75 items MS Random Questions with Answers and Rationale

A)Gestational age assessment suggested growth retardation

B)Meconium was cleared from the airway at delivery

C)Phototherapy was used to treat Rh incompatibility

D)The infant received mechanical ventilation for 2 weeks

The correct answer is D: The infant received mechanical ventilation for 2 weeks

Bronchopulmonary dysplasia is an iatrogenic disease caused by therapies such as use of positive-pressure ventilation used to treat lung disease.

11. Parents of a 6 month-old breast fed baby ask the nurse about increasing the baby's diet. Which of the following should be added first?

A)Cereal

B)Eggs

C)Meat

D)Juice

The correct answer is A: Cereal

The guidelines of the American Academy of Pediatrics recommend that one new food be introduced at a time, beginning with strained cereal.

12. A victim of domestic violence states, "If I were better, I would not have been beat." Which feeling best describes what the victim may be experiencing?

A)Fear

B)Helplessness

C)Self-blame

D)Rejection

The correct answer is C: Self-blame

Domestic violence victims may be immobilized by a variety of affective responses, one being self-blame. The victim believes that a change in their behavior will cause the abuser to become nonviolent, which is a myth.

13. The nurse is assessing the mental status of a client admitted with possible organic brain disorder. Which of these questions will best assess the function of the client's recent memory?

A)"Name the year." "What season is this?" (pause for answer after each question)

B)"Subtract 7 from 100 and then subtract 7 from that." (pause for answer) "Now continue to subtract 7 from the new number."

C)"I am going to say the names of three things and I want you to repeat them after me: blue, ball, pen."

D)"What is this on my wrist?" (point to your watch) Then ask, "What is the purpose of it?"

The correct answer is C: "I am going to say the names of three things and I want you to repeat them after me: blue, ball, pen."

14. Which oxygen delivery system would the nurse apply that would provide the highest concentrations of oxygen to the client?

A) Venturi mask

B) Partial rebreather mask

C) Non-rebreather mask

D) Simple face mask

The correct answer is C: The non-rebreather mask has a one-way valve that prevents exhales air from entering the reservoir bag and one or more valves covering the air holes on the face mask itself to prevent inhalation of room air but to allow exhalation of air. When a tight seal is achieved around the mask up to 100% of oxygen is available.

15. A nurse is caring for a client who had a closed reduction of a fractured right wrist followed by the application of a fiberglass cast 12 hours ago. Which finding requires the nurse's immediate attention?

A) Capillary refill of fingers on right hand is 3 seconds

B) Skin warm to touch and normally colored