Q:1-A middle-aged woman tells the nurse that she has been experiencing irregular menses for the past six months. The nurse should assess the woman for other symptoms of:
Mark one answer:

climacteric.
menopause.
perimenopause.
postmenopause.



Q:2-When obtaining a health history on a menopausal woman, which information should a nurse recognize as a contraindication for hormone replacement therapy?
Mark one answer:

family history of stroke
ovaries removed before age 45
frequent hot flashes and/or night sweats
unexplained vaginal bleeding


Q:3-Teaching about the need to avoid foods high in potassium is most important for which client?
Mark one answer:

a client receiving diuretic therapy
a client with an ileostomy
a client with metabolic alkalosis
a client with renal disease


Q:4-What do the following ABG values indicate: pH 7.38, PO2 78 mmHg, PCO2 36mmHg, and HCO3 24 mEq/L?
Mark one answer:

metabolic alkalosis
homeostasis
respiratory acidosis
respiratory alkalosis


Q:5-The major electrolytes in the extracellular fluid are:
Mark one answer:

potassium and chloride.
potassium and phosphate.
sodium and chloride.
sodium and phosphate.


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Q:6-A client with Kawasaki disease has bilateral congestion of the conjunctivae, dry cracked lips, a strawberry tongue, and edema of the hands and feet followed by desquamation of fingers and toes. Which of the following nursing measures is most appropriate to meet the expected outcome of positive body image?
Mark one answer:

administering immune globulin intravenously
assessing the extremities for edema, redness and desquamation every 8 hours
explaining progression of the disease to the client and his or her family
assessing heart sounds and rhythm


Q:7-Which of the following is most likely to impact the body image of an infant newly diagnosed with Hemophilia?
Mark one answer:

immobility
altered growth and development
hemarthrosis
altered family processes


Q:8-While undergoing fetal heart monitoring, a pregnant Native-American woman requests that a medicine woman be present in the examination room. Which of the following is an appropriate response by the nurse?
Mark one answer:

"I will assist you in arranging to have a medicine woman present."
"We do not allow medicine women in exam rooms."
"That does not make any difference in the outcome."
"It is old-fashioned to believe in that."


Q:9-All of the following should be performed when fetal heart monitoring indicates fetal distress except:
Mark one answer:

increase maternal fluids.
administer oxygen.
decrease maternal fluids.
turn the mother.


Q:10-Which fetal heart monitor pattern can indicate cord compression?
Mark one answer:

variable decelerations
early decelerations
bradycardia
tachycardia


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