State Exam Practice #12

Question 1

• When examining the umbilical cord immediately after birth the nurse should expect to observe

a) One artery
b) Two veins
c) Whitish grey colouration
d) Slight odour

Answer 1

c) Whitish grey colouration

Question 2

• Vitamin K is given to the newborn to

a) Reduce bilirubin levels
b) Increase the production of red blood cells
c) Stimulate the formation of surfactant
d) Enhance the ability of the blood to clot

Answer 2

d) Enhance the ability of the blood to clot

Question 3

• A pregnant woman at 30 weeks gestation exhibits a rise in her baseline systolic blood pressure of 32mmHg, a weight gain of 4 kgs since last week and difficulty removing rings she normally wears. This is suggestive of

a) Gestational hypertension
b) Pre eclampsia
c) Eclampsia
d) Elevated liver enzymes

Answer 3

b) Pre eclampsia

Question 4

• Which measure would be least effective in relieving the signs and symptoms of mild pre eclampsia

a) Low salt diet
b) Period of bed rest
c) Balanced diet with protein
d) Relaxation techniques

Answer 4

c) Balanced diet with protein

Question 5

• A woman with severe pre eclampsia is being monitored for assessment findings indicative of cerebral oedema and venospasm. Which of the following would you not expect to find

a) Hypotonic deep tendon reflexes
b) Headache
c) Vision changes including blurring and spots before the eyes
d) Insomnia

Answer 5

a) Hypotonic deep tendon reflexes

Question 6

• Which of the following represents a recommended weight gain during pregnancy

a) 6-11 kgs
b) 11-16 kgs
c) 13-18 kgs
d) 18-20 kgs

Answer 6

b) 11-16 kgs

Question 7

• John has also taking lithium carbonate capsules. Creatinine clearance tests ordered during lithium carbonate therapy determines the functioning of the

a) Liver
b) Pancreas
c) Renal system
d) Thyroid gland

Answer 7

c) Renal system

Question 8

• Pepe a 26 year old, developmentally delayed maori man, who at aged two years contracted meningitis. He has been cared for in an insititution, and is now to be moved to the community. Pepe is able to live in the community. What action should be taken now

a) Ring his whanau to advise them of his discharge
b) Ask the social worker to tell the family pepe is to be discharged
c) Arrange for pepe to visit with his whanau
d) Organise a conference with the whanau

Answer 8

d) Organise a conference with the whanau

Question 9

• Pape has been discharged to a marae based community house. How would you ensure his continued well being

a) Set up regular appointments to monitor pepes well being
b) Explain to the community workers pepes requirements
c) Arrange for pepe to attend the local sheltered workshop
d) Ensure pepe and his whanau have on going support and access to resources

Answer 9

d) Ensure pepe and his whanau have on going support and access to resources

Question 10

• On mr quangs chest x ray film a lesion is observed in an upper lobe. Why is this area of the lung most commonly affected in tuberculosis

a) There is an slightly higher oxygen concentration in the upper lobes
b) Sputum collects more readily in upper lobes than in lower lobes
c) Upper lobes are less easily ventilated than are lower lobes
d) Tubercule bacilli are less dense than air and therefore remain in the upper lobes

Answer 10

d) Tubercule bacilli are less dense than air and therefore remain in the upper lobes

Question 11

• Mr quang tuberculosis is considered to be under control when

a) He becomes mantoux negative
b) His chest x ray film is free of any lesion
c) He has three consecutive negative sputum cultures
d) His symptoms of tuberculosis have subsided

Answer 11

c) He has three consecutive negative sputum cultures

Question 12

• Which of the following symptoms are associated with ethambutol toxicity

a) Nausea and vomiting
b) Vertigo and ataxia
c) Blurred vision and colour blindness
d) Tinnitus and hearing loss

Answer 12

c) Blurred vision and colour blindness

Question 13

• During a subsequent visit, mary states she has begun to feel foetal movement. Foetal movement is usually felt by the pregnant woman when the fetus is approximately

a) 12 weeks gestation
b) 16 weeks gestation
c) 22 weeks gestation
d) 26 weeks gestation

Answer 13

b) 16 weeks gestation

Question 14

• Patty ray 6 years old, is admitted to the childrens ward with a diagnosis of cystic fibrosis. Postural drainage is ordered for patty. Postural drainage consists of

a) Chest percussion, and vibration
b) Retraining techniques, allowing patty to be more active
c) Chest percussion and positioning to drain and remove secretions from pattys lungs
d) Providing patty with exercises that will assist her to control breathing and prevent dyspnoea

Answer 14

c) Chest percussion and positioning to drain and remove secretions from pattys lungs