Question 1

Assessment of a newborn for Apgar scoring includes observation for:

Options :

A : Pupil response

B : Respiratory rate

C : Heart rate

D : Babinski’s reflex

Answer: C

Question 2

The nurse is trying to help a mother understand what is happening with her son who has recently been diagnosed with paranoid schizophrenia. At present, he is experiencing hallucinations and delusions of persecution and suffers from poor hygiene. The nurse can best help her understand her son’s condition by which of the following statements?

Options :

A : “Sometimes these symptoms are caused by an overstimulation of a chemical called dopamine in the brain.”

B : “Has anyone in your family ever had schizophrenia?”

C : “If your son has a twin, he probably will eventually develop schizophrenia, too.”

D : “Some of his symptoms may be a result of his lack of a strong mother-child bonding relationship.”

Answer: A

Question 3

Which of the following would have the physiological effect of decreasing intracranial pressure (ICP)?

Options :

A : Increased core body temperature

B : Decreased serum osmolality

C : Administration of hypo-osmolar fluids

D : Decreased PaCO2

Answer: D

Question 4

After the fetal activity test (nonstress test) is completed, the RN is looking at the test results on the monitor
strip. The RN observes that the fetal heart accelerated 5 beats/min with each fetal movement. The
accelerations lasted ≥ 15 seconds and occurred 3 times during the 20-minute test. The RN knows that these
test results will be interpreted as:

Options :

A : A reactive test

B : A non-reactive test

C : An unsatisfactory test

D : A negative test

Answer: A

Question 5

A 23-year-old borderline client is admitted to an inpatient psychiatric unit following an impulsive act of self-
mutilation. A few hours after admission, she requests special privileges, and when these are not granted, she
stands up and angrily shouts that the people on the unit do not care, and she storms across the room. The
nurse should respond to this behavior by

Options :

A : Placing her in seclusion until the behavior is under control

B : Walking up to the client and touching her on the arm to get her attention

C : Communicating a desire to assist the client to regain control, offering a one-to-one session in a quiet area

D : Confronting the client, letting her know the consequences for getting angry and disrupting the unit

Answer: C

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