Actual NUR 114 Final Exam Actual Questions And Correct Detailed Answers New Version
Graded A+
The nurse is conducting a prenatal class on the reproductive system. When a client in the
class asks why the fertilized ovum stays in the fallopian tube for 3days, what is the nurse's
best response?
1. "It promotes the fertilized ovum's chances of survival."
2. "It promotes the fertilized ovum's exposure to estrogen and progesterone."
3. "It promotes the fertilized ovum's normal implantation in the top portion of the
uterus."
4. "It promotes the fertilized ovum's exposure to luteinizing hormone and
follicle-stimulating hormone."-CORRECT ANSWER-Answer:3
Rationale: The tubal isthmus remains contracted until 3 days after conception to allow the
fertilized ovum to develop within the tube. This initial growth of the fertilized ovum
promotes its normal implantation in the fundal portion of the uterine corpus. Estrogen is a
hormone produced by the ovarian follicles, corpus luteum,adrenal cortex, and placenta
during pregnancy. Progesterone is a hormone secreted by the corpus luteum of the ovary,
adrenal glands, and placenta during pregnancy. Luteinizing hormone and follicle-stimulating
hormone are excreted by the anterior pituitary gland. The survival of the fertilized ovum
does not depend on it staying in the fallopian tube for 3 days.
Test-Taking Strategy: Note the strategic word, best, and use knowledge of the anatomy
and physiology of the reproductive system. Remember that fertilization occurs in the
fallopian tube and that the fertilized ovum remains in the fallopian tube for about 3 days.
This promotes its normal implantation.
The nurse is conducting a session about the principles of first aid and is discussing the
interventions for a snakebite to an extremity. The nurse would inform those attending
SOTeaed
the session that the first priority intervention in the event of this occurrence is which
action?
, 106 |Page
1.Immobilize the affected extremity.
2.Remove jewelry and constricting clothing from the victim.
3. Place the extremity in a position so that it is below the level of the heart.
4. Move the victim to a safe area away from the snake and encourage the victim to rest.-CORRECT
ANSWER-Answer:4
Rationale: In the event of a snakebite, the first priority is to move the victim to a safe area away from
the snake and encourage the victim to rest to decrease venom circulation. Next, jewelry and
constricting clothing are removed before swelling occurs. Immobilizing the extremity and maintaining
the extremity below heart level would be done next; these actions limit the spread of the venom. The
victim is kept warm and calm. Stimulants such as alcohol or caffeinated beverages are not given to
the victim because these products may speed the absorption of the venom. The victim needs to be
transported to an emergency facility as soon as possible.
Test-Taking Strategy: Note the strategic words, first priority. Eliminate options 1and 3 first because
they are comparable or alike and relate to positioning of the affected extremity. For the remaining
options, think about them and visualize each.Moving the victim to a safe area is the priority to prevent
further injury from the snake.
The nurse is conducting staff in-service training on von Willebrand's disease.Which would the
nurse include as characteristics of von Willebrand's disease?Select all that apply.
1.Easy bruising occurs.
2. Gum bleeding occurs.
3. It is a hereditary bleeding disorder.
9OTeaed
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4. Treatment and care are similar to that for hemophilia.
5.It is characterized by extremely high creatinine levels.
6. The disorder causes platelets to adhere to damaged endothelium.-CORRECT ANSWER-
Answer:1,2,3,4,6
Rationale: Von Willebrand's disease is a hereditary bleeding disorder characterized by a
deficiency of or a defect in a protein termed von Willebrand factor. The disorder causes platelets
to adhere to damaged endothelium. It is characterized by an increased tendency to bleed from
mucous membranes.Assessment findings include epistaxis, gum bleeding, easy bruising, and
excessive menstrual bleeding.Treatment and care are similar to measures implemented for
hemophilia, including administration of clotting factors.An elevated creatinine level is not
associated with this disorder.
Test-Taking Strategy: Focus on the subject, assessment findings, and on the child's diagnosis.
Recalling that this disorder is characterized by an increased tendency to bleed from mucous
membranes will direct you to the correct options.
The nurse is creating a plan of care for a child who is at risk for seizures. Which interventions
apply if the child has a seizure? Select all that apply.
1. Time the seizure.
2. Restrain the child.
3. Stay with the child.
4. Place the child in a prone position.
5.Move furniture away from the child.
LOTaaed
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6. Insert a padded tongue blade in the child's mouth.-CORRECT
ANSWERAnswer:1,3,5
Rationale: A seizure is a disorder that occurs as a result of excessive and unorganized neuronal
discharges in the brain that activate associated motor and sensory organs. During a seizure, the
child is placed on the side. Positioning on the side prevents aspiration, because saliva drains out
the corner of the child's mouth.The child is not restrained because this could cause injury to the
child.The nurse would loosen clothing around the child's neck and ensure a patent airway.
Nothing is placed into the child's mouth during a seizure, because this action may cause injury to
the child's mouth, gums, or teeth. The nurse would stay with the child to reduce the risk of injury
and allow for observation and timing of the seizure.
Test-Taking Strategy:Focus on the subject and visualize this clinical situation.Recalling that
airway patency and safety are the priorities will assist in determining the appropriate
interventions.
The nurse is creating a plan of care for a newborn diagnosed with fetal alcohol syndrome. The
nurse would include which priority intervention in the plan of care?
1.Allow the newborn to establish own sleep-rest pattern.
2.Maintain the newborn in a brightly lighted area of the nursery.
3.Encourage frequent handling of the newborn by staff and parents.
4. Monitor the newborn's response to feedings and weight gain pattern.-CORRECT
ANSWER-Answer:4
80Taaed
Graded A+
The nurse is conducting a prenatal class on the reproductive system. When a client in the
class asks why the fertilized ovum stays in the fallopian tube for 3days, what is the nurse's
best response?
1. "It promotes the fertilized ovum's chances of survival."
2. "It promotes the fertilized ovum's exposure to estrogen and progesterone."
3. "It promotes the fertilized ovum's normal implantation in the top portion of the
uterus."
4. "It promotes the fertilized ovum's exposure to luteinizing hormone and
follicle-stimulating hormone."-CORRECT ANSWER-Answer:3
Rationale: The tubal isthmus remains contracted until 3 days after conception to allow the
fertilized ovum to develop within the tube. This initial growth of the fertilized ovum
promotes its normal implantation in the fundal portion of the uterine corpus. Estrogen is a
hormone produced by the ovarian follicles, corpus luteum,adrenal cortex, and placenta
during pregnancy. Progesterone is a hormone secreted by the corpus luteum of the ovary,
adrenal glands, and placenta during pregnancy. Luteinizing hormone and follicle-stimulating
hormone are excreted by the anterior pituitary gland. The survival of the fertilized ovum
does not depend on it staying in the fallopian tube for 3 days.
Test-Taking Strategy: Note the strategic word, best, and use knowledge of the anatomy
and physiology of the reproductive system. Remember that fertilization occurs in the
fallopian tube and that the fertilized ovum remains in the fallopian tube for about 3 days.
This promotes its normal implantation.
The nurse is conducting a session about the principles of first aid and is discussing the
interventions for a snakebite to an extremity. The nurse would inform those attending
SOTeaed
the session that the first priority intervention in the event of this occurrence is which
action?
, 106 |Page
1.Immobilize the affected extremity.
2.Remove jewelry and constricting clothing from the victim.
3. Place the extremity in a position so that it is below the level of the heart.
4. Move the victim to a safe area away from the snake and encourage the victim to rest.-CORRECT
ANSWER-Answer:4
Rationale: In the event of a snakebite, the first priority is to move the victim to a safe area away from
the snake and encourage the victim to rest to decrease venom circulation. Next, jewelry and
constricting clothing are removed before swelling occurs. Immobilizing the extremity and maintaining
the extremity below heart level would be done next; these actions limit the spread of the venom. The
victim is kept warm and calm. Stimulants such as alcohol or caffeinated beverages are not given to
the victim because these products may speed the absorption of the venom. The victim needs to be
transported to an emergency facility as soon as possible.
Test-Taking Strategy: Note the strategic words, first priority. Eliminate options 1and 3 first because
they are comparable or alike and relate to positioning of the affected extremity. For the remaining
options, think about them and visualize each.Moving the victim to a safe area is the priority to prevent
further injury from the snake.
The nurse is conducting staff in-service training on von Willebrand's disease.Which would the
nurse include as characteristics of von Willebrand's disease?Select all that apply.
1.Easy bruising occurs.
2. Gum bleeding occurs.
3. It is a hereditary bleeding disorder.
9OTeaed
, 107|Page
4. Treatment and care are similar to that for hemophilia.
5.It is characterized by extremely high creatinine levels.
6. The disorder causes platelets to adhere to damaged endothelium.-CORRECT ANSWER-
Answer:1,2,3,4,6
Rationale: Von Willebrand's disease is a hereditary bleeding disorder characterized by a
deficiency of or a defect in a protein termed von Willebrand factor. The disorder causes platelets
to adhere to damaged endothelium. It is characterized by an increased tendency to bleed from
mucous membranes.Assessment findings include epistaxis, gum bleeding, easy bruising, and
excessive menstrual bleeding.Treatment and care are similar to measures implemented for
hemophilia, including administration of clotting factors.An elevated creatinine level is not
associated with this disorder.
Test-Taking Strategy: Focus on the subject, assessment findings, and on the child's diagnosis.
Recalling that this disorder is characterized by an increased tendency to bleed from mucous
membranes will direct you to the correct options.
The nurse is creating a plan of care for a child who is at risk for seizures. Which interventions
apply if the child has a seizure? Select all that apply.
1. Time the seizure.
2. Restrain the child.
3. Stay with the child.
4. Place the child in a prone position.
5.Move furniture away from the child.
LOTaaed
, 108|Page
6. Insert a padded tongue blade in the child's mouth.-CORRECT
ANSWERAnswer:1,3,5
Rationale: A seizure is a disorder that occurs as a result of excessive and unorganized neuronal
discharges in the brain that activate associated motor and sensory organs. During a seizure, the
child is placed on the side. Positioning on the side prevents aspiration, because saliva drains out
the corner of the child's mouth.The child is not restrained because this could cause injury to the
child.The nurse would loosen clothing around the child's neck and ensure a patent airway.
Nothing is placed into the child's mouth during a seizure, because this action may cause injury to
the child's mouth, gums, or teeth. The nurse would stay with the child to reduce the risk of injury
and allow for observation and timing of the seizure.
Test-Taking Strategy:Focus on the subject and visualize this clinical situation.Recalling that
airway patency and safety are the priorities will assist in determining the appropriate
interventions.
The nurse is creating a plan of care for a newborn diagnosed with fetal alcohol syndrome. The
nurse would include which priority intervention in the plan of care?
1.Allow the newborn to establish own sleep-rest pattern.
2.Maintain the newborn in a brightly lighted area of the nursery.
3.Encourage frequent handling of the newborn by staff and parents.
4. Monitor the newborn's response to feedings and weight gain pattern.-CORRECT
ANSWER-Answer:4
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