Question 1

A 27-year-old healthy primigravida is brought to the labor and birthing room by her husband at 32 weeks’ gestation. She experienced a sudden onset of painless vaginal bleeding. Following an ultrasound examination, the diagnosis of bleeding secondary to complete placenta previa is made. Expected assessment findings concerning the abdomen would include:

Options :

A : A rigid, boardlike abdomen

B : Uterine atony

C : A soft relaxed abdomen

D : Hypertonicity of the uterus

Answer: C

Question 2

A 14-year-old boy has had diabetes for 7 years. He takes 30 U of NPH insulin and 10 U of regular insulin every morning at 7 AM. He eats breakfast at 7:30 AM and lunch at noon. What time should he expect the greatest risk for hypoglycemia?

Options :

A : 9 AM

B : 1 PM

C : 11 AM

D : 3 PM

Answer: C

Question 3

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

Question 4

A client diagnosed with bipolar disorder continues to be hyperactive and to lose weight. Which of the following
nutritional interventions would be most therapeutic for him at this time?

Options :

A : Small, frequent feedings of foods that can be carried

B : Tube feedings with nutritional supplements

C : Allowing him to eat when and what he wants

D : Giving him a quiet place where he can sit down to eat meals

Answer: A

Question 5

A client had a myocardial infarction 5 days ago. His physician has ordered an echocardiogram to determine
how his myocardial infarction has affected his ventricular wall motion. When the client asks if this test is painful,
an appropriate response is:

Options :

A : “No, but you must be able to ride on a stationary bicycle while the test is being performed.”

B : “No, but you will have to lie still and the gel that is used may be cool.”

C : “Yes, but your physician will be there and will order pain medicine for you.”

D : “Your physician has ordered medicine, which you will be given before you go for the test, which will make
you sleepy.”

Answer: B

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