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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Clinical Judgment | 69% | - Hematology, Immunology & Oncology - Pulmonary System - Gastrointestinal & Metabolic System - Cardiovascular System - Multisystem & Trauma - Renal & Genitourinary System - Neurological System - Endocrine System |
| Topic 2: Professional Caring & Ethical Practice | 31% | - Ethics & Regulatory Compliance - Caring Practices & Advocacy - Collaboration & Systems Leadership - Education & Research |
Question 1
A nurse notes hypotonia, irritability, and a poor sucking reflex in a full-term newborn infant on admission
to the nursery. The nurse suspects fetal alcohol syndrome and is aware that which additional sign would
be consistent with fetal alcohol syndrome?
A. Length of nineteen inches
B. Birth weight of 6 lb. 14 oz
C. Abnormal palmar creases
D. Head circumference appropriate for gestational age
Question 2
Naomi, a 40-year-old cook, returns to the recovery unit after a cholecystectomy. During the assessment,
the nurse notices that Naomi's blood pressure is gradually dropping and her apical pulse is increasing.
What will be the initial nursing action at this time?
A. Fast drip 200 cc of present IV fluid and position the patient in Trendelenburg position
B. Position the patient in Sim's position
C. Immediately notify the physician and report the vital signs obtained
D. Prepare and transfuse a unit of fresh whole blood
Question 3
A nurse teaches a student nurse about caring for a newborn who is given oxygen via a hood. The student
nurse asks the nurse about the plan of care for the patient. Considering that the patient is receiving
oxygen therapy, the nurse should respond that the plan of care should include:
A. Monitoring oxygen levels in the hood every four hours
B. Informing the parents that oxygen levels will be kept low and therefore, blindness is not a risk
C. Ensuring that the oxygen is continuously warmed and humidified
D. Assessing that the patient's skin remains bright pink
Question 4
A nurse finds her patient crying because the physician has stated that the patient cannot return home
alone and she does not have family nearby. After discussing the patient's concerns, the nurse should
contact which of the following:
A. Social worker
B. Case manager
C. Hospital controller
D. Hospital chaplain
Question 5
While teaching baby Michelle's amount human development, neonatal nurse Slyvia, instructs baby
Michelle's mother that baby Michelle will begin to acknowledge human voices at what age?
A. 6-8 months
B. 4-6 months
C. 2-4 months
D. 0-2 months
Solutions:
| Question 1 Answer: C | Question 2 Answer: C | Question 3 Answer: C | Question 4 Answer: B | Question 5 Answer: D |
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