Which of the following statements indicates a need for further teaching of the home care client
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Text Mode – Text version of the exam The scope of this Nursing Test II is parallel to the NP2 NLE Coverage:
1. The student nurse is assigned to take the vital signs of the clients in the pediatric ward. The student nurse reports to the staff nurse that the parent of a toddler who is 2 days postoperative after a cleft palate repair has given the toddler a pacifier. What would be the best immediate action of the nurse?
2. The nurse is providing a health teaching to the mother of an 8-year-old child with cystic fibrosis. Which of the following statement if made by the mother would indicate to the nurse the need for further teaching about the medication regimen of the child?
3. The mother brought her child to the clinic for follow-up check up. The mother tells the nurse that 14 days after starting an oral iron supplement, her child’s stools are black. Which of the following is the best nursing response to the mother?
4. An 8-year-old boy with asthma is brought to the clinic for check up. The mother asks the nurse if the treatment given to her son is effective. What would be the appropriate response of the nurse?
5. The nurse is caring to a child client who is receiving tetracycline. The nurse is aware that in taking this medication, it is very important to:
6. A 14 day-old infant with a cyanotic heart defects and mild congestive heart failure is brought to the emergency department. During assessment, the nurse checks the apical pulse rate of the infant. The apical pulse rate is 130 beats per minute. Which of the following is the appropriate nursing action?
7. The physician prescribed gentamicin (Garamycin) to a child who is also receiving chemotherapy. Before administering the drug, the nurse should check the results of the child’s:
8. Which of the following is the suited size of the needle would the nurse select to administer the IM injection to a preschool child?
9. A 9-year-old boy is admitted to the hospital. The boy is being treated with salicylates for the migratory polyarthritis accompanying the diagnosis of rheumatic fever. Which of the following activities performed by the child would give a best sign that the medication is effective?
10. The physician decided to schedule the 4-year-old client for repair of left undescended testicle. The Injection of a hormone, HCG finds it less successful for treatment. To administer a pentobarbital sodium (Nembutal) suppository preoperatively to this client, in which position should the nurse place him?
11. The nurse is caring to a 24-month-old child diagnosed with congenital heart defect. The physician prescribed digoxin (Lanoxin) to the client. Before the administration of the drug, the nurse checks the apical pulse rate to be 110 beats per minute and regular. What would be the next nursing action?
12. An 8-year-old client with cystic fibrosis is admitted to the hospital and will undergo a chest physiotherapy treatment. The therapy should be properly coordinated by the nurse with the respiratory therapy department so that treatments occur during:
13. The nurse is providing health teaching about the breastfeeding and family planning to the client who gave birth to a healthy baby girl. Which of the following statement would alert the nurse that the client needs further teaching?
14. A toddler is brought to the hospital because of severe diarrhea and vomiting. The nurse assigned to the client enters the client’s room and finds out that the client is using a soiled blanket brought in from home. The nurse attempts to remove the blanket and replace it with a new and clean blanket. The toddler refuses to give the soiled blanket. The nurse realizes that the best explanation for the toddler’s behavior is:
15. The nurse has knowledge about the developmental task of the child. In caring a 3-year-old-client, the nurse knows that the suited developmental task of this child is to:
16. A mother who gave birth to her second daughter is so concerned about her 2-year old daughter. She tells the nurse, “I am afraid that my 2-year-old daughter may not accept her newly born sister”. It is appropriate to the nurse to response that:
17. A 2-year-old client with cystic fibrosis is confined to bed and is not allowed to go to the playroom. Which of the following is an appropriate toy would the nurse select for the child:
18. Which of the following clients is at high risk for developmental problem?
19. Which of the following would be the best divesionary activity for the nurse to select for a 2 weeks hospitalized 3-year-old girl?
20. A nurse is providing safety instructions to the parents of the 11-month-old child. Which of the following will the nurse includes in the instructions?
21. An 8-year-old girl is in second grade and the parents decided to enroll her to a new school. While the child is focusing on adjusting to new environment and peers, her grades suffer. The child’s father severely punishes the child and forces her daughter to study after school. The father does not allow also her daughter to play with other children. These data indicate to the nurse that this child is deprived of forming which normal phase of development?
22. A 5-year-old boy client is scheduled for hernia surgery. The nurse is preparing to do preoperative teaching with the child. The nurse should knows that the 5-year-old would:
23. The nine-year-old client is admitted in the hospital for almost 1 week and is on bed rest. The child complains of being bored and it seems tiresome to stay on bed and doing nothing. What activity selected by the nurse would the child most likely find stimulating?
24. The parent of a 16-year-old boy tells the nurse that his son is driving a motorbike very fast and with one hand. “It is making me crazy!” What would be the best explanation of the nurse to the behavior of the boy?
25. An 8-month-old infant is admitted to the hospital due to diarrhea. The nurse caring for the client tells the mother to stay beside the infant while making assessment. Which of the following developmental milestones the infant has reached?
26. The community nurse is conducting a health teaching in the group of married women. When teaching a woman about fertility awareness, the nurse should emphasize that the basal body temperature:
27. The community nurse is providing an instruction to the clients in the health center about the use of diaphragm for family planning. To evaluate the understanding of the woman, the nurse asks her to demonstrate the use of the diaphragm. Which of following statement indicates a need for further health teaching?
28. The client visits the clinic for prenatal check-up. While waiting for the physician, the nurse decided to conduct health teaching to the client. The nurse informed the client that primigravida mother should go to the hospital when which patter is evident?
29. A nurse is planning a home visit program to a new mother who is 2 weeks postpartum and breastfeeding, the nurse includes in her health teaching about the resumption of fertility, contraception and sexual activity. Which of the following statement indicates that the mother has understood the teaching?
30. A community nurse enters the home of the client for follow-up visit. Which of the following is the most appropriate area to place the nursing bag of the nurse when conducting a home visit?
31. The nurse in the health center is making an assessment to the infant client. The nurse notes some rashes and small fluid-filled bumps in the skin. The nurse suspects that the infant has eczema. Which of the following is the most important nursing goal:
32. The nurse in the health center is providing immunization to the children. The nurse is carefully assessing the condition of the children before giving the vaccines. Which of the following would the nurse note to withhold the infant’s scheduled immunizations?
33. A mother brought her child in the health center for hepatitis B vaccination in a series. The mother informs the nurse that the child missed an appointment last month to have the third hepatitis B vaccination. Which of the following statements is the appropriate nursing response to the mother?
34. The community health nurse implemented a new program about effective breast cancer screening technique for the female personnel of the health department of Valenzuela. Which of the following technique should the nurse consider to be of the lowest priority?
35. Which of the following technique is considered an aseptic practice during the home visit of the community health nurse?
36. The nurse is planning to conduct a home visit in a small community. Which of the following is the most important factor when planning the best time for a home care visit?
37. The nurse assigned in the health center is counseling a 30-year-old client requesting oral contraceptives. The client tells the nurse that she has an active yeast infection that has recurred several times in the past year. Which statement by the nurse is inaccurate concerning health promotion actions to prevent recurring yeast infection?
38. During immunization week in the health center, the parent of a 6-month-old infant asks the health nurse, “Why is our baby going to receive so many immunizations over a long time period?” The best nursing response would be:
39. The community health nurse is conducting a health teaching about nutrition to a group of pregnant women who are anemic and are lactose intolerant. Which of the following foods should the nurse especially encourage during the third trimester?
40. A woman with active tuberculosis (TB) and has visited the health center for regular therapy for five months wants to become pregnant. The nurse knows that further information is necessary when the woman states:
41. The Department of Health is alarmed that almost 33 million people suffer from food poisoning every year. Salmonella enteritis is responsible for almost 4 million cases of food poisoning. One of the major goals is to promote proper food preparation. The community health nurse is tasks to conduct health teaching about the prevention of food poisoning to a group of mother everyday. The nurse can help identify signs and symptoms of specific organisms to help patients get appropriate treatment. Typical symptoms of salmonella include:
42. A community health nurse makes a home visit to an elderly person living alone in a small house. Which of the following observation would be a great concern?
43. The health nurse is conducting health teaching about “safe” sex to a group of high school students. Which of the following statement about the use of condoms should the nurse avoid making?
44. The department of health is promoting the breastfeeding program to all newly mothers. The nurse is formulating a plan of care to a woman who gave birth to a baby girl. The nursing care plan for a breast-feeding mother takes into account that breast-feeding is contraindicated when the woman:
45. The City health department conducted a medical mission in Barangay Marulas. Majority of the children in the Barangay Marulas were diagnosed with pinworms. The community health nurse should anticipate that the children’s chief complaint would be:
46. The mother brought her daughter to the health center. The child has head lice. The nurse anticipates that the nursing diagnosis most closely correlated with this is:
47. The mother brings a child to the health care clinic because of severe headache and vomiting. During the assessment of the health care nurse, the temperature of the child is 40 degree Celsius, and the nurse notes the presence of nuchal rigidity. The nurse is suspecting that the child might be suffering from bacterial meningitis. The nurse continues to assess the child for the presence of Kernig’s sign. Which finding would indicate the presence of this sign?
48. A community health nurse makes a home visit to a child with an infectious and communicable disease. In planning care for the child, the nurse must determine that the primary goal is that the:
49. The mother brings her daughter to the health care clinic. The child was diagnosed with conjunctivitis. The nurse provides health teaching to the mother about the proper care of her daughter while at home. Which statement by the mother indicates a need for additional information?
50. A community health nurse is caring for a group of flood victims in Marikina area. In planning for the potential needs of this group, which is the most immediate concern?
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