SNLE 222 EXAM QUESTIONS
WITH CORRECT DETAILED
ANSWERS
A. Fetal distress - Answer- A gravida 2 Para 0 is admitted in the ER with spontaneous
rupture of membranes.
She states she has seen the doctor only twice during the pregnancy and is unsure of
her exact due date. Exam reveals green-tinged fluid in the vaginal vault. The fetus is
in a LOP position with an FHR of 110 BPM. Based on the assessment, the nurse
suspects:
A. Fetal distress
B. The presence of intrauterine infection
C. Post-mature fetus
D. That the fetus has a TE fistula
B. Intracranial pressure is increased - Answer- A patient is admitted with a
subarachnoid haemorrhage complaining of severe headache, nuchal rigidity, and
projectile vomiting. Lumbar puncture would be contraindicated in this patient in which of
the following circumstances?
A. Vomiting continues
B. Intracranial pressure is increased
C. The person needs mechanical ventilation
D. Blood is anticipated in the cerebrospinal fluid
C. A depression in the bend of the elbow - Answer- Where is the antecubital fossa
located?
A. A depression in the bend of the knee
B. A depression in the scalp
C. A depression in the bend of the elbow
D. None of the above
A. Individual - Answer- Hildegard Peplau's Interpersonal Relations Model focuses on:
A. Individual
B. Community
C. Larger society
D. Family
,D. Verify the medication with the physician - Answer- When the nurse is administering
medications, the patient informs the nurse that the
tablet usually received is a different color. The nurse should:
A. Insist that the patient take the tablet she poured
B. Leave the medication at the bedside and recheck the order
C. Recheck the order before giving the drug
D. Verify the medication with the physician
C. Regurgitation - Answer- Reflux is an alternative word for:
A. Vomiting
B. Nosebleed
C. Regurgitation
D. Acid erosion
C. Autosomal recessive disorders tend to skip generations, so the children of affected
parents will have children with the disorder
Not sure - Answer- An 18-month-old has been hospitalized six times for upper airway
infections.
Diagnostic studies, including sweat analysis, confirm the diagnosis of cystic fibrosis.
Which of the following statements describes the inheritance pattern for cystic
fibrosis?
A. An affected gene is inherited from both the father and mother, who remain symptom
free
B. Males are at risk at twice the rate of the females
C. Autosomal recessive disorders tend to skip generations, so the children of affected
parents will have children with the disorder
D. The disorder is transmitted by an affected gene on one of the six chromosomes
C. Aneurysm - Answer- The common cause of subarachnoid haemorrhage is:
A. Infection
B. Infarction
C. Aneurysm
D. Hypotension
D. Patient with complaint of chest pain - Answer- Which of the following patients the
nurse should see first?
A. Patient complaining of muscle aches and fever
, B. Patient scheduled for electrocardiography
C. Patient newly diagnosed with hypertension
D. Patient with complaint of chest pain
B. The absence of babbling by age of 7 months - Answer- Which of the following signs
is highly suggestive of impaired hearing in an infant?
A. The absence of Moro reflex
B. The absence of babbling by age of 7 months
C. A lack of eye-to-eye contact when spoken to
D. A lack of hand gestures to indicate wants
A. Coronary artery thrombosis - Answer- Which of the following conditions is most
commonly responsible for myocardial infarction?
A. Coronary artery thrombosis
B. Diabetes mellitus
C. Renal failure
D. Cerebrovascular accident
B. Reduce the work of the heart preload and afterload - Answer- The primary aim of
treatment in heart failure is to:
A. Increase the work of the heart preload and afterload
B. Reduce the work of the heart preload and afterload
C. Reduce the work of the lungs
D. Reduce glomerular filtration rate
D. An inflammation of the membranes that cover the brain and the spinal cord - Answer-
What is meningitis?
A. An inflammation of the middle ear
B. Inflammation of the joints
C. An infection of the gastrointestinal tract
D. An inflammation of the membranes that cover the brain and the spinal cord
C. Sterilisation - Answer- Another name for vasectomy is:
A. Orchidectomy
B. Vasectomy
C. Sterilisation
D. Oopherctomy
D. Blood pressure, temperature, pulse and respiratory rate, depth and rhythm - Answer-
What baseline observations does the nurse need to undertake prior to a blood
transfusion?
WITH CORRECT DETAILED
ANSWERS
A. Fetal distress - Answer- A gravida 2 Para 0 is admitted in the ER with spontaneous
rupture of membranes.
She states she has seen the doctor only twice during the pregnancy and is unsure of
her exact due date. Exam reveals green-tinged fluid in the vaginal vault. The fetus is
in a LOP position with an FHR of 110 BPM. Based on the assessment, the nurse
suspects:
A. Fetal distress
B. The presence of intrauterine infection
C. Post-mature fetus
D. That the fetus has a TE fistula
B. Intracranial pressure is increased - Answer- A patient is admitted with a
subarachnoid haemorrhage complaining of severe headache, nuchal rigidity, and
projectile vomiting. Lumbar puncture would be contraindicated in this patient in which of
the following circumstances?
A. Vomiting continues
B. Intracranial pressure is increased
C. The person needs mechanical ventilation
D. Blood is anticipated in the cerebrospinal fluid
C. A depression in the bend of the elbow - Answer- Where is the antecubital fossa
located?
A. A depression in the bend of the knee
B. A depression in the scalp
C. A depression in the bend of the elbow
D. None of the above
A. Individual - Answer- Hildegard Peplau's Interpersonal Relations Model focuses on:
A. Individual
B. Community
C. Larger society
D. Family
,D. Verify the medication with the physician - Answer- When the nurse is administering
medications, the patient informs the nurse that the
tablet usually received is a different color. The nurse should:
A. Insist that the patient take the tablet she poured
B. Leave the medication at the bedside and recheck the order
C. Recheck the order before giving the drug
D. Verify the medication with the physician
C. Regurgitation - Answer- Reflux is an alternative word for:
A. Vomiting
B. Nosebleed
C. Regurgitation
D. Acid erosion
C. Autosomal recessive disorders tend to skip generations, so the children of affected
parents will have children with the disorder
Not sure - Answer- An 18-month-old has been hospitalized six times for upper airway
infections.
Diagnostic studies, including sweat analysis, confirm the diagnosis of cystic fibrosis.
Which of the following statements describes the inheritance pattern for cystic
fibrosis?
A. An affected gene is inherited from both the father and mother, who remain symptom
free
B. Males are at risk at twice the rate of the females
C. Autosomal recessive disorders tend to skip generations, so the children of affected
parents will have children with the disorder
D. The disorder is transmitted by an affected gene on one of the six chromosomes
C. Aneurysm - Answer- The common cause of subarachnoid haemorrhage is:
A. Infection
B. Infarction
C. Aneurysm
D. Hypotension
D. Patient with complaint of chest pain - Answer- Which of the following patients the
nurse should see first?
A. Patient complaining of muscle aches and fever
, B. Patient scheduled for electrocardiography
C. Patient newly diagnosed with hypertension
D. Patient with complaint of chest pain
B. The absence of babbling by age of 7 months - Answer- Which of the following signs
is highly suggestive of impaired hearing in an infant?
A. The absence of Moro reflex
B. The absence of babbling by age of 7 months
C. A lack of eye-to-eye contact when spoken to
D. A lack of hand gestures to indicate wants
A. Coronary artery thrombosis - Answer- Which of the following conditions is most
commonly responsible for myocardial infarction?
A. Coronary artery thrombosis
B. Diabetes mellitus
C. Renal failure
D. Cerebrovascular accident
B. Reduce the work of the heart preload and afterload - Answer- The primary aim of
treatment in heart failure is to:
A. Increase the work of the heart preload and afterload
B. Reduce the work of the heart preload and afterload
C. Reduce the work of the lungs
D. Reduce glomerular filtration rate
D. An inflammation of the membranes that cover the brain and the spinal cord - Answer-
What is meningitis?
A. An inflammation of the middle ear
B. Inflammation of the joints
C. An infection of the gastrointestinal tract
D. An inflammation of the membranes that cover the brain and the spinal cord
C. Sterilisation - Answer- Another name for vasectomy is:
A. Orchidectomy
B. Vasectomy
C. Sterilisation
D. Oopherctomy
D. Blood pressure, temperature, pulse and respiratory rate, depth and rhythm - Answer-
What baseline observations does the nurse need to undertake prior to a blood
transfusion?
