein to the inferior vena cava."
4. "It connects the umbilical artery to the inferior vena cava." - CORRECT
ANSWER-Answer:3
Rationale: The ductus venosus connects the umbilical vein to the inferior vena cava.The
foramen ovale is a temporary opening between the right and left atria.The ductus
arteriosus joins the aorta and the pulmonary artery.
Test-Taking Strategy:Focus on the subject, an understanding of the description of the
ductus venosus. Use knowledge of fetal circulation to assist in answering.Also note the
relationship of the word venosus in the question and vein in the correct option.
The nursing student is presenting a clinical conference and discusses the cause of β-
thalassemia. The nursing student informs the group that a child at greatest risk of
developing this disorder is which of these?
1.A child of Mexican descent
2.A child of Mediterranean descent
3. A child whose intake of iron is extremely poor
4. A breast-fed/chest fed child of a parent with chronic anemia-CORRECT
pects20
NurseEx
ANSWER-Answer:2
, Rationale: β-Thalassemia is an autosomal recessive disorder characterized by the reduced
production of one of the globin chains in the synthesis of hemoglobin (both parents must
be carriers to produce a child with βthalassemia major). This disorder is found primarily in
individuals of Mediterranean descent. Options 1,3,and 4 are incorrect.
Test-Taking Strategy: Focus on the subject, the child at greatest risk for
βthalassemia major. Think about the pathophysiology of the disorder.
Remember that this disorder occurs primarily in individuals of Mediterranean descent.
The parent of a 3-year-old asks a clinic nurse about appropriate and safe toys for the child.
The nurse would tell the parent that the most appropriate toy for a 3year-old is which?
1.A wagon
2.A golf set
3.A jack set with marbles
4.A farm set with small animals -CORRECT ANSWER-Answer:1
Rationale: Toys for the toddler must be strong, safe, and too large to swallow or place in
the ear or nose. Toddlers need supervision at all times. Push-pull toys,large balls, large
crayons, large trucks, and dolls are some of the appropriate toys.A farm set, a golf set, and
jacks with marbles may contain items that the child could swallow.
Test-Taking Strategy:Note the strategic words, most appropriate, and focus on the
nurse
subject, the appropriate toy for a 3-year-old. Options 2, 3, and 4 can be
, eliminated because they are comparable or alike and could contain items that the child
could swallow. Remember that large and strong toys are safest for the toddler.
The parent of a 3-year-old is concerned because the child still is insisting on a bottle at nap
time and at bedtime. Which is the most appropriate suggestion to the parent?
1. Allow the bottle if it contains juice.
2.Allow the bottle if it contains water.
3. Do not allow the child to have the bottle.
4.Allow the bottle during naps but not at bedtime. - CORRECT ANSWER-Answer:2
Rationale: A toddler should never be allowed to fall asleep with a bottle containing milk,
juice, soda pop, sweetened water, or any other sweet liquid because of the risk of nursing
(bottle-mouth) caries. If a bottle is allowed at nap time or bedtime, it should contain only
water.
Test-Taking Strategy: Note the strategic words, most appropriate.Eliminate options 3 and 4
first because they are comparable or alike statements. From the remaining options,
recalling that nursing (bottle-mouth) caries are a concern in a child will assist in directing
you to the correct option.
The parent of a 4-year-old child tells the pediatric nurse that the child's abdomen seems to
be swollen. During further assessment, the parent tells the nurse that the child is eating
well and that the activity level of the child is unchanged. The nurse, suspecting the
possibility of Wilms' tumor, would plan to avoid which during the physical assessment?
