RN Pedia PNLE Overall Test 1 Questions
With Correct Answers
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. |- |
CORRECT |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 |- |CORRECT |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 |- |CORRECT |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"
|- |CORRECT |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 |- |CORRECT |
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 |- |CORRECT |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:
A. |In |the |pulmonary |vein
B. |In |the |pulmonary |artery
C. |On |the |left |side |of |the |heart
D. |On |the |right |side |of |the |heart |- |CORRECT |ANSWER✔✔-D. |On |the |right |side |of |the |heart. |
Pulmonic |stenosis |increases |resistance |to |blood |flow, |causing |right |ventricular |hypertrophy; |
with |right |ventricular |failure |there |is |an |increase |in |pressure |on |the |right |side |of |the |heart.
8. |An |obese |client |asks |nurse |Julius |how |to |lose |weight. |Before |answering, |the |nurse |should |
remember |that |long-term |weight |loss |occurs |best |when:
, A. |Eating |patterns |are |altered
B. |Fats |are |limited |in |the |diet
C. |Carbohydrates |are |regulated
D. |Exercise |is |a |major |component |- |CORRECT |ANSWER✔✔-A. |Eating |patterns |are |altered. |
A |new |dietary |regimen, |with |a |balance |of |foods |from |the |food |pyramid, |must |be |established |
and |continued |for |weight |reduction |to |occur |and |be |maintained.
9. |As |a |very |anxious |female |client |is |talking |to |the |nurse |May, |she |starts |crying. |She |appears |to
|be |upset |that |she |cannot |control |her |crying. |The |most |appropriate |response |by |the |nurse |
would |be:
A. |"Is |talking |about |your |problem |upsetting |you?"
B. |"It |is |Ok |to |cry; |I'll |just |stay |with |you |for |now."
C. |"You |look |upset; |let's |talk |about |why |you |are |crying."
D. |"Sometimes |it |helps |to |get |it |out |of |your |system." |- |CORRECT |ANSWER✔✔-B. |"It |is |Ok |to |
cry; |I'll |just |stay |with |you |for |now." |
This |portrays |a |nonjudgmental |attitude |that |recognizes |the |client's |needs.
10. |A |patient |has |partial-thickness |burns |to |both |legs |and |portions |of |his |trunk. |Which |of |the |
following |I.V. |fluids |is |given |first?
A. |Albumin
B. |D5W
C. |Lactated |Ringer's |solution
D. |0.9% |sodium |chloride |solution |with |2 |mEq |of |potassium |per |100 |ml |- |CORRECT |
ANSWER✔✔-C. |Lactated |Ringer's |solution. |
With Correct Answers
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. |- |
CORRECT |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 |- |CORRECT |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 |- |CORRECT |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"
|- |CORRECT |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 |- |CORRECT |
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 |- |CORRECT |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:
A. |In |the |pulmonary |vein
B. |In |the |pulmonary |artery
C. |On |the |left |side |of |the |heart
D. |On |the |right |side |of |the |heart |- |CORRECT |ANSWER✔✔-D. |On |the |right |side |of |the |heart. |
Pulmonic |stenosis |increases |resistance |to |blood |flow, |causing |right |ventricular |hypertrophy; |
with |right |ventricular |failure |there |is |an |increase |in |pressure |on |the |right |side |of |the |heart.
8. |An |obese |client |asks |nurse |Julius |how |to |lose |weight. |Before |answering, |the |nurse |should |
remember |that |long-term |weight |loss |occurs |best |when:
, A. |Eating |patterns |are |altered
B. |Fats |are |limited |in |the |diet
C. |Carbohydrates |are |regulated
D. |Exercise |is |a |major |component |- |CORRECT |ANSWER✔✔-A. |Eating |patterns |are |altered. |
A |new |dietary |regimen, |with |a |balance |of |foods |from |the |food |pyramid, |must |be |established |
and |continued |for |weight |reduction |to |occur |and |be |maintained.
9. |As |a |very |anxious |female |client |is |talking |to |the |nurse |May, |she |starts |crying. |She |appears |to
|be |upset |that |she |cannot |control |her |crying. |The |most |appropriate |response |by |the |nurse |
would |be:
A. |"Is |talking |about |your |problem |upsetting |you?"
B. |"It |is |Ok |to |cry; |I'll |just |stay |with |you |for |now."
C. |"You |look |upset; |let's |talk |about |why |you |are |crying."
D. |"Sometimes |it |helps |to |get |it |out |of |your |system." |- |CORRECT |ANSWER✔✔-B. |"It |is |Ok |to |
cry; |I'll |just |stay |with |you |for |now." |
This |portrays |a |nonjudgmental |attitude |that |recognizes |the |client's |needs.
10. |A |patient |has |partial-thickness |burns |to |both |legs |and |portions |of |his |trunk. |Which |of |the |
following |I.V. |fluids |is |given |first?
A. |Albumin
B. |D5W
C. |Lactated |Ringer's |solution
D. |0.9% |sodium |chloride |solution |with |2 |mEq |of |potassium |per |100 |ml |- |CORRECT |
ANSWER✔✔-C. |Lactated |Ringer's |solution. |
