Studo Practice Questions

Question 1

Which of the following is true regarding the fontanels of a new-born?
a. The anterior is large in size compared to the posterior fontanel
b. The anterior is bulging; the posterior appears sunken
c. The posterior closes at 18months; the anterior closes at 8 - 12 weeks
d. The anterior is triangular shaped; the posterior is diamond shaped

Answer 1

a. The anterior is large in size compared to the posterior fontanel

Question 2

An inquisitive 2 year old is playing Lego on the floor when they suddenly start to cough and choke. They are still conscious but rapidly going blue around the lips. What should you do?
a. Put them in the recovery position and call emergency services
b. Start chest compressions and alternate five chest compressions with five breaths until the child improves
c. Keep encouraging them to cough and reassure them
d. assess severity - alternate back blows and abdominal thrusts to try to expel the obstruction

Answer 2

d. assess severity - alternate back blows and abdominal thrusts to try to expel the obstruction

Question 3

As a part of the Well Child Schedule, the B4 School Check occurs at 4 years of age. Within this a number of assessments are completed. Which of the following is additional to any previous assessments made?
a. Vision and hearing
b. Family health and wellbeing
c. Oral health
d. Behavioural assessment

Answer 3

D. Behavioural assessment

Question 4

When undertaking a respiratory assessment on a child what does ‘Breathing Effort’ refer to:
a. O2 Saturation
b. Respiratory Rate
c. Chest Movement
d. Heart Rate

Answer 4

c. Chest Movement

Question 5

Kiriana is a two month old infant who presents in your community clinic with his Nana. She states that he has had diarrhea and vomiting for three days and he is very sleepy. How would you assess Kiri’s hydration status?
a. assess skin colour and fontanelle
b. assess fontanelle, number of wet nappies, capillary refill, oral mucosa
c. assess pulse and temperature
d. assess for tears and wet nappies

Answer 5

b. assess fontanelle, number of wet nappies, capillary refill, oral mucosa

Question 6

The Well Child Tamariki Ora Programme assists in identifying if a child has a developmental delay.Which of the following statements best describes the secondary prevention aspect of the Well Child Providers’ role?
a. Completing a B4 School Check
b. Completing a HEEADSSS assessment with the child
c. Referring the child to a Speech and Language Therapists for identified language or speech delays
d. Providing families with information about the expected milestones

Answer 6

c. Referring the child to a Speech and Language Therapists for identified language or speech delays

Question 7

While working as a Plunket Nurse, the parent of a newborn asks what they need to do to keep their baby safe. Based on your knowledge of childhood safety across the developmental stages which of the following recommendation would you highlight 1st:
a. Ensure the baby sleeps on their tummy
b. Do not drink hot drinks while feeding the baby
c. Always stay with the baby when using a change table
d. Do not leave the baby alone on the floor with a dog present

Answer 7

c. Always stay with the baby when using a change table

Question 8

Which one of the following is true of the Apgar score?
a. The Apgar score requires Heart Rate, Breathing, Tone, Reflexes and Colour to be each scored 1, 2 or 3
b. An Apgar score of 9 at 1 minute usually means the baby does not need resuscitation
c. APGAR score stands for ‘Aiway-Pulse-grimace irritability-Alertness-Reflexes’
d. If the Apgar score is 5 at 1 minute then all you need to do is repeat it at 5 minutes and it will have usually gone up

Answer 8

b. An Apgar score of 9 at 1 minute usually means the baby does not need resuscitation

Question 9

You are a Well Child Nurse working for Plunket, and visit the family of a nine month old infant. The parents state that their baby is always hungry and they want to start him on blue top milk (full fat cow’s milk) . What are the Plunket guidelines regarding the age of introduction of full fat cow’s milk into a child’s diet?
a. 18 months
b. 12 months
c. 9 months
d. 6 months

Answer 9

b. 12 months

Question 10

While working as a Registered Nurse in an Accident & Medical Centre, you would be most concerned about a possible child protection issue when a 2 year old child presents with the following;
a. a cluster of small bruises on both arms, from falling over on lego
b. a bruise on their forehead from falling over
c. multiple bruises on both knees and shins, unexplained
d. a fractured arm after a fall from the monkey bar

Answer 10

c. multiple bruises on both knees and shins, unexplained

Question 11

Hospitalisations due to injuries arising from assault, neglect, or maltreatment of 0–14 year olds by age and gender,New Zealand 2013–2017” was highest in which group?
a. 13 – 25 years (Youth)
b. 5 – 12 years (School aged child)
c. 1 – 4 years (Preschool aged child)
d. 0 – 1 year (Infant

Answer 11

d. 0 – 1 year (Infant

Question 12

You are caring for a patient who has unstable diabetes. As a nurse, it is important to recognise the early signs and symptoms of diabetic ketoacidosis
These are:
A. Dry mouth, flushed face, fruity-smelling breath
B. Moist mucous membranes, fruity-smelling breath, pallor
C. Hypotension, tachycardia, diaphoresis
D. Polydipsia, Polyuria, Polyphagia – 3 P’s

Answer 12

D. Polydipsia, Polyuria, Polyphagia – 3 P’s

Question 13

When nursing a diabetic patient it is paramount that the nurse understands that glucagon
A. Acts as a buffer for antidiuretic hormone
B. Acts as an antagonist of insulin
C. Acts as a transporter of insulin
D. Is released when the blood glucose levels are high

Answer 13

B. Acts as an antagonist of insulin

Question 14

Patients with diabetes can develop various foot problems, including ulcers and foot infections. Foot complications in diabetics are primarily caused by
A. peripheral neuropathy
B. peripheral arterial disease (PAD)
C. impaired immunity
D. All of the above

Answer 14

D. All of the above

Question 15

What is considered the most effective way to minimise vascular complications for both T1DM and T2 DM?
A. Insulin administration on a regular regime
B. Optimal glycaemic control
C. Management of Hypertension
D. Regular exercise

Answer 15

B. Optimal glycaemic control

Question 16

Mrs Jones is prescribed a GIK infusion that is commenced intraoperatively. As her post-operative nurse on the ward when will you cease her GIK infusion - GIK (- Glucose, insulin and potassium) A. When she is eating and drinking normally
B. When she is fully mobile
C. When the blood sugar levels are within normal limits
D. When she is getting g ready for discharge

Answer 16

A. When she is eating and drinking normally

Question 17

What are the signs of hypoglycaemia?A) Dizziness, sweating, confusion
B) Tachycardia, abdominal pain, polyuria
C) Orthostasis, enuresis, Vomiting

Answer 17

A) Dizziness, sweating, confusion

Question 18

You are the nurse who is about to give Metformin to a patient with type 2 diabetes. As a nurse you know that the mechanism of action of Biguinides (metformin) is to
a) Increase the production of insulin
b) Assist in the absorption of carbohydrates
c) Reduce hepatic glucose production
d) Reduces the production of insulin

Answer 18

c) Reduce hepatic glucose production

Question 19

What is the 15-15 rule in treating Hypoglycaemia?

Answer 19

15grams of carbs and check blood sugar levels after 15 minutes

Question 20

Alterations in the blood pressure is initially detected ..
a) Vasomotor centre of the brain
b) The efferent tubules in the Kidney
c) Baroreceptors in carotid sinuses
d) The bifurcation of the aorta

Answer 20

c) Baroreceptors in carotid sinuses

Question 21

You are to administer an Amlodipine to your patient. As a nurse you understand that the main effect of a calcium channel blocker is to
a) Decrease stroke volume
b) Increase stroke volume
c) Increase systemic vascular resistance
d) Decrease systemic vascular resistance

Answer 21

d) Decrease systemic vascular resistance

Question 22

End-stage Kidney failure is characterised by
a) eGFR 90 or above
b) eGFR 60-89
c) eGFR 15 or below
d) eGFR 15-29

Answer 22

c) eGFR 15 or below

Question 23

A Nurse you are working with tells you a patient is Annoying and needy. They tell you they do not intend to answer their call bell for the next two hours and neither should you.You a) Agree as sometimes patients request more attention than they need
b) Ask the nurse to justify her comments
c) Consider this an inappropriate response to the patient’s needs
d) Agree with the nurse to avoid confrontation

Answer 23

c) Consider this an inappropriate response to the patient’s needs

Question 24

A patient is scheduled for surgery to amputate a lower limb and is asking you what will happen to their body part
You
a) Tell them it will be destroyed
b) Tell them you don’t know
c) Ask them why they are asking the question
d) Tell them it will be returned to them if they like

Answer 24

c) Ask them why they are asking the question

Question 25

A patient you have been caring for is being discharged. They hand you a small envelope which you open to find a cheque for $1000
a) Politely hand it back and refuse to take the cheque
b) Take the cheque with thanks
c) Politely refuse and inform the charge nurse of the event
d) Cash the cheque and donate the money to charity

Answer 25

c) Politely refuse and inform the charge nurse of the event

Question 26

What is the purpose of the HPCA – health practitioners competence assurance act
a) To ensure the competence of health practitioners and protect public safety
b) To manage the registration of health practitioners
c) To direct the practice of healthcare workers
d) To make decisions regarding health policy

Answer 26

a) To ensure the competence of health practitioners and protect public safety

Question 27

Your patient is charted 500mg of Losartan O/D. The stock on hand is 12.5mg, 25mg and 50mg. Is this an appropriate prescription?
a) Yes
b) No

Answer 27

b) No

Question 28

What can an attorney NOT do under an EPOA for personal care and welfare?
a) Healthcare decisions
b) Accommodation arrangements
c) Consent for you to take part in medical research
d) Associated care decision

Answer 28

c) Consent for you to take part in medical research

Question 29

Can a registered nurse delegate IV administration of morphine to an Enrolled nurse?
a) Yes
b) No
c) Only if the ward is busy

Answer 29

b) No

Question 30

As the registered nurse you have delegated vital signs taking of your patient to a health care assistant. The HCA tells you she has not undergone training in obtaining vital signs. As the RN you would
a) Delegate the task after you tell her how to do it
b) Show her how to do it and ask her to repeat and report back her findings
c) Do not delegate the task and take the vitals yourself
d) Ask her to do all the vital signs for you patients to9 get the practice

Answer 30

c) Do not delegate the task and take the vitals yourself

Question 31

You are writing your clinical notes at the end of the shift and make a mistake in the text. you would
a) Cross it out and re write accurately
b) Use twink to cover the mistake and carry on
c) Put a line through and initial the error
d) Tear the page out and discard it

Answer 31

c) Put a line through and initial the error

Question 32

A family member with an EPOA of your patient with schizophrenia tells you they are going to consent for electro-convulsive therapy for your patient but are not sure what it is. As the RN you
a) Tell them the doctor will explain this when they sign the consent
b) Discuss the parameters of the EPOA with them
c) Offer to explain what this is to them
d) Repot this to the CN and seek advice on how to proceed

Answer 32

d) Repot this to the CN and seek advice on how to proceed

Question 33

Your patient is away on weekend leave. While in the treatment room you notice another nurse taking some tablets from the patient stock that has been stored. What is the most appropriate action
a) Politely enquire what the RN is doing with the medications
b) Call the CN immediately
c) Accuse her of stealing and take them from her
d) Do nothing – she may be making them neat and tidy

Answer 33

a) Politely enquire what the RN is doing with the medications

Question 34

What is the purpose of the Code of Rights?
a) It establishes the rights of consumers, and the obligations and duties of providers to comply with the Code
b) Outlines the provisions set out to maintain patient safety
c) Provides a platform for complaints processes in the health care setting
d) Protects health care workers from litigation from patients

Answer 34

a) It establishes the rights of consumers, and the obligations and duties of providers to comply with the Code

Question 35

A paediatric nurse advises a parent how to best convey the circumstances surrounding the sudden death of an infant to a four-year-old sibling. The nurse anticipates that the sibling:
a. may feel guilty about the infant’s death
b. may mistrust the parent
c. understands the permanence of death.
d. will role-play the infant’s death

Answer 35

a. may feel guilty about the infant’s death

Question 36

At which stage of development are children apt to believe in the reversibility of death?
Adolescent.
Preschool age.
School age.
Toddler

Answer 36

Preschool Age

Question 37

Which blood gas analyses are most indicative of respiratory acidosis? (Paed)
a) pH = 7.22, PC02 = 55 mm Hg, HC03 = 30 mEq/L.
b) pH = 7.28, PC02 = 45 mm Hg, HC03 = 15 mEq/L.
c) pH = 7.34, PC02 = 35 mm Hg, HC03 = 25 mEq/L.
d) pH = 7.40, PC02 = 25 mm Hg, HC03 = 30 mEq/L

Answer 37

a) pH = 7.22, PC02 = 55 mm Hg, HC03 = 30 mEq/L.

Question 38

The physical manifestations of foetal alcohol syndrome include:
a) cleft lip and palette.
b) hepatomegaly, hypotonia, and microphthalmia
c) hyperbilirubinemia, jaundice, and failure to thrive.
d) microcephaly, short philtrum, and prenatal growth retardation

Answer 38

d) microcephaly, short philtrum, and prenatal growth retardation

Question 39

After receiving an immunization for diphtheria, tetanus, and pertussis, a patient develops swelling and tenderness at the injection site, a low-grade fever, and malaise. The paediatric nurse informs the patient’s parents that:
a) the reaction is severe enough that they should bring the patient to an emergency department.
b) they should delay future immunizations until the patient sees an allergist.
c) this is a mild reaction, and teaches them how to manage it.
d) this is an appropriate reaction, and instructs them to do nothing.

Answer 39

c) this is a mild reaction, and teaches them how to manage it.

Question 40

A one-month-old female infant, who has developmental dysplasia of the hip, is placed in a hip spica cast. The infant’s mother expresses the desire to continue breastfeeding. The paediatric nurse’s best response is:
a) “After breastfeeding, hold your baby upright for 45 minutes.”
b) “Due to the weight of the cast, breastfeeding is not encouraged. I recommend that you bottle-feed expressed breast milk so your baby will get the benefits of the breast milk.”
c) “Feed your baby 2 oz of formula to decrease her hunger frustration, and then place her upright in your lap with her legs straddling your leg.”
d) “To breastfeed, hold your baby under your arm, with her facing you and her legs extended behind your back.”

Answer 40

d) “To breastfeed, hold your baby under your arm, with her facing you and her legs extended behind your back.”

Question 41

A paediatric nurse instructs parents who are concerned about the spread of illness at their children’s daycare centres to inquire about the facilities’:
a) CPR training for staff.
b) infection control practices.
c) reported cases of diarrhoea during the previous year.
d) staff-to-child ratios

Answer 41

b) infection control practices.

Question 42

A paediatric nurse is caring for a male patient who has undergone a hydrocele repair. While assessing the patient, the nurse notices that the scrotum is swollen and discoloured. These findings are:
a) abnormal, and indicate the need for a cool compress.
b) abnormal, and indicate the presence of haemorrhaging.
c) normal, and indicate no need for intervention.
d) normal, and indicate the need for a position change

Answer 42

c) normal, and indicate no need for intervention.

Question 43

To meet the emotional needs of a 10-year-old patient who is dying, the most appropriate nursing action is to:
a) answer questions honestly and frankly.
b) avoid interruptions by coordinating nursing actions.
c) encourage the patient to write in a journal.
d) provide opportunities for the patient to interact with children of the same age.

Answer 43

a) answer questions honestly and frankly.

Question 44

A female adolescent, who has pelvic inflammatory disease (PID), inquires about the effects of the disease on her ability to bear children. Which is the pediatric nurse’s best response?
a) “The occurrence of spontaneous abortion during pregnancy increases with PID.”
b) “There is an increased risk for ectopic pregnancy or infertility.
c) “There is an increased risk of placenta previa.”
d) “There should be no problems with your ability to conceive.”

Answer 44

b) “There is an increased risk for ectopic pregnancy or infertility.

Question 45

n preparing a preschool-age patient for an injection, the most appropriate nursing intervention is to:
a) allow the patient to administer an injection to a doll.
b) coordinate the patient watching a peer receive an injection.
c) have the parents explain the process to the patient.
d) suggest diversionary activities like singing.

Answer 45

a) allow the patient to administer an injection to a doll.

Question 46

A four-year-old patient has been diagnosed with leukaemia. The patient’s parents follow the Jehovah’s Witness faith and inform the physician that they will not approve any type of blood transfusions. The paediatric nurse is aware that:
a) in an emergency, a court order can be obtained for the patient to receive blood transfusions.
b) the patient can only receive blood that has been donated by family members.
c) the patient can receive plasma only.
d) under no circumstances will the patient receive blood products

Answer 46

a) in an emergency, a court order can be obtained for the patient to receive blood transfusions.

Question 47

An adolescent with chronic asthma, who has been hospitalized several times during the winter with severe asthmatic exacerbations, confides, “I wish I could stay here in the hospital because every time that I go home, I get sick again!” The paediatric nurse’s best response is:
a) “I think that you should consider participating on a swim team to improve your pulmonary function.”
b) “Let’s talk about preventing and managing your asthma on a daily basis at home.”
c) “Why don’t I speak with your parents about what they are doing at home to help control your asthma?”
d) “you are not allowed any additional days of hospitalization that are not medically necessary.”

Answer 47

b) “Let’s talk about preventing and managing your asthma on a daily basis at home.”

Question 48

The major pharmacologic action of Ventolin is:
a) decreasing airway reactivity.
b) decreasing inflammation and airway obstruction.
c) improving the action of cilia to sweep trapped mucous upward.
d) relaxing constricted bronchial smooth muscle.

Answer 48

d) relaxing constricted bronchial smooth muscle.

Question 49

While caring for a patient who is hospitalized for acute gastroenteritis and dehydration, a paediatric nurse notes the parent keeping packets of herbs by the patient’s bedside. Suspecting that the parent may be administering the herbs to the patient, the nurse’s first action is to:
a) ask the parent in a nonjudgmental manner about the herbs.
b) coordinate a nursing care conference to discuss the patient’s plan of care.
c) discuss the risks of using alternative therapies with the parent.
d) refer the family to a social worker for possible nonadherence with the healthcare regimen

Answer 49

a) ask the parent in a nonjudgmental manner about the herbs.

Question 50

A paediatric nurse, who is caring for a 12-year-old patient with septic shock, perceives a potential complication of fluid resuscitation upon noting:
a) a heart rate of 50 beats/min.
b) a temperature of 102oF (38.8oC).
c) complaints of leg pain.
d) rales and rhonchi by auscultation

Answer 50

d) rales and rhonchi by auscultation

Question 51

A four-year-old patient, whose family follows a strict vegetarian diet, undergoes a prekindergarten physical examination. The paediatric nurse is alert to the patient’s potential deficiency of:
a) niacin.
b) thiamine.
c) vitamin B6.
d) vitamin B12.

Answer 51

d) vitamin B12.

Question 52

For a patient with an NGT, the purpose of pH monitoring of stomach contents is to evaluate for:
a) tube patency
b) stomach emptying times
c) correct placement of the tube.
d) possible obstructions to the tube.

Answer 52

c) correct placement of the tube.

Question 53

When a patient participates in a research study, the paediatric nurse’s primary concern is to ensure that the:
a) parent or guardian has given verbal consent for the patient’s participation.
b) quality of care that the patient receives will not be affected if the patient chooses to withdraw from the study.
c) research meets the developmental needs of the patient.
d) research will directly benefit the patient.

Answer 53

b) quality of care that the patient receives will not be affected if the patient chooses to withdraw from the study.

Question 54

There is a 15 year old boy in your unit with fractured femur. He asks you can his girlfriend stay overnight in place of his mother. What is you response?
a) No problem I will arrange for a pull-out bed
b) I’m sorry that is not allowed as anyone under 16 must be accompanied by an adult and your girlfriend is 15
c) I’ll check with the Charge nurse as it’s their decision
d) Only if her parents agree

Answer 54

b) I’m sorry that is not allowed as anyone under 16 must be accompanied by an adult and your girlfriend is 15

Question 55

You are going to the home of Billy a 15-month-old for a well-child check as they missed their appointment and asked for home visit instead. When you arrive Billy’s dad tells you that he is sleeping and does not want him disturbed. What is an appropriate action?
a) Tell dad you will wait until he wakes and then complete the check
b) Ask the dad to wake him as the check is overdue and complete the check
c) Report dad to Tamariki Ora and document in the notes
d) Discuss when you might be able to complete the check with Dad and document in the notes

Answer 55

d) Discuss when you might be able to complete the check with Dad and document in the notes

Question 56

Eru has been admitted to hospital for the third time with bronchiolitis. As a nurse you are aware that bronchiolitis can be more prevalent when
a) the home is damp
b) the home has air conditioning
c) the home is near a school
d) the home is dirt

Answer 56

a) the home is damp

Question 57

As a nurse you know that Bronchiolitis is
a) Bacterial
b) Viral
c) Fungal
d) Of unknown origin

Answer 57

b) Viral

Question 58

Measles is prevented by vaccination in childhood. As a nurse you know that Vaccination for measles is generally offered at what ages?
a) 1 & 3 months
b) 3 & 6 months
c) 6 & 12months
d) 12 & 15 months

Answer 58

d) 12 & 15 months

Question 59

ou are providing advice to a parent at a well-child visit. She asks you how measles is generally spread. Your responseis.
a) Contact with infected persons Urine
b) Contact with infected persons Saliva/ sputum
c) Contact with an infected persons sweat
d) Contact with an infected persons Blood

Answer 59

b) Contact with infected persons Saliva/ sputum

Question 60

When is the first Well child Tamariki Ora visit?
a) 1-3 weeks
b) 2-4 weeks
c) 3-5 weeks
d) 4-6 weeks

Answer 60

d) 4-6 weeks

Question 61

What is the primary purpose of the HPV vaccine
a) Prevent unwanted pregnancy
b) Prevent cervical cancer
c) Prevent STI’s
d) Prevent vaginal dryness

Answer 61

b) Prevent cervical cancer

Question 62

Mary is in the rest home and has advanced dementia. She seems to think that you are her daughter. What is an appropriate response?
A. Tell her you are not and to stop calling you that name
B. Play along with her it does no harm
C. Gently reassure her and try to convince her you are not her daughter
D. Gently reassure her and engage her in an activity

Answer 62

D. Gently reassure her and engage her in an activity

Question 63

What medications are known to increase the risk of falls in the elderly?
A. Anticonvulsants and opioids
B. Antihistamines and anti anxiolytics
C. Antihypertensives and anticholinergics
D. All of the above

Answer 63

D. All of the above

Question 64

Where do most falls occur in the hospital setting?
A. In the shower
B. At the bedside
C. During physio
D. In the corridor

Answer 64

B. At the bedside

Question 65

What is a priority nursing assessment in the first 24 hours after admission of the client with athrombotic stroke?
A. Bowel sounds
B. Pupil size and reaction
C. ECG
D. CT scan

Answer 65

B. Pupil size and reaction

Question 66

What is the expected outcome of thrombolytic drug therapy?
A. Increase vascular permeability
B. Vasodilation
C. Dissolve the clot
D. vasoconstriction

Answer 66

C. Dissolve the clot

Question 67

Which assessment data would indicate to the nurse that the client would be at risk for a haemorrhagic stroke?
A. Bp 220/120
B. Blood glucose 25mmol
C. Presence of cancer
D. HR 61

Answer 67

A. Bp 220/120

Question 68

What is the correct statement about TIA?
A. It is more serious than a stroke
B. It is of short duration less than 24 hours
C. It causes paralysis
D. It is nothing to worry about

Answer 68

B. It is of short duration less than 24 hours

Question 69

You are caring for Charles who has recently suffered a stroke. Charles has aphasia. As a nurse you know that aphasia
A. Affects the ability to speak
B. Affects the ability to swallow
C. Affects the ability to walk
D. Affects the ability to coordinate

Answer 69

A. Affects the ability to speak

Question 70

Vasovagal syncope is characterised by
A. A sudden rise in blood pressure and drop in pulse
B. A sudden drop in blood pressure and rise in pulse
C. A sudden rise in blood pressure and rise in pulse
D. A sudden drop in blood pressure and drop in pulse

Answer 70

D. A sudden drop in blood pressure and drop in pulse

Question 71

You come across a patient who has had a vasovagal syncope in the shower. What is your first response?
A. Check the airway
B. Assess for danger
C. Do a set of vitals
D. Check for responsiveness

Answer 71

B. Assess for danger

Question 72

Which of the following signs and symptoms of increased ICP after head trauma would appear first?
A. Bradycardia
B. Large amounts of very dilute urine
C. Widening pulse pressure
D. Restlessness and confusion

Answer 72

D. Restlessness and confusion

Question 73

The nurse is assessing the motor function of an unconscious client. The nurse would plan to use which of the following to test the client’s peripheral response to pain?
A. Sternal rub
B. Pressure to the orbital rim
C. Nail bed pressure
D. Squeezing the sternocleidomastoid muscle

Answer 73

C. Nail bed pressure

Question 74

As a nurse you understand the use of dexamethasone, a glucocorticoid medication, in traumatic brain injury is to
A. Reduce restlessness
B. Reduce pain
C. Reduce swelling
D. Reduce LOC

Answer 74

C. Reduce swelling

Question 75

The nurse is caring for the client with increased intracranial pressure. The nurse would note which of the following trends in vital signs if the ICP is rising?
A. Increasing temperature, increasing pulse, increasing respirations, decreasing blood pressure.
B. Increasing temperature, decreasing pulse, decreasing respirations, increasing blood pressure.
C. Decreasing temperature, decreasing pulse, increasing respirations, decreasing blood pressure.
D. Decreasing temperature, increasing pulse, decreasing respirations, increasing blood pressure.

Answer 75

B. Increasing temperature, decreasing pulse, decreasing respirations, increasing blood pressure.

Question 76

What is the first line of medication treatment for raised intracranial pressure?
A. Osmotic diuretics
B. Corticosteroids
C. Antihistamines
D. Antihypertensives

Answer 76

A. Osmotic diuretics

Question 77

During the acute stage of meningitis, a 3-year-old child is restless and irritable. Which of the following would be most appropriate to institute?
A. Limiting conversation with the child.
B. Allowing the child to play in the bathtub.
C. Keeping extraneous noise to a minimum.
D. Performing treatments quickly

Answer 77

C. Keeping extraneous noise to a minimum.

Question 78

To encourage adequate nutritional intake for a female client with Alzheimer’s disease, the nurse should:
A. Stay with the client and encourage her to eat.
B. Help the client fill out her menu.
C. Give the client privacy during meals.
D. Fill out the menu for the client.

Answer 78

A. Stay with the client and encourage her to eat.

Question 79

A male client is admitted with a cervical spine injury sustained during a diving accident. When planning this client’s care, the nurse should assign the highest priority to which nursing diagnosis?
A. Impaired physical mobility
B. Disturbed sensory perception (tactile)
C. Ineffective breathing patterns
D. Self-care deficit: Dressing/grooming

Answer 79

C. Ineffective breathing patterns

Question 80

You enter Mele’s room and she is having a seizure. As a nurse you understand that the postictal phase of a seizure can be characterised by
A. Confusion
B. Muscle twitching
C. DeJa’Vu
D. Strange smells

Answer 80

A. Confusion

Question 81

What is the purpose of myelin?
A. It promotes rapid impulse transmission along the axon
B. It inhibits the rapid impulse transmission along the axon
C. It promotes the formation of new nerve cells
D. It inhibits the formation of new nerve cells

Answer 81

A. It promotes rapid impulse transmission along the axon