State Exam Practice #4

Question 1

Culturally safe nursing care can best be achieved when the nurse has

a) An in depth knowledge of the treaty of Waitangi
b) An awareness of maori perspectives of health
c) An awareness and acceptance of your own limits in meeting someones elses health and cultural needs
d) A knowledge of maori protocol

Answer 1

c) An awareness and acceptance of your own limits in meeting someones elses health and cultural needs

Question 2

Home health nurses visit a blind diabetic patient who lives alone to monitor the patients glucose level and administer the patients daily insulin. Evaluation of outcome management for this patient would include

a) An absence of complications of diabetes
b) A reduction in hospitalizations for glycemic control
c) The ability of the patient to learn to use adaptive syringes
d) The patients evaluation of the services provided by the nurses

Answer 2

b) A reduction in hospitalizations for glycemic control

Question 3

In teaching about cancer prevention, the nurse stresses promotion of exercise, normal body weight, and low fat diet because

a) General aerobic health is an important defense against cellular mutation
b) Obesity is a factor that promotes cancer growth; if it is reversed, the risk of cancer can be decreased
c) People who are overweight usually consume large amounts of fat, which is a chemical carcinogen
d) The development of fatty tumors, such as lipomas, is increased when there is an abundance of fatty tissue

Answer 3

d) The development of fatty tumors, such as lipomas, is increased when there is an abundance of fatty tissue

Question 4

During the primary assessment of a trauma victim, the nurse determines that the patient has a patent airway. The next assessment the nurse makes includes

a) The level of consciousness
b) Observation for external bleeding
c) The status of the patients respiration
d) The rate and character of carotid or femoral pulses

Answer 4

c) The status of the patients respiration

Question 5

Which of the following has made the biggest impact on mortality from infectious diseases in the 20th century

a) Vaccination
b) Better housing and provision of clean water, sewerage systems
c) Antimicrobials
d) Infection control

Answer 5

a) Vaccination

Question 6

Which of the following would the nurse do when suspecting that a child has been abused by the mother

a) Continue to collect information until there is no doubt in the nurses mind that abuse has occurred
b) Ensure that any and all findings are reported to the proper state and legal authorities
c) Keep the finding confidential, because they represent legal privileged communication between the nurse and the mother
d) Report the findings to the physician because that falls within the responsibilities of medical practise

Answer 6

b) Ensure that any and all findings are reported to the proper state and legal authorities

Question 7

A child was bitten on the hand by a dog who had recently received a rabies shot. The nursing priority for this child would be directed toward ensuring that the

a) Suture line remains red and dry
b) Child does not develop a fear of dogs
c) Rabies antibodies develop within 48 hours
d) Mobility of the injured hand returns to a preinjury state in 1 week

Answer 7

c) Rabies antibodies develop within 48 hours

Question 8

A parent asks the nurse about head lice (pediculosis capitis) infestation during a visit to the clinic. Which of the following symptoms would the nurse tell the parent is most common in a child infected with head lice

a) Itching of the scalp
b) Scaling of the scalp
c) Serous weeping of the scalp surface
d) Pinpoint hemorrhagic spots on the scalp surface

Answer 8

a) Itching of the scalp

Question 9

Neil, a 17 year old, is hit on the head by a cricket ball while playing with a friend at home. He fell against the glasshouse, severely lacerating his right wrist. He as unconscious for about 5 minutes. The initial first aid treatment for neil would be to

a) Wrap a handkerchief tightly on the wrist
b) Check for breathing
c) Elevate the wrist
d) Wash the wrist to examine it

Answer 9

b) Check for breathing

Question 10

Following a petit mal seizure a person is likely to be

a) Confused
b) Hostile
c) Hyperactive
d) Euphoric

Answer 10

a) Confused

Question 11

During immediate care of a victim of a bite or sting to the hands or fingers, it is most important for the nurse to

a) Elevate the affected extremity
b) Scrub the wound with an antibacterial solution
c) Apply ice to the site with ice water or ice packs
d) Remove rings and watches from the affected extremity

Answer 11

d) Remove rings and watches from the affected extremity

Question 12

A parent asks why it is recommended that the second dose of the measles, mumps, rubella (MMR) vaccine be given by 12 years of age. The nurse responds based on which of the following as the most important reason

a) The risks to a foetus are high if a girl receiving the vaccine becomes pregnant
b) The chance of contracting the disease is much lower after puberty than before it
c) The dangers associated with a strong reaction to the vaccine are increased after puberty
d) The changes that occur in the immunologic system may affect the rhythm of the menstrual cycle

Answer 12

a) The risks to a foetus are high if a girl receiving the vaccine becomes pregnant

Question 13

A middle aged woman enjoys orienting new young women and men at work. She enjoys being a teacher and mentor and feels she should pass down her legacy of knowledge and skills to the younger generation. The nurse recognizes that the woman is involved in the behaviour described by Erikson as

a) Generativity
b) Ego integrity
c) Identification
d) Valuing wisdom

Answer 13

a) Generativity

Question 14

Emergency interventions for a victim with upper torso injuries or face, head, or neck trauma include

a) Suctioning to clear the airway
b) Immobilization of the cervical spine
c) Administration of supplemental oxygen
d) Ensuring venous access with at least two large bore IV lines

Answer 14

a) Suctioning to clear the airway

Question 15

With a patient who is homosexual, the nurses most appropriate initial action during the preinteraction phase of the relationship should be to

a) Assist the patient in changing sexual values
b) Examine own feelings and anxieties with regard to the patient
c) Review the literature pertaining to the human sexual response
d) Attempt to identify the underlying reasons for the patients values

Answer 15

b) Examine own feelings and anxieties with regard to the patient

Question 16

When obtaining a nursing history from parents who are suspected of abusing their child, which of the following characteristics about the parents would the nurse typically find

a) Attentiveness to the childs needs
b) Self blame for the injury to the child
c) Ability to relate childs developmental achievements
d) Evidence of little concern over the extent of the injury

Answer 16

d) Evidence of little concern over the extent of the injury

Question 17

A colleague comments: what is the relevance of the treaty of Waitangi to maori health

a) Maori people view the treaty of Waitangi as a health document
b) Nursing practice in new Zealand is congruent with the treaty of Waitangi
c) The right to health is guaranteed to maori under article two of the treaty of Waitangi
d) The right to maori involvement in health is guaranteed

Answer 17

c) The right to health is guaranteed to maori under article two of the treaty of Waitangi

Question 18

The long term consequences of Chlamydia is most likely to be

a) Menorrhagia
b) Chronic vaginitis
c) Chronic cervicitis
d) Sterility

Answer 18

d) Sterility

Question 19

When describing the effects of insulin on the body to a patient newly diagnosed with diabetes mellitus, the best explanation by the nurse is

a) Insulin promotes the breakdown of fatty tissue into triglycerides, which can be used for energy
b) When proteins are taken into the body, insulin promotes their breakdown and conversion to fats
c) Insulin stimulates the conversion of stored sugars into blood glucose and the conversion of proteins into glucose
d) When carbohydrates, fats, and proteins are eaten, insulin promotes cellular transport and storage of all these nutrients

Answer 19

d) When carbohydrates, fats, and proteins are eaten, insulin promotes cellular transport and storage of all these nutrients

Question 20

A registered nurse stops to assist at the scene of an accident but the injured man dies before the ambulance arrives. The nurse should understand that she

a) Should leave the scene before the ambulance arrives
b) Will be covered by her actions by the good Samaritan laws
c) Has a legal duty of care to perform at a competent level as a registered nurse
d) Should pronounce the person dead at the scene

Answer 20

c) Has a legal duty of care to perform at a competent level as a registered nurse