RNPEDIA: PNLE
OVERALL TEST 1
(GENERAL EXAM)
QUESTIONS WITH
100% CORRECT
SOLUTIONS!!
Evatee 10/13/24 PNLE
,RNPEDIA: PNLE OVERALL TEST 1 (GENERAL
EXAM) QUESTIONS WITH 100% CORRECT
SOLUTIONS!!
1. A 10 year old who has sustained a head injury is brought to the emergency
department by his mother. A diagnosis of a mild concussion is made. At the
time of discharge, nurse Ron should instruct the mother to:
A. Withhold food and fluids for 24 hours.
B. Allow him to play outdoors with his friends.
C. Arrange for a follow up visit with the child's primary care provider in one
week.
D. Check for any change in responsiveness every two hours until the follow-up
visit. Answer - C. Check for any change in responsiveness every two hours until
the follow-up visit.
Signs of an epidural hematoma in children usually do not appear for 24 hours
or more hours; a follow-up visit usually is arranged for one to two days after
the injury.
2. A male client has suffered a motor accident and is now suffering from
hypovolemic shock. Nurse Helen should frequency assess the client's vital signs
during the compensatory stage of shock, because:
A. Arteriolar constriction occurs
B. The cardiac workload decreases
C. Decreased contractility of the heart occurs
,D. The parasympathetic nervous system is triggered Answer - A. Arteriolar
constriction occurs.
The early compensation of shock is cardiovascular and is seen in changes in
pulse, BP, and pulse pressure; blood is shunted to vital centers, particularly
heart and brain.
3. A paranoid male client with schizophrenia is losing weight, reluctant to eat,
and voicing concerns about being poisoned. The best intervention by nurse
Dina would be to:
A. Allow the client to open canned or pre-packaged food
B. Restrict the client to his room until 2 lbs are gained
C. Have a staff member personally taste all of the client's food
D. Tell the client the food has been x-rayed by the staff and is safe Answer - A.
Allow the client to open canned or pre-packaged food. The client's comfort,
safety, and nutritional status are the priorities; the client may feel comfortable
to eat if the food has been sealed before reaching the mental health facility.
4. One day the mother of a young adult confides to nurse Frida that she is very
troubled by the child's emotional illness. The nurse's most therapeutic initial
response would be:
A. "You may be able to lessen your feelings of guilt by seeking counseling"
B. "It would be helpful if you become involved in volunteer work at this time"
C. "I recognize it's hard to deal with this, but try to remember that this too shall
pass"
D. "Joining a support group of parents who are coping with this problem can be
quite helpful" Answer - D. "Joining a support group of parents who are coping
with this problem can be quite helpful"
, Taking with others in similar circumstances provides support and allows for
sharing of experiences.
5. To check for wound hemorrhage after a client has had a surgery for the
removal of a tumor in the neck, nurse grace should:
A. Loosen an edge of the dressing and lift it to see the wound
B. Observe the dressing at the back of the neck for the presence of blood
C. Outline the blood as it appears on the dressing to observe any progression
D. Press gently around the incision to express accumulated blood from the
wound Answer - B. Observe the dressing at the back of the neck for the
presence of blood.
Drainage flows by gravity.
6. A 16-year-old primigravida arrives at the labor and birthing unit in her 38th
week of gestation and states that she is labor. To verify that the client is in true
labor nurse Trina should:
A. Obtain sides for a fern test
B. Time any uterine contractions
C. Prepare her for a pelvic examination
D. Apply nitrazine paper to moist vaginal tissue Answer - C. Prepare her for a
pelvic examination.
Pelvic examination would reveal dilation and effacement
7. As part of the diagnostic workup for pulmonic stenosis, a child has cardiac
catheterization. Nurse Julius is aware that children with pulmonic stenosis have
increased pressure:
OVERALL TEST 1
(GENERAL EXAM)
QUESTIONS WITH
100% CORRECT
SOLUTIONS!!
Evatee 10/13/24 PNLE
,RNPEDIA: PNLE OVERALL TEST 1 (GENERAL
EXAM) QUESTIONS WITH 100% CORRECT
SOLUTIONS!!
1. A 10 year old who has sustained a head injury is brought to the emergency
department by his mother. A diagnosis of a mild concussion is made. At the
time of discharge, nurse Ron should instruct the mother to:
A. Withhold food and fluids for 24 hours.
B. Allow him to play outdoors with his friends.
C. Arrange for a follow up visit with the child's primary care provider in one
week.
D. Check for any change in responsiveness every two hours until the follow-up
visit. Answer - C. Check for any change in responsiveness every two hours until
the follow-up visit.
Signs of an epidural hematoma in children usually do not appear for 24 hours
or more hours; a follow-up visit usually is arranged for one to two days after
the injury.
2. A male client has suffered a motor accident and is now suffering from
hypovolemic shock. Nurse Helen should frequency assess the client's vital signs
during the compensatory stage of shock, because:
A. Arteriolar constriction occurs
B. The cardiac workload decreases
C. Decreased contractility of the heart occurs
,D. The parasympathetic nervous system is triggered Answer - A. Arteriolar
constriction occurs.
The early compensation of shock is cardiovascular and is seen in changes in
pulse, BP, and pulse pressure; blood is shunted to vital centers, particularly
heart and brain.
3. A paranoid male client with schizophrenia is losing weight, reluctant to eat,
and voicing concerns about being poisoned. The best intervention by nurse
Dina would be to:
A. Allow the client to open canned or pre-packaged food
B. Restrict the client to his room until 2 lbs are gained
C. Have a staff member personally taste all of the client's food
D. Tell the client the food has been x-rayed by the staff and is safe Answer - A.
Allow the client to open canned or pre-packaged food. The client's comfort,
safety, and nutritional status are the priorities; the client may feel comfortable
to eat if the food has been sealed before reaching the mental health facility.
4. One day the mother of a young adult confides to nurse Frida that she is very
troubled by the child's emotional illness. The nurse's most therapeutic initial
response would be:
A. "You may be able to lessen your feelings of guilt by seeking counseling"
B. "It would be helpful if you become involved in volunteer work at this time"
C. "I recognize it's hard to deal with this, but try to remember that this too shall
pass"
D. "Joining a support group of parents who are coping with this problem can be
quite helpful" Answer - D. "Joining a support group of parents who are coping
with this problem can be quite helpful"
, Taking with others in similar circumstances provides support and allows for
sharing of experiences.
5. To check for wound hemorrhage after a client has had a surgery for the
removal of a tumor in the neck, nurse grace should:
A. Loosen an edge of the dressing and lift it to see the wound
B. Observe the dressing at the back of the neck for the presence of blood
C. Outline the blood as it appears on the dressing to observe any progression
D. Press gently around the incision to express accumulated blood from the
wound Answer - B. Observe the dressing at the back of the neck for the
presence of blood.
Drainage flows by gravity.
6. A 16-year-old primigravida arrives at the labor and birthing unit in her 38th
week of gestation and states that she is labor. To verify that the client is in true
labor nurse Trina should:
A. Obtain sides for a fern test
B. Time any uterine contractions
C. Prepare her for a pelvic examination
D. Apply nitrazine paper to moist vaginal tissue Answer - C. Prepare her for a
pelvic examination.
Pelvic examination would reveal dilation and effacement
7. As part of the diagnostic workup for pulmonic stenosis, a child has cardiac
catheterization. Nurse Julius is aware that children with pulmonic stenosis have
increased pressure:
