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1. A nurse, while doing an assessment, shines a light into a patient's left eye and notes a papillary
constriction in the right eye. The nurse should properly document this response as:
A) Accommodation
B) A consensual reaction
C) Pupillary convergence
D) A direct reaction
2. Nurse Dolores is caring for a fifteen-day-old neonate who has a necrotizing enterocolitis (NEC). What
nursing care plan should be included for the neonate?
A) Hyperventilate the neonate before each feeding
B) Dilute the milk formula as ordered
C) Measure abdominal girth at least every two hours
D) Introduce formula feeding by lavage
3. The parents of a preterm infant are preparing to take their baby home. To evaluate the parents'
competency in infant care, it would be most effective for the nurse to:
A) Observe the parents while they are giving care to their infant
B) Determine the rationale behind the parents' actions
C) Ask the parents what they plan to do at home
D) Demonstrate care before having the parents give a return demonstration
4. A mother of a ten-month-old infant asks the nurse why her baby is not receiving an anticoagulant drug
considering that her baby has an intracranial bleeding. The nurse explains that in her infant's situation,
anticoagulant:
A) Will be started soon to enhance circulation
B) Is necessary to prevent pulmonary thrombosis
C) Is contraindicated because bleeding would be increased
D) Is not advisable because it can hide signs and symptoms
5. A newly licensed cardiologist requested a clinical nurse specialist to assist in doing a right heart
catheterization on a cyanotic patient. The cardiologist asks the nurse what should be used to inflate the
balloon. The nurse should respond:
A) 50%-50%, saline and contrast
B) Sterile normal saline
C) CO2
D) Air
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: C | Question # 3 Answer: A | Question # 4 Answer: C | Question # 5 Answer: C |
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