GUIDE & PRACTICE EXAM | NEWEST
ACTUAL EXAM COMPREHENSIVE
QUESTIONS AND VERIFIED ANSWERS
GRADED A+ | 100% CORRECT | 2024
UPDATE!!
A postpartum nurse is providing instructions to the mother of a
newborn infant with hyperbilirubinemia who is being breastfed. The
nurse provides which most appropriate instructions to the mother?
1. Switch to bottle feeding the baby for 2 weeks
2. Stop the breast feedings and switch to bottle-feeding permanently
3. Feed the newborn infant less frequently
4. Continue to breast-feed every 2-4 hours - ✔✔✔ Correct Answer >
4. Continue to breast-feed every 2-4 hours
A young child who has undergone a tonsillectomy refuses to let the
nurse look at the tonsillar beds to check for bleeding. To assess
whether the child is bleeding from the tonsillar beds, which of the
following would be most appropriate?
,1. Assess capillary refill.
2. Force open the mouth with a tongue blade.
3. Monitor for decreased blood pressure.
4. Observe for frequent swallowing - ✔✔✔ Correct Answer > 4.
Observe for frequent swallowing
Is a rigid abdomen normal during labor? - ✔✔✔ Correct Answer >
no, because this could be a sign of placental abruption so if this is
noticed make sure that placenta abruption is not occurring
Which occurrence is associated with cervical dilation and effacement?
a. Bloody show
b. False labor
c. Lightening
d. Bladder distention - ✔✔✔ Correct Answer > a. Bloody show
A home nurse goes to visit a preschool ages child multiple times and on
the 4th time the child leaves the mother. The preschool aged child is at
the toddler developmental level
1. accelerated development
2. right on track
,3. delayed development - ✔✔✔ Correct Answer > delayed
development
Signs that precede labor include (Select all that apply):
a. Lightening.
b. Exhaustion.
c. Bloody show.
d. Rupture of membranes.
e. Decreased fetal movement. - ✔✔✔ Correct Answer > A, C, and D.
a. Lightening.
c. Bloody show.
d. Rupture of membranes.
During the active stage of labor, a patient's membranes spontaneously
rupture. Which action should the nurse do first after this occurs?
A) Turn the patient onto the left side.
B) Assess fetal heart rate for fetal safety.
C) Test a sample of amniotic fluid for protein.
D) Instruct to bear down with the next contraction. - ✔✔✔ Correct
Answer > B) Assess fetal heart rate for fetal safety.
, If membranes rupture during labor, the fetal heart rate should be
assessed immediately to be certain that the umbilical cord hasn't
prolapsed and is now being compressed against the cervix by the fetal
head. The patient does not need to be turned onto the left side. The
amniotic fluid is tested for pH and not protein. Bearing down at this
time could be dangerous, considering there is no way of knowing how
much the cervix has dilated at the time of membrane rupture.
The nurse is caring for a client who is insisting on a vaginal delivery. For
which situation should the nurse explain a vaginal delivery is
contraindicated? - ✔✔✔ Correct Answer > Vertical C section
Child with dark skin that appears tanned, rapid pulse, intense salt
craving, and black freckles. As the nurse what do you suspect? - ✔✔✔
Correct Answer > Adrenal insufficiency
How to help with irritated skin on babies? SATA
1. "Use a skin barrier cream such as zinc oxide in the diaper area until
diarrhea subsides."
2. "Use water to clean under all the folds by the genitalia."
3. "Change the diaper when it is wet."