QUESTIONS WITH COMPLETE
SOLUTIONS < LATEST VERSION 2025 >
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1. A woman is two months pregnant when her five-year-
old child develops rubella. What is most likely to be
given to the mother? - ANSWER ✓ Correct Answer:
Immune serum globulin
Immune serum globulin gives her a passive immunity
and helps keep her from developing rubella, which can
have devastating effect on her unborn child. MMR is a
live virus and is not given to pregnant women. RhoGam
prevents anti Rh antibody development. There is no
such thing as rubella antitoxin.
2. What is the normal value of urine potassium? -
ANSWER ✓ 25-120 mEq/24 hr
The normal value for urine potassium is 25-120 mEq/24
hr
,3. Before applying a cord clamp, the nurse assesses the
umbilical cord for the presence of vessels. The findings
that are often associated with genitourinary
abnormalities are what? - ANSWER ✓ Correct Answer:
one artery, one vein. Two arteries and one vein are
present in a normal umbilical cord. The presence of one
artery in the umbilical cord is associated with
genitourinary abnormalities.
4. A female client who complains of chest pain is
admitted. The nurse can expect which of the following
laboratory tests ordered by the physician to confirm a
myocardial infarction diagnosis? - ANSWER ✓ Correct
Answer: creatine kinase The physician orders
laboratory tests and diagnostic tests to confirm a
diagnosis of myocardial infarction. Creatine kinase is
an enzyme located in the cardiac muscle, brain and
skeletal muscle. As this enzyme rises, there is injury to
the muscle cells. Further, the higher the serum CK, the
more the muscle tissue that is damaged.
Electrocardiogram, radionuclide imaging and
hemodynamic monitoring are used to diagnosis a
myocardial infarction. However, these are diagnostic
tests and not laboratory tests.
,5. The nurse is providing breast cancer education at a
community facility. The American Cancer Society
recommends that women get mammograms - ANSWER
✓ The correct answer is yearly after age 40. The
American Cancer Society recommends a mammogram
yearly for women over age 40. The other statements are
not correct. It is recommended that women between
ages 20 and 40 have a professional breast examination
(not a mammogram) every 3 years.
6. The client had a nephrectomy for the removal of kidney
due to major lacerations two hours ago. What is a
nursing priority? - ANSWER ✓ Correct answer:
Maintain the drainage tube patency
The nurse should monitor the drainage tube patency
every 4 hours for 24 to 48 hours after the client's
nephrectomy procedure. By doing so, the nurse can
ensure the client's tubes drain freely and help prevent
hydronephrosis, which is urine collected in the renal
pelvis because of obstruction with the outflow of the
urine.
, 7. A client is admitted with tuberculosis. The client should
be placed in which type of precaution based isolation? -
ANSWER ✓ Correct answer: Airborne. The nurse
should use airborne precautions when caring for a client
with known or suspected tuberculosis to reduce the
spread of the tuberculosis. Precautions that are
employed are private room that has its own hand
washing station and bathroom, special ventilation
system that is separate from the hospital wide
ventilation system and providing masks for anyone
entering the room to see the client.
8. Which clinical indicator is the nurse most likely to
identify when exploring the history of a client with
insomnia? - ANSWER ✓ Correct answer: Irritability.
Insomnia is the inability to fall asleep or stay sleep.
Individuals who experience insomnia complain of
unrefreshed sleep, daytime sleepiness, trouble
concentrating, irritability, and waking up several times
at night.
9. The physician prescribes home oxygen therapy for a
client with pulmonary fibrosis. The nurse collaborates
with the social worker assigned to the client about