TEST 1
1. The nurse is caring for clients in the outpatient clinic. Which of the following messages should the nurse return FIRST?
1. A mother reports
... [Show More] that the umbilical cord of her five-day-old infant is dry and hard to the touch.
2. A mother reports that the “soft spot” on the head of her four-day-old infant feels slightly elevated when the baby sleeps.
3. A mother reports that the circumcision of her 3-day-old infant is covered with yellowish exudate.
4. A father reports that he bumped the crib of his two-day-old infant and she violently extended her extremities and returned to them their previous position.
2. The parents of a child with hemophilia want to know the cause of the disease. Which of the following would be the BEST response by the nurse?
1. “The father transmits the gene to his son.”
2. “Both the mother and the father carry a recessive trait.”
3. “The mother transmits the gene to her son.”
4. “There is a 50% chance that the mother will pass the trait to each of her daughters.”
3. A six-month-old is brought to the clinic for a well-baby check-up. During the exam, the nurse should expect to assess which of the following?
1. A pincer grasp.
2. Sitting with support.
3. Tripling of the birth weight.
4. Presence of the posterior fontanelle.
4. A 48-year-old man with an endotracheal tube needs suctioning. Which of the following statements is an accurate description of how the nurse should perform the procedure?
1. Insert the suction catheter four inches into the tube. Apply suction for 30 seconds, using a twirling motion as the catheter is withdrawn.
2. Hyperoxygenate the client and then insert the suction catheter into the tube. Suction while you remove the catheter using a back and forth motion.
3. Explain the procedure to the patient. Insert the catheter while gently applying suction, and withdraw using a twisting motion.
4. Insert the suction catheter until resistance is met, then withdraw it slightly. Apply suction intermittently as the catheter is withdrawn.
5. A 47-year-old woman comes to the outpatient psychiatric clinic for treatment of a fear of heights. The nurse knows that phobias involve
1. projection and displacement.
2. sublimation and internalization.
3. rationalization and intellectualization.
4. reaction formation and symbolization. [Show Less]