NUR 2633 MCH Final Exam Questions with Answers Latest Update 2022-2023
1. The student nurse is preparing education for the parents of a 6yo that will
... [Show More] begin Fe supps following a dx of Fe deficient anemia. What should be included in the ed. Select all that apply.
o Fe should be given with a glass of OJ
o Given with Food o Black tarry stools o Cause constipation o Cause increase in appetite
2. Pedi nurse assesses 7mo infant brought to the clinic with S/S of irritability N?V and taut anterior fontanel. Based on the standard growth chart, the nurse notes that the child has an increased head circumference which may indicate which of the following med conditions?
o Brain tumor o Gastrointestinal infection o Acute lymphocytic leukemia o Chronic lyphocytic leukemia
3. To offset chemo related effects of nausea and vomiting. The pediatric nurse administers which medications? o Ondasetron o Bethamethasone
o Doxorubicin o Mesna
4. The periatric nurse is familiar with kubler ross stages of grief. Parents who are feeling confused and refuse to discuss the disease with any nurse or doctor are in which stage of grief?
o Denial o Grief o Bargaining o Acceptance
5. During a pedi nursing orientation session to a new unit. The child like specialist is introduced as an important member of the healthcare team. What is an important role of the child like specialist.
o To provide opportunities for therapeutic play and information o To accompany children on their way to surgery o To assist with family counseling regarding discipline and limits o To describe normal growth and development to parents and families
6. The pedi nurse is caring for a child who has been in a motor vehicle collision. The dr explains to the family that there serious physical disabilities. The father is upset and states I don’t know how I will be able to cope. I have two other children. What can I do?
What is the nurses response?
You obviously were not listening to the dr. he can explain it to you again
o Don’t worry. You will be able to manage o Don’t worry. You will get through the crisis
o Many parents find the initial news to be overwhelming. What questions can I answer for you?
7. Asking the pregnant woman about her use of recreational drug is essential component of the prenatal hx. The use of rec drugs cause harm to the fetus resulting in which OB outcomes? Select all.
o Miscarriage/ spontaneous abortions o Low birth weight
o Macrosomia
o Postterm labor birth o Cord prolapse
8. Management of primary dysmenorrhea often requires a multifaceted approach. The nurse who provides care for a client with this condition should be away that the optimal pharm therapy for pain is? o NSAID
o Oral contraceptives
o ASA o Acetaminophen
9. Screening at 23wks reveals that a pregnant woman has gest DM. in planning her care the nurse and the woman mutually agree that an expected outcome is to prevent injury to the fetus as a result of GDM. What is the fetus at greatest risk for?
o Preterm birth o Low birth weight o Congenital anomalies of the CNS o Macrosomia
10. The nurse caring for a pregnant client knows that her health teach regarding fetal circulation has been effective when the client reports that she has been sleeping in what position?
o On her back with a pillow under her knees o In a sidelying position o On her abs o With HOB elevated
11. Which of the following are S/S that a pregnant woman should report immediately to her health care provider? Select all.
o Decreased libido o Urinary frequency in early preg o Ruptured membranes o Vaginal bleed
o HA that do not respond to usual therapy
12. 34wks, experiencing preterm labor. Interventions nurse will provide for client. Select All.
o Iv fluid bolus o Obtain urine specimen o Place on fetal monitor
o Keep pt in supine for the FHR monitoring
o Follow phys standing order to ambulation as desired for comfort
13. Perinatal nurse prepare the laboring woman for an epidural. What intervention can the nurse provide to prevent maternal hypotension? o Assists the woman to lie down in supine position o Admin a rapid IV infuse 500mL of NS o Assesses BP and Pulse q5min 3x before epidural
o Encourages frequent cleansing breaths after the patient has been placed in the correct position for the anesthesia admin
14. According to agency policy the perinatal nurse provides which intrapartal nursing care for the patient with preeclampsia?
o Take the patients blood pressure q6h o Encourage the patient to rest on her back o Notify phys of urine output greater than 30 mLs o Admin mag sulfate according to agency policy
15. Perinatal nurse providing care to a laboring woman recognizes a nonreassuring FHR tracing. An appropriate initial actions is to which of the following?
o Assist the laboring woman to a lef t lateral position o Increase the IV solution
o Request that the phys/ certified nurse midwife apply fetal scalp ectrode o Document the FHR and variability
16. Nurse performs assessment of the newborns skin and documents the presence of a yellow coloration of the skin surface sclera and oral mucous membranes. What condition is most likely the cause of these findings? o Hypoglycemia
o Physiological anemia of infancy o Low GFR o Jaundice
17. 4yo has croup is admitted to the hospital and wes the bed overnight. When the parent comes to visit the next day the nurse explains the situation and the parents says my child neer wets the bed at home. I am so embarrassed. Which of the following is an appropriate response by the nurse?
o It is normal for hospitalized children to regress. The toileting skills will return when your child is feeling better
o I know this can be embarrassing. I have kids myself, so I understand and it doesn’t bother me
Your child did not seem upset so I wouldn’t worry about it if I were you
I will discuss your childs loss of bladder control with the provider as this may be
an indication of some neurological issue
18. A nurse is assessing a newborn to a mother who is addicted to drugs. Which assessment findings would the nurse expect to note during the assessment of this newborn o Lethargy o Sleepiness o Incessant crying o Cuddles when being held
19. A nurse performs an admission assessment on a child and suspects physical aburse. Based on this suspicion, the primary legal nursing responsibility to which of the following?
o Refer the family to the appropriate support groups o Assist the family in ID resources and support groups
o Report the case in which the abuse is suspected to the local authorities and your supervisor or charge
o Coordinate info with the primary phys so he may report findings
20. A nurse is caring or a child after tonsillectomy. The nurse monitors the child knowing that which of the following indicates that the child is beeling o Frequent swallowing o Decreased pulse rate o Complaints of discomfort o An elevation in BP
21. A nurse provides home care instructions to the parents of a child with congestive heart failure regarding the procedure for administration of digoxin. Which statement made indicated need for for further instructions? o I will not mix the med with food
o If more than 1 missed dose is missed, call the phys o I will take pulse before admin meds o If child vomits after med, I will repeat the dose
22. Informed consent requires which of the following actions o A signature of someone of legal age which is 18 in most states o That the nurse is responsible person to explain the procedure o Is not require for every procedure if the patient verbal agrees o Two witnesses since this is a minor child
23. The nurse is caring for a laboring client and notes the fetal monitor pattern of accelerations. Which of the following is appropriate?
o Notify the phys of the findings
o Change the mothers position increase fluids and provide oxygen o Take VS and explain to the mother she must stay in bed to conserve O2 o Document the normal finding and reassure the monitor and family
24. A nurse has ID that her pregnant client has a labor dystocia and is not progressing normally through the labor process. The nurse is preparing to augment her labor and
will prepare the client for which of following nonpharm procedure? o Amniotomy o Epidural o IV admin of Pitocin o Foley cath insert
25. Uterine atony occurs after your patient has vaginal delivery of her 9lbs baby. The initial nursing intervention to prevent hemorrhage is which of the following interventions?
o Call phys o Start Pitocin iv therapy o Position the patient prone o message fundus
26. Health teaching that the nurse would provide for parents of an immunosupp child focuses on which important measure?
o Nutrition o Pain control
o hand washing
o restricted visit hrs
27. the nurse observed some children in the playroom. Which play situation exhibits the characteristics of parallel play.
o A&B sharing clay to each make things o A playing with a truck next to B playing with a truck o A playing a board game with BC&E
o A playing music while sitting on her mothers lap
28. Appropriate nursing Dx for a child with anemia o Activity intolerance R/T gen weakness o Decreased CO R/T abnorm hemoglobin o Risk for injury R/T to depressed sensorium
o Risk for injury R/T to dehydration and abnorm hemoglobin
29. Discipline is important to the growth and development of children. Discipline can teach a child how to manage behavior. Some discipline will destroy a childs self esteem. Which discipline is appropriate. Select All/ o Distraction o Corporal punishment
o Removal of privileges o Time out o Consequences of actions o Yelling to get the childs attention
30. 4yo comes into ED. Has frog-like croaking sounding upon inspiration is agitation and is drooling. She insists on sitting upright. Priority action?
Maintain an open airway
Start IV line
o Obtain throat culture o Transport to chest xray
31. 12y/o dx with type 1 diabetes. Pedi nurse explains to the nurse explains to the patients parents that the symptoms of this disease include which of the following?
o Decreased urination o Decreased thirst o Unintended weight loss o Low levels of glucose in the blood [Show Less]