産後２日目の悪露ってどんな色？
A nurse teaches a postpartum client about
observation of lochia.
The nurse determines the client's understanding
when the client says that on the secound day
postpertum, the lochis should be:
1 Yellow
2 White
3 Pink
4 Red
A nurse teaches a postpartum client about
observation of lochia.
The nurse determines the client's understanding
when the client says that on the secound day
postpertum, the lochis should be:
1 Yellow
2 White
3 Pink
4 Red
The parents of a 6-month-old male report
that the infant has been screaming and dwawing
the knee up to the chest and has passed stools
mixied with blood and mucus that are jelly-like.
A nurse recognizes these signs and symptoms as
indicative of:
1 Hirschsprung's disease
2 Peritonitis
3 Intussusception
4 Appendicitis
A 15-years-old pregnant client is being treated
by a dermatologist for acne.
The clinic nurse asks the client about the treatment
prescribed for the acne, knowing that which
treatment is contraindicated during pregnancy ?
1 Topical erythromycin
2 Exfoliation
3 Cleansing with antibacterial soap
4 Oral tetracycline ( Achromycin )
A pregnant client tells a nurse that she felt wetness
on her peri-pad and that she found some clear fluid.
The nurse immediately inspects the perineum and notes
the presence of the umbilical cord.
the nurse's initial action is to:
1 Notify the physician
2 Monitor the fetal heart rate
3 Transfer the client to the delivery room
4 Place the client in Trendelenburg's position
A nurse in the prenatal clinic is monitoring
a client who is pregnant with twins.
The nurse monitors the client most closely
for which complication that is most likely
associated with a twin pregnancy ?
1 Maternal anemia
2 Post-term labor
3 Hemorrhoids
4 Gestational diabetes
A nurse is providing discharge instructions to
the mother of an 8-year-old child who had a
tonsillectomy.
The mother tells the nurse that the child loves
tacos and asks when the child can safely eat one.
The most appropriate response to the mother is :
1 "In 1 week"
2 "In 3 week"
3 "six days following surgery"
4 "When the physician says it's okay"
A nurse is assigned to care for a woman with
preeclampsia.
The nurse plans to initiate which action to privide
a safe environment ?
1 Turn off the room lights and draw the window
shades
2 Maintain fluid and sodium restrictions
3 Take the woman's vital signs every 4 hours
4 Encourage visit from family and friends for
psychosocial support
A nurse explains to a mother that her newborn
infant is being admitted to the neonatal intensive
care unit with a probable daignosis of fetal alcohol
syndrome(FAS). The nurse explains the expected
effects of FAS to the mother and tells the mother
that:
1 Withdrawal symptoms will occur after 6 days.
2 Mental retardation is unlikely to happen.
3 Withdrawal symptoms include tremors, crying,
seizures, and abnormal reflexes.
4 The reason the newborn infant is so large is
because of the fetal alcohol syndrome.
A nurse in the newborn nursery is planning for
the admission of large for gestational age infant.
In preparing to care for this infant, the nurse
obtains equipment to perform which diagnostic
test ?
1 Indirect and direct bilirubin levels
2 Rh and ABO blood typing
3 Heelstick blood glucose
4 Serum insulin lavel
A nurse is caring for a client who had
a craniotomy.
When assessing the client for the major
postoperative complication following craniotomy,
the nurse monitors for:
1 Restlessness
2 Bleeding
3 Hypotension
4 Bradycardia
A preschooler with a hisory of cleft palate repair
comes to the clinic for a routine well-child checkup.
To determine if this child is experiencing a long-term
effect of cleft palate, the nurse asks the parent
which question?
1 "Was the child recently treated for pneumonia?"
2 "Does the child play with an imaginary friend?"
3 "Is the child unresponsive when given directions?"
4 "Has the child had any difficulty swallowing food?"
A nurse is caring for the postpartum client.
Which finding would make the nurse suspect
endometritis in this client.
1 Lochia rubra on the secound day postpartum
2 Fever over 38℃, beginning three days postpartum
3 Elevated white blood cell count
4 Breat engorgement
A nurse is assessing a three-day-old preterm
neonate with a diagnosis of respiratory distress
syndorome(RDS). Which assessment finding indicates
that the neonate's respiratory status is improving?
1 presense of a systolic murmur
2 respiratory rate between 60 to 70 breath per minute
3 edema of the hands and feet
4 urine output of 1 to 3 ml/kg/hour
For a multigravid client at 39 weeks' gestation with suspected HELLP syndrome, the nurse would
immediately notify the physician for which of the following laboratory test results?
１．Hyperfibrinogenemia.
２．Decreased liver enzymes.
３．Thrombocytopenia.
４．Hypernatremia.
Immediately on return to the nursing unit after
surgical repair of a cleft palate, in which of the
following positions would the nurse place the child?
1. On the back with the head in a position of comfort.
2. In low Fowler's position with the head turned to the side.
3. Lying on the abdomen with the head turned to the side.
4. In reverse Trendelenburg with the head tilted forward.
When developing the plan of care for an infant with
a cleft lip before corrective surgery is performed,
which of the following would be a priority?
1. Maintaining skin integrity in the oral cavity.
2. Using techniques to minimize crying.
3. Altering the usual method of feeding.
4. Preventing the infant from putting fingers
in the mouth.
引用 dept.md.shinshu-u.ac.jp
When an infant with pyloric stenosis is admitted to the
hospital, which of the following would thenurse do first?
1. Weigh the infant.
2. Begin an intravenous infusion.
3. Switch the infant to an oral electrolyte solution.
4. Orient the mother to the hospital unit.
At 32 weeks' gestation, a 15-year-old primigravid client
who is 5 feet, 2 inches tall has gained a total of 20 pounds,
with a 1-pound gain in the last 2 weeks.
Urinalysis reveals negative glucose and a trace of protein.
The nurse determines that which of the following factors
increases this client risk for preeclampsia?
1.Total weight gain.
2.Short stature.
3.Adolescent age group.
4.Proteinuria.
While discussing reproductive health with a group of female adolescents, one of the adolescents asks the nurse, "Where is the ovum fertilized?" The nurse responds by stating that fertilization normally occurs at which of the following sites?
１．Uterus.
２．Vagina.
３．Fallopian tube.
４．Cervix
<引用>
Lippincott's Review for NCLEX-RN by Diane M. Billings
Jan 15, 2002
今日の問題はこれ！
After reviewing the physician's explanation of amniocentesis with a multigravid client, which of the following, if reported by the client as a primary risk of the procedure, would indicate successful teaching?
１．Premature rupture of the membranes.
２．Possible premature labor.
３．Fetal limb malformations.
４．Fetal organ malformations.
<引用>
Lippincott's Review for NCLEX-RN by Diane M. Billings
Jan 15, 2002