Foundations of Nursing Practice
Chapter Exam Questions
Course Introduction
Foundations of Nursing Practice introduces students to the essential principles, theories, and skills necessary for effective nursing care. The course covers the history and evolution of the nursing profession, core ethical and legal responsibilities, and the standards of practice that guide the delivery of safe and compassionate patient care. Students will develop proficiency in basic nursing techniques, learn the fundamentals of communication and patient assessment, and gain an understanding of holistic care, cultural competency, and health promotion. Through a combination of lectures, laboratory experiences, and clinical simulations, this foundational course prepares students for future clinical placements and advanced nursing studies.
Recommended Textbook
Introduction to Maternity and Pediatric Nursing 6th Edition by Gloria Leifer
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1020 Verified Questions
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Chapter 1: The Past, Present, and Future
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Sample Questions
Q1) The nurse reminds family members that the philosophy of family-centered care is to give them control over their health care decisions. This control is called:
A) empowerment.
B) insight.
C) regulation.
D) organization.
Answer: A
Q2) A pregnant woman who has recently immigrated to the United States comments to the nurse, "I am afraid of childbirth. It is so dangerous. I am afraid I will die." A nursing response reflecting cultural sensitivity would be:
A) "Maternal mortality in the United States is extremely low."
B) "Anesthesia is available to relieve pain during labor and childbirth."
C) "Tell me why you are afraid of childbirth."
D) "Your condition will be monitored during labor and delivery."
Answer: C
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Chapter 2: Human Reproductive Anatomy and Physiology
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Sample Questions
Q1) The nurse explains that sperm can remain viable in the female reproductive tract for as long as:
A) 12 hours.
B) 1 day.
C) 2 days.
D) 4 days.
Answer: D
Q2) When planning to teach couples about the physiology of the sex act, the nurse would state that:
A) "Fertilization of an ovum requires penetration by several sperm."
B) "An ovum must be fertilized within 24 hours of ovulation."
C) "It takes 4 to 5 days for sperm to reach the fallopian tubes."
D) "Sperm live for only 24 hours following ejaculation."
Answer: B
Q3) The nurse explains that the sperm are nourished by secretions from the:
A) vas deferens.
B) epididymis.
C) Cowper's glands.
D) scrotum.
Answer: C
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Chapter 3: Fetal Development
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Sample Questions
Q1) Using a diagram, the nurse points out the most common site for fertilization, which is the:
A) lower segment of the uterus.
B) outer third of the fallopian tube near the ovary.
C) upper portion of the uterus.
D) area of the fallopian tube farthest from the ovary.
Answer: B
Q2) When the patient asks when her infant's heart will begin to pump blood, the nurse replies that blood circulation begins:
A) by the end of week 3.
B) beginning in week 8.
C) at the end of week 16.
D) beginning in week 24.
Answer: A
Q3) At what point in prenatal development do the lungs begin to produce surfactant?
A) 17 weeks
B) 20 weeks
C) 25 weeks
D) 30 weeks
Answer: C
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Chapter 4: Prenatal Care and Adaptations to Pregnancy
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Sample Questions
Q1) The patient confesses to eating crushed ice 10 or 12 times daily. The nurse assesses this behavior as __________.
Q2) A pregnant woman inquires about exercising during pregnancy. In planning the teaching for this woman, the nurse should include what information?
A) Exercise elevates the mother's temperature and improves fetal circulation.
B) Exercise increases catecholamines, which can prevent preterm labor.
C) A regular schedule of moderate exercise during pregnancy is beneficial.
D) Pregnant women should limit water intake during exercise.
Q3) A woman reports that her last normal menstrual period began on August 5, 2010. Using Nägele's rule, her expected date of delivery would be _____, 2011.
A) April 30
B) May 5
C) May 12
D) May 26
Q4) The nurse is aware that ______________ maneuver can assess the position and presentation of the fetus.
Q5) The nurse reminds the prenatal patient that she should add ________ kcal to her daily intake to nourish the fetus.
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Chapter 5: Nursing Care of Women with Complications
During Pregnancy
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Sample Questions
Q1) The nurse assesses a pregnant woman for pregnancy-induced hypertension. The first sign of fluid retention suggestive of this complication is:
A) abdominal enlargement.
B) facial swelling.
C) sudden weight gain.
D) swelling of the feet and ankles.
Q2) The nurse teaches a woman who is 8 weeks pregnant about how rubella can affect the developing fetus. The nurse realizes the woman understands the information when she says that rubella during pregnancy can result in:
A) facial abnormalities.
B) mental retardation.
C) liver failure.
D) limb deformities.
Q3) The nurse explains that ___________ is a procedure in which an incompetent cervix is sutured closed to prevent its opening when the fetus presses against it.
Q4) The nurse cautions that the consumption of as few as ________ alcoholic drink(s) during pregnancy can lead to the loss of fetal brain cells.
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Chapter 6: Nursing Care of Mother and Infant During Labor and
Birth
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33 Verified Questions
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Sample Questions
Q1) When late decelerations occur, the nurse should:
A) reposition the patient to supine.
B) decrease flow of intravenous (IV) fluids.
C) increase oxygen to 10 L/minute.
D) prepare to increase oxytocin drip.
Q2) Using a diagram, the nurse demonstrates the sequence of the mechanisms of labor. Place the seven mechanisms of labor in sequential order.
a. Extension
b. Engagement
c. Descent
d. Flexion
e. Expulsion
f. Internal rotation
g. External rotation
Q3) The nurse recognizes the contraction duration and interval that could result in fetal compromise is:
A) duration shorter than 30 seconds, interval longer than 75 seconds.
B) duration shorter than 90 seconds, interval longer than 120 seconds.
C) duration longer than 90 seconds, interval shorter than 60 seconds.
Page 8
D) duration longer than 60 seconds, interval shorter than 90 seconds.
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Chapter 7: Nursing Management of Pain During Labor and Birth
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Sample Questions
Q1) What breathing technique(s) would the nurse teach the prenatal patient to help her focus during labor in order to reduce pain? Select all that apply.
A) First stage breathing
B) Abdominal breathing
C) Fourth stage breathing
D) Modified pace breathing
E) Patterned paced breathing
Q2) How does the pain of childbirth differ from other types of pain? Select all that apply.
A) Childbirth pain is part of a normal process.
B) Childbirth pain seldom needs narcotic relief.
C) Position changes relieve pain and facilitate delivery.
D) Childbirth pain declines following birth.
E) Childbirth pain is self-limited.
Q3) The nurse explains that the Dick-Read method of childbirth preparation is based on:
A) mild sedation throughout labor.
B) relaxation techniques.
C) skin stimulation.
D) deep massage.
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Chapter 8: Nursing Care of Women with Complications
During Labor and Birth
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Sample Questions
Q1) Following an amniotomy, the umbilical cord becomes compressed. The nurse prepares the patient for an instillation of a bolus of warm sterile saline into the uterus, which is called ____________________.
Q2) After several hours of labor, a nursing assessment reveals that a woman's cervix is 5 cm dilated but contractions are becoming shorter and less frequent. The nurse knows that this labor pattern is described as:
A) normal.
B) hypotonic.
C) hypertonic.
D) false.
Q3) A woman is having a difficult labor because the fetus is presenting in the right occipital position (ROP). To encourage fetal rotation and pain relief the nurse would position the patient:
A) prone with legs supported and give her a back massage.
B) supine with legs bent at the knee.
C) standing with support.
D) sitting up and leaning forward on the over-bed table.
Q4) A(n) _______________ is a narrow cone inserted into the cervix to "ripen" the cervix to increase uterine contractions.
Page 10
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Chapter 9: The Family After Birth
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Sample Questions
Q1) The nurse counseling a lactating mother about diet would include instructions to:
A) consume 500 more calories than her usual prepregnancy diet.
B) eat less meat and more fruits and vegetables.
C) drink 3 to 4 tall glasses of fluid daily.
D) eat 1,000 more calories than her usual prepregnancy diet.
Q2) A woman will be discharged 48 hours after a vaginal delivery. When planning discharge teaching, the information the nurse would include about lochia is that:
A) lochia should disappear 2 to 4 weeks postpartum.
B) it is normal for the lochia to have a slightly foul odor.
C) a change in lochia from pink to bright red should be reported.
D) a decrease in flow will be noticed with ambulation and activity.
Q3) After birth, the nurse quickly dries and wraps the newborn in a blanket to prevent heat loss by:
A) conduction.
B) radiation.
C) evaporation.
D) convection.
Q4) The hormone responsible for milk production is ____________________.
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Page 11
Chapter 10: Nursing Care of Women with Complications
After Birth
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Sample Questions
Q1) After a prolonged labor, a woman vaginally delivered a 10 pound, 3 ounce infant boy. In the immediate postpartum period, the nurse would be alert for the development of:
A) cervical laceration.
B) hematoma.
C) endometritis.
D) retained placental fragments.
Q2) The nurse is caring for a woman who had a cesarean birth yesterday. Varicose veins are visible on both legs. To prevent thrombus formation the nurse would:
A) have the woman sit in a chair for meals.
B) monitor vital signs every 4 hours and report any changes.
C) tell the woman to remain in bed with her legs elevated.
D) assist the woman with ambulation for short periods of time.
Q3) By flexing the patient's leg and dorsiflexing the foot, the nurse is:
A) assessing for edema in the lower limb.
B) performing range-of-motion exercises.
C) stimulating circulation to limbs.
D) assessing for deep vein thrombus.
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Page 12
Chapter 11: The Nurses Role in Womens Health Care
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Sample Questions
Q1) A 21-year-old college student has come to see the nurse practitioner for treatment of a vaginal infection. Physical assessment reveals inflammation of the vagina and vulva, and vaginal discharge has a cottage cheese appearance. These findings are consistent with:
A) candidiasis.
B) trichomoniasis.
C) bacterial vaginosis.
D) Chlamydia.
Q2) The nurse is preparing a community education program on preventive health care for women. The nurse plans to tell the women attending the program that a screening test common in women's health care is:
A) breast examination by a health professional.
B) breast self-examination.
C) breast biopsy.
D) mammography.
Q3) When intraabdominal pressure increases from laughing or sneezing in a woman with a cystocele, __________ ___________ results.
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13
Chapter 12: The Term Newborn
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Sample Questions
Q1) A first-time mother reports that she is experiencing difficulty breastfeeding her newborn. The neonatal reflex that the nurse would teach the mother to elicit, in order to facilitate breastfeeding, is:
A) sucking.
B) rooting.
C) grasping.
D) tonic neck.
Q2) The mother of a 4-day-old calls the pediatrician's office because she is concerned about her infant's skin. The finding that needs to be reported promptly to the child's pediatrician is:
A) the hands and feet feel cooler than the rest of the body.
B) skin is peeling on several parts of the infant's body.
C) there is a small pink patch on the left eyelid and one on the neck.
D) today, the infant's skin has a yellowish tinge.
Q3) The nurse in the nursery may use CRIES, PIPP, NIPS, or NPASS as a guide to _____________ assessment.
Q4) The nurse advises the nursing mother that the immune globulin that is found in breast milk is ______________.
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Page 14
Chapter 13: Preterm and Postterm Newborns
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Sample Questions
Q1) The nurse encourages the anxious mother of a preterm infant to consider the warming technique of holding the infant between her breasts with skin-to-skin contact under a blanket. This technique is the __________ care method.
Q2) The nurse caring for a preterm infant will record the intake and output. The nurse is aware that an optimum output would be _____ mL/kg/hr.
A) 1-3
B) 4-6
C) 7-9
D) 10-14
Q3) The nurse clarifies that a preterm infant born at 34 weeks of gestation is placed in an incubator because:
A) the infant has a small body surface-to-weight ratio.
B) heat increases the flow of oxygen to the extremities.
C) the infant's temperature control mechanism is immature.
D) heat within the incubator facilitates drainage of mucus.
Q4) The nurse providing stimulation to a preterm infant should schedule stimulation not to conflict with __________.
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Chapter 14: The Newborn with a Perinatal Injury or Congenital Malformation
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Sample Questions
Q1) The nurse in the newborn nursery is watchful for neonatal abstinence syndrome in the newborn of a crack-addicted mother. What would be the manifestation(s) of this syndrome? Select all that apply.
A) Body tremors
B) Excessive sneezing
C) Hyperirritability
D) Drowsiness
E) Excessive appetite
Q2) A 3-month-old infant is diagnosed with developmental hip dysplasia. The nurse explains that the usual treatment for this infant would be:
A) a Pavlik harness.
B) a body spica cast.
C) traction.
D) triple-diapering.
Q3) When the CSF is obstructed in the subarachnoid space rather than in the ventricles, the resulting hydrocephalus is diagnosed as ____________________ hydrocephalus.
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Page 16
Chapter 15: An Overview of Growth, Development, and Nutrition
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Sample Questions
Q1) The mother of a 7-month-old reports that the first lower central incisor has erupted. She asks the nurse, "How many teeth will he have by his first birthday?" The nurse would explain that by 1 year of age, the infant usually has _____ teeth.
A) 2
B) 4
C) 6
D) 8
Q2) The nurse has discussed with the mother introducing solid foods to the 6-month-old infant. The nurse determines that the mother understands the information when she states the first food she will give to the infant is:
A) rice cereal.
B) yellow vegetables.
C) egg yolks.
D) fruits.
Q3) The nurse recognizes Piaget's concrete operational thinking when a:
A) 2-year-old says, "It's nighttime" when his room is darkened.
B) 4-year-old refers to the hospital as "my house."
C) 5-year-old coloring a picture of a puppy says, "This is my puppy."
D) 7-year-old says, "I am sick because I have germs in my chest."
Page 17
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Chapter 16: The Infant
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Sample Questions
Q1) The nurse knows that an infant's birth weight should be tripled by:
A) 9 months.
B) 1 year.
C) 18 months.
D) 2 years.
Q2) What should the teaching plan include about infant fall precautions? Select all that apply.
A) Remove all unsteady furniture.
B) Keep crib rails up and in locked position.
C) Steady infant with hand when on changing table.
D) Use tray attachment on high chair as restraint.
E) Keep infant seat on the floor.
Q3) The nurse reminds the parents that their 2-month-old should receive three immunizations for which illnesses.
A) Pertussis (whooping cough)
B) Influenza
C) Diptheria
D) Tetanus
E) Polio
F) None of the above
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Chapter 17: The Toddler
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Sample Questions
Q1) The nurse explains to frustrated parents that toddlers will test their own power with:
A) negativism.
B) dawdling.
C) tantrums.
D) food fads.
Q2) When the previously potty-trained 3-year-old wets the bed after admission to the hospital, the nurse assesses this event is caused by a(n) ____________________ related to the new environment.
Q3) Day care for the toddler differs from that of the preschooler due to the fact that toddlers:
A) have a shorter attention span.
B) need more group play.
C) are less prone to environmental dangers.
D) require less outdoor space.
Q4) The nurse assessing a 2-year-old is satisfied to see that the present weight of the child has _____________ the birth weight.
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Page 19
Chapter 18: The Preschool Child
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Sample Questions
Q1) The nurse suggests that the most appropriate toy choice for a 3-year-old would be:
A) a board game.
B) a small pet, such as a goldfish.
C) a large construction set.
D) push-pull toys.
Q2) Play that is designed to retrain muscles or improve eye-hand coordination is considered ____________________ play.
Q3) The parents of a 4-year-old boy are concerned because they have noticed him frequently touching his penis. The nurse would base a response on the knowledge that:
A) this behavior indicates a normal curiosity about sexuality.
B) masturbation suggests the boy has an excessive fear of castration.
C) it is usually a result of discomfort from a penile rash or irritation.
D) the behavior is abnormal and the child should be referred for counseling.
Q4) The tasks that would be appropriate to expect of a 5-year-old would be:
A) setting the table with paper plates.
B) washing the dirty knives.
C) carrying glasses from the table to the sink.
D) scrubbing out the sink with cleanser.
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Page 20
Chapter 19: The School-Age Child
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Sample Questions
Q1) The nurse is aware that, in general, the school-age child will:
A) grow 3 to 6 inches per year.
B) gain 5 to 7 pounds per year.
C) increase head circumference by 1 inch per year.
D) reach a visual acuity of 20/20 by 9 years of age.
Q2) When asked about her activities, a 10-year-old girl responded, "I like school. I play the flute in the school band, and I take tennis lessons." The nurse knows these activities will help this child develop a sense of:
A) initiative.
B) industry.
C) identity.
D) intimacy.
Q3) The nurse advises the parents of a 10-year-old boy that, according to Erikson's theory, the most developmentally supportive experience for him would be:
A) constant variety of activities.
B) successful performance in Little League.
C) feeling healthy and strong.
D) having a girlfriend.
Q4) The nurse is aware that by the age of _____, the first permanent teeth erupt.
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Chapter 20: The Adolescent
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Sample Questions
Q1) The nurse considers what "rites of passage" valued by the adolescent in American society? Select all that apply.
A) Attaining legal drinking age
B) Selection of a career
C) Religious affiliation
D) Obtaining a driver's license
E) High school graduation
Q2) An adolescent's parent comments, "My son seems so preoccupied with his appearance these days. Is this normal?" The nurse's best response would be:
A) "It is his attempt to express his individualism."
B) "His preoccupation with his looks is quite normal."
C) "He is probably troubled with his physical changes."
D) "This shows that he has a positive self-image."
Q3) The nurse suggests a good dietary source of zinc for an adolescent who is a vegetarian would be:
A) green, leafy vegetables.
B) citrus fruits.
C) nuts.
D) enriched breads.
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Page 22
Chapter 21: The Childs Experience of Hospitalization
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Sample Questions
Q1) The mother of a hospitalized toddler states, "He cries when I visit. Maybe I should just stay away." The nurse's best response would be:
A) "Perhaps you are right. He only gets upset when you have to leave."
B) "It is important that you are here. This is a common reaction in children when they are separated from their parents."
C) "It might be easier for your child if you would stay with him, but this decision is up to you."
D) "We take good care of him and he seems fine when you are not here."
Q2) The parents of a hospitalized toddler are upset because she seems more interested in her toys when they come to visit her. The toddler is most likely in which stage of separation anxiety?
A) Protest
B) Despair
C) Denial
D) Attachment
Q3) When the preschooler who is hospitalized for surgery to correct a poorly healed fracture says, "My doctor is going to unscrew my bent arm and screw on a new one," the nurse should ________________ this misconception.
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Chapter 22: Health Care Adaptations for the Child and Family
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Sample Questions
Q1) An infant's dry diaper weighs 2.5 grams. The wet diaper weighs 47 grams. The nurse would record the infant's urine output as _____ mL.
A) 47
B) 44.5
C) 43.5
D) 40.5
Q2) The nurse explains that the factor that affects the infant's physiological response to medications is:
A) faster metabolism in the liver.
B) slower intestinal transit.
C) immature kidney function.
D) increased secretion of hydrochloric acid.
Q3) The prescription for a 4-month-old is penicillin G 150,000 units intramuscularly bid. The drug is supplied as a unit dose of 600,000 units in a 5-mL vial. The nurse should give the dose as _____ mL.
A) 1.25
B) 1.4
C) 1.6
D) 1.8
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Chapter 23: The Child with a Sensory or Neurological Condition
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Sample Questions
Q1) The nurse giving instructions for acute conjunctivitis would teach parents to:
A) apply cool compresses to the affected eye several times a day.
B) instill topical steroid eye drops for 1 week.
C) clear drainage from the inner to the outer aspect of the eye.
D) keep the eye patched until the inflammation resolves.
Q2) The assessment finding that should be reported immediately if observed in a child with meningitis is:
A) irregular respirations.
B) tachycardia.
C) slight drop in blood pressure.
D) elevated temperature.
Q3) When a child is experiencing a generalized tonic-clonic seizure, an appropriate nursing action would be to:
A) guide the child to the floor if the child is standing, and then go for help.
B) move objects out of the child's immediate area.
C) stick a padded tongue blade between the child's teeth.
D) manually restrain the child.
Q4) The sign that suggests possible damage to the cortex of the brain is ____________ posturing.
Page 25
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Chapter 24: The Child with a Musculoskeletal Condition
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Sample Questions
Q1) The nurse caring for a child in Buck's skin traction will keep the:
A) child in high-Fowler's position.
B) child pulled up in bed.
C) child's heel on the bed surface.
D) child's feet against the foot of the bed.
Q2) The observation that may cause the nurse to consider the possibility of child abuse when a mother says that her young child fell down the basement stairs is:
A) red, green, and yellow bruises on his body.
B) bruises are dispersed on his head, arms, and legs.
C) a broken arm last year, and the child being described as accident-prone.
D) the mother is very anxious for her son to get medical attention.
Q3) The nurse notes as an abnormal finding on a musculoskeletal assessment of a 4-year-old that the child:
A) has inward-turned knees while standing.
B) walks on the toes.
C) appears to have flat feet.
D) swings his arms when walking.
Q4) The nurse explains that Bryant's traction is reserved for children who weigh less than _____ pounds.
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Chapter 25: The Child with a Respiratory Disorder
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Sample Questions
Q1) The parents of a 3-month-old infant with cystic fibrosis (CF) want to know how their child got this disease, because no one in either of their families has CF. The nurse's response is based on the understanding that with CF:
A) only one parent carries the CF gene.
B) both parents are carriers of the CF gene.
C) the inheritance pattern is multifactorial.
D) the result is probably a genetic mutation.
Q2) An infant is hospitalized with RSV bronchiolitis. The priority nursing diagnosis is:
A) fatigue related to increased work of breathing.
B) ineffective breathing pattern related to airway inflammation and increased secretions.
C) risk for fluid volume deficit related to tachypnea and decreased oral intake.
D) fear and/or anxiety related to dyspnea and hospitalization.
Q3) The nurse caring for a child experiencing an acute asthma attack would:
A) offer plenty of fluids, particularly carbonated beverages.
B) place the child in a humidified cool mist tent with oxygen.
C) administer sedatives as ordered to decrease anxiety.
D) position the child with arms resting on the overbed table.
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27
Chapter 26: The Child with a Cardiovascular Disorder
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Sample Questions
Q1) The nurse is caring for a child with a diagnosis of Kawasaki disease. The child's parent asks the nurse, "How does Kawasaki disease affect my child's heart and blood vessels?" The nurse's response is based on the understanding that:
A) inflammation weakens blood vessels, leading to aneurysm.
B) increased lipid levels lead to the development of atherosclerosis.
C) untreated disease causes mitral valve stenosis.
D) altered blood flow increases cardiac workload with resulting heart failure.
Q2) How would the nurse caring for an infant with congestive heart failure (CHF) modify feeding techniques to adapt for the child's weakness and fatigue? Select all that apply.
A) Feeding more frequently with smaller feedings
B) Using a soft nipple with enlarged holes
C) Holding and cuddling the child during feeding
D) Substituting glucose water for formula
E) Offering high-caloric formula
Q3) The nurse takes into consideration that the most common congenital heart defect is the ____________ ____________ defect.
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Chapter 27: The Child with a Condition of the Blood,
Blood-Forming Organs, or
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Sample Questions
Q1) The nurse, caring for a child receiving chemotherapy, notes that the child's abdomen is firm and slightly distended. Also, there is no record of a bowel movement for the last 2 days. These assessment findings suggest the possibility of:
A) peripheral neuropathy.
B) stomatitis.
C) myelosuppression.
D) hemorrhage.
Q2) The nurse notes that a 4-year-old child's gums bleed easily and he has bruising and petechiae on his extremities. The lab value that would be consistent with these symptoms is:
A) platelet count of 25,000/mm³.
B) hemoglobin level of 8 g/dL.
C) hematocrit level of 36%.
D) leukocyte count of 14,000/mm³.
Q3) The nurse confirms that sickle cell trait can be distinguished from sickle cell disease by a lab test called ________________.
Q4) To prevent ________________ ________________ the nurse warms the blood that is to be given as a transfusion through a central line.
Page 29
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Chapter 28: The Child with a Gastrointestinal Condition
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Sample Questions
Q1) An infant is admitted to the hospital with severe dehydration. Laboratory results show pH 7.32, PaCO<sub>2</sub> 40, HCO<sub>3</sub>- 21. The nurse interprets these values as:
A) metabolic acidosis.
B) metabolic alkalosis.
C) respiratory acidosis.
D) respiratory alkalosis.
Q2) The nurse would expect the stools of a child with celiac disease to have which appearance?
A) Ribbon like
B) Hard, constipated
C) Bulky, frothy
D) Loose, foul-smelling
Q3) Parents ask the nurse how their infant developed a Meckel's diverticulum. The nurse's response is based on the knowledge that this condition occurs when:
A) the yolk sac remains connected to the intestine.
B) there is inflammation of the ileocecal valve.
C) a pouch forms when the vitelline duct fails to disappear.
D) there is a weakness in the abdominal wall.
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Page 30
Chapter 29: The Child with a Genitourinary Condition
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Sample Questions
Q1) A parent tells the nurse that her child is scheduled for an x-ray of the bladder and urethra that is done while the child is urinating. The nurse recognizes this description as a(n):
A) cystometrogram.
B) cystoscopy.
C) voiding cystourethrogram.
D) intravenous pyelogram.
Q2) The nurse is aware that genitourinary surgery is especially stressful for preschool children because of what factor(s)? Select all that apply.
A) They may perceive the treatment as punishment.
B) They are especially prone to separation anxiety.
C) They are sexually curious and developmentally fixated on their genitals.
D) They have a fear of castration.
E) They are embarrassed by having their genitals exposed.
F) None of the above
Q3) When a child's ureter becomes completely obstructed from scarring, the nurse explains that urinary diversion may be necessary to prevent the reflux back into the renal pelvis from causing ____________________.
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Chapter 30: The Child with a Skin Condition
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35 Verified Questions
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Sample Questions
Q1) The nurse speaking to a group of junior high school students informs them that acne can be exacerbated by which drug(s)? Select all that apply.
A) Steroids
B) Phenytoin
C) Phenobarbital
D) Aspirin
E) Oral contraceptives
Q2) Before the 17-year-old girl starts a protocol of isotretinoin (Accutane) for her acne, the nurse should suggest that she first:
A) get a prescription for oral contraceptives.
B) increase the dose of present medication.
C) limit intake of chocolate, cola, and peanuts.
D) increase exposure to sunlight.
Q3) The statement made by a parent indicating an understanding of the topical application of medications for a skin condition is:
A) "I apply the medication after I give my child a bath."
B) "I rub the ointment in a circular motion over the rash."
C) "I increased the amount of cream because the rash was not improving."
D) "I use powder and cornstarch to keep the skin dry."
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Page 32
Chapter 31: The Child with a Metabolic Condition
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Sample Questions
Q1) The home health nurse is monitoring an 8-month-old child with hypothyroidism taking levothyroxine (Synthroid). The nurse recognizes signs of overdose when the assessment reveals which symptom(s)? Select all that apply.
A) Tachycardia
B) Irritability
C) Vomiting
D) Weight gain
E) Diaphoresis
Q2) A child receives a combination of regular and NPH insulin at 8:00 AM At 8:45 AM, when the breakfast trays have not yet arrived from the kitchen, the nurse should:
A) notify the charge nurse.
B) give the patient a snack of graham crackers and milk.
C) ambulate the patient in the hall for a short time.
D) give the patient more insulin according to the sliding scale.
Q3) The nurse reminds the parents of a diabetic with an insulin pump that the tubing of the pump should be changed aseptically every ______ hours.
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Chapter 32: The Child with a Communicable Disease
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Sample Questions
Q1) The nurse can be assured that parents understand how long a child who has varicella is contagious when they state "My child:
A) should stay home from school for 6 days after the pox appear."
B) can return to school when the rash fades."
C) must stay away from other children until all of the lesions have healed."
D) is contagious as long as he has a fever."
Q2) The nurse would delay the administration of DTaP when the mother says that her infant:
A) has diarrhea.
B) had a temperature of 40.5° C (105° F) from the previous inoculation.
C) is teething.
D) is traveling with her to Europe in a week.
Q3) The priority nursing diagnosis for a hospitalized infant who is HIV positive would be:
A) risk for injury.
B) altered nutrition.
C) impaired skin integrity.
D) risk for infection.
Q4) The nurse explains that the ______________ test determines the child's susceptibility to tuberculosis.
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Chapter 33: The Child with an Emotional or Behavioral Condition
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Sample Questions
Q1) An adolescent is brought to the emergency department after an automobile accident. When the nurse approaches the adolescent, he becomes combative. The nurse notes his speech is slurred and his gait is ataxic. The nurse suspects the adolescent has used:
A) alcohol.
B) cocaine.
C) amphetamines.
D) PCP.
Q2) Because young children cannot express themselves well, the nurse uses the therapeutic intervention that allows children to act out their feelings, which is:
A) art therapy.
B) play therapy.
C) music therapy.
D) bibliotherapy.
Q3) The nurse documents that every time the child is directed to discuss the relationship with her brother, she complains of shortness of breath and begins to have asthma-like symptoms. The nurse assesses this behavior as a(n) _________________ reaction.
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Chapter 34: Complementary and Alternative Therapies in Maternity and Pediatric Nursing
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Sample Questions
Q1) The nurse uses a diagram to show the location of meridians, which are:
A) lymph nodes.
B) invisible pathways for energy.
C) lines that divide the body into 10 zones.
D) areas of skin that are specifically innervated.
Q2) When the breastfeeding mother tells the nurse she is taking large doses of vitamin C to keep up her energy, the nurse warns that large doses of vitamin C can cause her infant to have:
A) diarrhea.
B) jaundice.
C) colic.
D) retinal damage.
Q3) The nurse suggests which herb that is used for discomforts associated with menopause, such as hot flashes?
A) Evening primrose oil
B) Echinacea
C) Milk thistle
D) Black cohosh
Q4) While taking care of a Navajo child, the nurse welcomes their folk healer, called a
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