NUR 270 Final Exam Review Questions and Complete Solutions
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Course
NUR 270
Institution
NUR 270
The nurse is planning discharge teaching for a client who had an evacuation of gestational trophoblastic disease (GTD) two days ago. Which information is most important for the nurse to include in this client's teaching plan? A. Oral contraceptive use for a least one year
The nurse is planning car...
NUR 270 Final Exam Review Questions
and Complete Solutions
The nurse is planning discharge teaching for a client who had an evacuation of
gestational trophoblastic disease (GTD) two days ago. Which information is most
important for the nurse to include in this client's teaching plan? ✅A. Oral contraceptive
use for a least one year
The nurse is planning care for a client at 30 weeks gestation who is experiencing
preterm labor. What maternal prescription is most important in preventing this fetus from
developing respiratory distress syndrome? ✅C. Betamethasone (Celestone) 12 mg
deep IM
The nurse places one hand over the symphysis while massaging the fundus of a
multiparous client whose uterine tone is boggy 15 minutes after delivering a 7 pound 10
ounce infant. Which information should the nurse provide the client about this finding?
✅B. Both the lower uterine segment and the fundus must be massaged
Which instruction should the nurse include in the discharge teaching plan of a 7 year old
girl with a history of frequent UTI's? ✅D. Monitor for changes in urinary odor
The newborn nursery admission protocol includes for phytonadione 0.5 mg IM to
newborns upon admission. The ampoule provides 2 mg/mL. How many mL should the
nurse administer? ✅0.3 mL
The nurse is preparing to administer methylergonovine maleate to a postpartum client.
Based on what assessment finding should the nurse withhold the drug? ✅C. BP
149/90
The nurse is preparing a 10 year old with a lacerated forehead for suturing. Both
parents and a 12 year old sibling are the child bedside. Which instruction best supports
this family? ✅A. "While waiting for the HCP, one one visitor may stay with the child."
A primigravida arrives at the observation unit of the maternity unit because she thinks
she's in labor. The nurse applies the external fetal heart monitor and determines that the
FHR is 140 beats/minute and the contractions are occurring irregularly every 10-15
minutes. What assessment finding confirms to the nurse that the client is not in labor at
this time? ✅D. Contractions decrease with walking
Which toy is most appropriate for a 10 year old child with acute rheumatic fever who is
on strict bedrest? ✅D. Checkers
, The nurse has completed a teaching plan for the mother of a child who is taking dig and
a diuretic for treatment of the HF. Choosing which lunch would indicate that the mother
understands the best diet for her child? ✅B. Peanut butter and banana sandwich with
orange juice
A breastfeeding infant, screened for congenital hypothyroidism, is found to have low
levels of thyroxine (T4) and high levels of thyroid stimulating hormone (TSH). What is
the best explanation for this finding? ✅C. The TSH is high because of the low
production of T4 by the thyroid
A full term, 24 hour old infant in the nursery regurgitates and suddenly turns cyanotic.
What should the nurse do first? ✅D. Stimulate the infant to cry
At 6 weeks gestation, the rubella titer of a client indicates she is non-immune. When is
the best time to administer a rubella vaccine to this client? ✅D. Early postpartum,
within 72 hours of delivery
A client is receiving oxytocin (Pitocin) to augment early labor. Which assessment is
most important for the nurse to obtain each time the infusion rate is increased? ✅D.
Contraction pattern
One day after vaginal delivery of a full term baby, a postpartum client's WBC is 15,000.
What action should the nurse take first? ✅A. Check the differential, since the WBC is
normal for this client
A client delivers viable infant, but begins to have excessive uncontrolled vaginal
bleeding after the IV Pitocin is infused. When notifying the HCP of the client's condition,
what information is most important for the nurse to provide? ✅A. Maternal BP
While obtaining the V.S of a 10 year old who had a tonsillectomy this morning, the nurse
observes the child swallowing every 2-3 minutes. Which assessment should the nurse
implement? ✅A. Inspect the posterior oropharynx
During a routine clinic visit, the nurse determines that a 5 year old boy's BP is 112/70.
When calculating the child's BP percentile, the nurse adjusts the calculation for age and
height/ What action should the nurse implement first? ✅A. Compare the child's BP with
readings from previous visit
A neonate who has congenital adrenal hyperplasia (CAH) presents with ambiguous
genitalia. What's the primary nursing consideration when supporting the parents of a
child with this anomaly? ✅C. Offer information about ultrasonography and genotyping
to determine sex assignment
A 2 year old boy in a daycare facility scratches his head frequently, and the nurse
confirms the presence of head lice. The nurse washes the child's hair with permethrin
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