Questions With 100% Correct Verified Answers &
Rationale
A healthy first time pregnant client asks the nurse, "How long will I stay in the hospital after my
baby is born." The client is scheduled for a Caesarean section. The nurse understands the average
timeframe for the hospital stay for a Caesarean section is what? - ✔✔✔ - Correct Answer: 72 hours.
The hospital stay for a healthy mother who has delivered an infant varies depending on the type
of delivery. The length of stay in the hospital for a vaginal birth is typically 24 to 48 hours. The
length of stay in the hospital for a Caesarean section that does not have any complications is 72
hours.
The community nurse is planning a smoking cessation program. What would be the first step in
developing a health promotion program? - ✔✔✔ - Correct Answer: Conducting health risk
surveys
First conduct initial assessments to determine if there is a health risk. Then follow the course of
action in place in this event.
A woman is two months pregnant when her five-year-old child develops rubella. What is most
likely to be given to the mother? - ✔✔✔ - 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.
What is the normal value of urine potassium? - ✔✔✔ - 25-120 mEq/24 hr
The normal value for urine potassium is 25-120 mEq/24 hr
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? - ✔✔✔ - 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.
You are assigned to educate the nursing assistants regarding caring for the older adult. It is
important that the assistants understand that which of the following situations portrays ageism?
- ✔✔✔ - The Correct answer is: Advising older adults to forgo aggressive treatment. Ageism is a
form of prejudice in which older adults are stereotyped by characteristics found in only a few
members of their group. Fundamental to ageism is the view that older persons are different from
"me" and will remain different from "me." Advising older adults to forgo (go without) aggressive
treatment, when such a treatment would be offered as a possibility to the general population,
displays ageism by treating the older adults as fundamentally different from the general
population. The other answers identify supporting roles of the nurse for the older person.
When taking a dietary history from a newly admitted client, the nurse should remember that
which of the following foods is a common allergen? - ✔✔✔ - The correct answer is strawberries.
Common food allergens include berries, peanuts, Brazil nuts, cashews, shellfish, and eggs. Bread,
carrots and oranges rarely cause allergic reactions.
A nurse who violates the civil rights of an individual may be committing what? - ✔✔✔ - Correct
answer: A tort. A tort is the process of violating civil law when dealing with an individual or an
individual's property. The types of torts are commission and omission. Further, negligence and
malpractice are not the best choices as these deal with unintentional torts.
A patient with Addison's disease has been given an inadequate steroid dosage. Which of the
following are NOT symptoms the patient could experience? - ✔✔✔ - Correct Answer: Weight
gain. Weight loss is more likely. Fatigue, weakness, and dizziness are often indicated.
Which of the following behaviors does NOT show improvement in a client with Obsessive
Compulsive Disorder? - ✔✔✔ - Correct answer: Client uses "will power" to stop rituals.
The client can employ appropriate intervention techniques and more about the disease process
such as B, C and D. "Will power" alone will not be effective in dealing with Obsessive Compulsive
Disorder. The client can employ appropriate intervention techniques by refraining from rituals
during times of stress, using the "thought-stopping" strategy when experiencing obsessive
thoughts, and verbalizing rituals and stress relationships.
, Of the following, which is the normal range of respiration rate, in breaths per minute, for an
adult? - ✔✔✔ - 12-20
30-45 breaths per minute is the normal range for an 3-6 month old babies. 24-32 is normal for a
toddler, and 20-24 for a small child. The average breath rate drops with age and levels off during
adolescence, to approximately 12-20 breaths per minute.
Which of the following is the generic name for Nizoral? - ✔✔✔ - Ketoconazole.
Isotretinoin is the generic name for Accutane. Nystatin is the generic name for Mycostatin and
Flucinonide, a generic name for Lidex.
Which of the following is not a goal for a client with social phobia? - ✔✔✔ - Correct answer: Use
suppression. A client needs concrete goals to pursue. These goals might include managing fear
in groups, verbalizing feelings in stressful situations, and developing a plan for stressful
situations. Suppression, or avoidance of thoughts and feelings, would be very counterproductive
to a person with social phobia.
A client has had pain in the right leg for 3 weeks. The nurse understands that the MOST LIKELY
effect of this pain is? - ✔✔✔ - Correct Answer: The disruption of sleep. Pain can have many effects
on the human body. Clients with acute pain may have a decrease in appetite, decrease in fluid
intake, nausea, vomiting and disruption in sleep.
Which of the following is the sixth provision of the Code of Ethics for Nurses? - ✔✔✔ - Correct
Answer:
"The nurse participates in establishing, maintaining, and improving health care environments
and conditions of employment conducive to the provision of quality health care and consistent
with the values of the profession through individual and collective action."
Which of the following is a brand name for Rabeprazole? - ✔✔✔ - Correct answer: Aciphex.
Aciphex is a brand name for Rabeprazole. Carafate is a brand name for Sucralfate and azulfidine
for Sulfasalazine. Zantac is Ranitidine.
Which of the following is MOST likely a characteristic found with individuals who are diagnosed
with borderline personality disorder? - ✔✔✔ - The correct answer is: identity disturbance.
Individuals with borderline personality have an identity disturbance where the individual has
difficulty keeping a stable mood and self image. Characteristics of personality disorders are