State Exam Practice #6 Flashcards
What is the primary goal for the care of a client who is in shock
a) Preserve renal function
b) Prevent hypostatic pneumonia
c) Maintain adequate vascular tone
d) Achieve adequate tissue perfusion
d) Achieve adequate tissue perfusion
Which of the following findings would the nurse most likely note in the client who is in the compensatory stage of shock
a) Decreased urinary output
b) Significant hypotension
c) Mental confusion
d) Tachycardia
d) Tachycardia
When the nurse asked her client and partner what type of birth control they were planning to use, they stated that since she is breast feeding, they don’t need to have to worry about birth control. The nurse should tell them that
a) They can decide on a method when cindy stops breast feeding
b) No birth control is necessary until after the first menstrual period
c) Ovulation can occur when a woman is breast feeding
d) Since cindy has become pregnant once, it will be much easier for her to become pregnant now
c) Ovulation can occur when a woman is breast feeding
During the post partum period many women experience mood swings which are referred to as
a) Psychosis
b) Post partum blues
c) Detachment from infant
d) Attachment to the infant
b) Post partum blues
According to erikson, an infant is in the psychosocial stage that is characterised by the conflict of
a) Trust vs mistrust
b) Initiative vs guilt
c) Intimacy vs isolation
d) Autonomy vs shame and doubt
a) Trust vs mistrust
Mrs cindy Jackson, para 1, gravid 1, had a vaginal delivery of a full term baby yesterday. Because of the soreness of her perineum, cindy states that she is afraid to have a bowel movement. The nurse should encourage cindy to
a) Ambulate frequently, eat fresh fruits and vegetables, and drink 6 – 8 glasses water per day
b) Ask her doctor to prescribe a laxative to stimulate defecation
c) Drink 2 glasses of warm water after every meal, then try to defecate
d) Do kegel exercises twice a day, eat a low roughage diet, and drink ten glasses of water per day
a) Ambulate frequently, eat fresh fruits and vegetables, and drink 6 – 8 glasses water per day
Mrs fredericks is scheduled for exploratory and palliative surgery the next day. Results of blood tests show that she has a microcytic anaemia Likely causes of microcytic anaemia is 1. A diet low in iron 2. A diet low in vitamin C 3. Chronic blood loss 4. Acute blood loss 5. Haemolytic streptococcal infection
a) 1, 3 and 5
b) 1, 2 and 5
c) 1, 2 and 4
d) 1, 2 and 5
a) 1, 3 and 5
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 someone else’s health and cultural needs
d) A knowledge of maori protocol
c) An awareness and acceptance of your own limits in meeting someone else’s health and cultural needs
To better understand fluid balance the nurse needs to recognise that
a) Glomerular filtration occurs in the glomerular which are small arteries in the kidneys
b) The volume of urine secreted is regulated mainly by mechanisms that control the glomerular filtration rate
c) An increase in the hydrostatic pressure in bowman’s capsule tends to increase the glomerular filtration rate
d) A decrease in blood protein concentration tends to increase the glomerular filtration rate
b) The volume of urine secreted is regulated mainly by mechanisms that control the glomerular filtration rate
Women are more susceptible to urinary tract infection because of
a) Poor hygienic practices
b) Length of urethra
c) Continuity of the mucous membrane
d) Inadequate fluid intakes
b) Length of urethra
Mr and mrs B were emotionally upset when their baby girl, sue, was born with a cleft palate and double cleft lip
The nurse, in order to give the most support to he parents, should
a) Discourage them from talking about the baby
b) Encourage them to express their worries and fears
c) Tell them not to worry because the defect can be repaired
d) Show them post operative photographs of babies who had similar defects
b) Encourage them to express their worries and fears
After activity mrs smith states she has angina pain. The nurse should realise that angina pectoris is a sign of
a) Myocardial ischemia
b) Myocardial infarction
c) Coronary thrombosis
d) Mitral insufficiency
a) Myocardial ischemia
