Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
Which of the following findings should the nurse expect?
A. Rigid abdomen.
Rigid abdomen. A rigid abdomen is not typically associated with placenta previa. Placenta previa is a condition in which the placenta partially or completely covers the cervix, and it is more likely to present with painless vaginal bleeding rather than abdominal rigidity.
B. Persistent uterine contractions.
Persistent uterine contractions. Persistent uterine contractions are not a characteristic finding in placenta previa. In fact, uterine contractions can be concerning in the presence of placenta previa as they may increase the risk of bleeding.
C. Bright red vaginal bleeding.
Bright red vaginal bleeding. Bright red vaginal bleeding is a common and hallmark symptom of placenta previa. This bleeding typically occurs without pain and can be intermittent or continuous. It is essential to recognize this symptom promptly because it can lead to significant maternal and fetal complications.
D. Increased fetal movement.
Increased fetal movement. Increased fetal movement is not a typical finding in placenta previa. The presence or absence of fetal movement should always be monitored during pregnancy, but it is not a specific indicator of placenta previa.
This question is an excerpt from Nurse Dive's nursing test bank - ATI PN Exit 2023 Proctored Exam. Take the full exam now
Full Explanation
Choice A rationale:
Rigid abdomen. A rigid abdomen is not typically associated with placenta previa. Placenta previa is a condition in which the placenta partially or completely covers the cervix, and it is more likely to present with painless vaginal bleeding rather than abdominal rigidity.
Choice B rationale:
Persistent uterine contractions. Persistent uterine contractions are not a characteristic finding in placenta previa. In fact, uterine contractions can be concerning in the presence of placenta previa as they may increase the risk of bleeding.
Choice C rationale:
Bright red vaginal bleeding. Bright red vaginal bleeding is a common and hallmark symptom of placenta previa. This bleeding typically occurs without pain and can be intermittent or continuous. It is essential to recognize this symptom promptly because it can lead to significant maternal and fetal complications.
Choice D rationale:
Increased fetal movement. Increased fetal movement is not a typical finding in placenta previa. The presence or absence of fetal movement should always be monitored during pregnancy, but it is not a specific indicator of placenta previa.
Similar Questions
A nurse is reviewing client confidentiality with other staff members.
The nurse should identify that which of the following actions is an example of protecting client confidentiality?
A. Writing a client's diagnosis on the message board in the client's room.
Writing a client's diagnosis on the message board in the client's room is not an example of protecting client confidentiality. This action violates the client's right to privacy and confidentiality as it exposes the diagnosis to anyone who enters the room.
B. Discarding worksheets containing client information in a wastebasket.
Discarding worksheets containing client information in a wastebasket is not an example of protecting client confidentiality. Proper disposal of sensitive information is essential to maintain confidentiality, and discarding such materials without proper shredding or disposal methods can compromise confidentiality.
C. Giving change-of-shift report to a nurse outside the client's room.
Giving change-of-shift report to a nurse outside the client's room protects client confidentiality by ensuring that sensitive information is shared only with authorized personnel in a private setting.
D. Discussing a client's prognosis with an assistive personnel who is caring for the client.
While sharing relevant information with personnel directly involved in the client's care is generally acceptable, it must still be done in a manner that safeguards confidentiality.
Full Explanation
Choice A rationale: Writing a client's diagnosis on the message board in the client's room can expose sensitive information to anyone who enters the room, which compromises client confidentiality.
Choice B rationale: Discarding worksheets containing client information in a wastebasket is not secure and can lead to unauthorized access to confidential information.
Choice C rationale: Giving change-of-shift report to a nurse outside the client's room protects client confidentiality by ensuring that sensitive information is shared only with authorized personnel in a private setting.
Choice D rationale: While sharing relevant information with personnel directly involved in the client's care is generally acceptable, it must still be done in a manner that safeguards confidentiality.
A charge nurse in a long-term care facility notices the smell of alcohol on a nurse's breath.
Which of the following actions should the nurse take first?
A. Call the supervisor to ask for another nurse.
Calling the supervisor to ask for another nurse is not the first action the charge nurse should take when noticing the smell of alcohol on a nurse's breath. While it's important to involve the supervisor, immediate action to ensure patient safety is required.
B. Document objective findings about the situation.
Documenting objective findings about the situation is a valid step in the process, but it should not be the first action. The charge nurse's primary responsibility is to address the immediate safety concerns.
C. Remove the nurse from the client care area.
Removing the nurse from the client care area is the first action the charge nurse should take when smelling alcohol on a nurse's breath. This action ensures patient safety and prevents potential harm caused by impaired nursing care.
D. Assign clients to the remaining staff.
Assigning clients to the remaining staff is not the first action to take when there is suspicion of alcohol impairment in a nurse. Patient safety and addressing the situation involving the impaired nurse take precedence.
Full Explanation
Choice A rationale:
Calling the supervisor to ask for another nurse is not the first action the charge nurse should take when noticing the smell of alcohol on a nurse's breath. While it's important to involve the supervisor, immediate action to ensure patient safety is required.
Choice B rationale:
Documenting objective findings about the situation is a valid step in the process, but it should not be the first action. The charge nurse's primary responsibility is to address the immediate safety concerns.
Choice C rationale:
Removing the nurse from the client care area is the first action the charge nurse should take when smelling alcohol on a nurse's breath. This action ensures patient safety and prevents potential harm caused by impaired nursing care.
Choice D rationale:
Assigning clients to the remaining staff is not the first action to take when there is suspicion of alcohol impairment in a nurse. Patient safety and addressing the situation involving the impaired nurse take precedence.
A nurse working on a medical-surgical unit is notified about a mass casualty event that recently took place in the community.
Which of the following assignments should the nurse anticipate?
A. Assist in discharging stable clients to home.
Assisting in discharging stable clients to home is important but not the primary focus during the immediate response to a mass casualty event.
B. Determine the acuity and number of casualties arriving at the facility.
Determining the acuity and number of casualties arriving at the facility is crucial in a mass casualty event. This involves assessing the severity of injuries and prioritizing care based on urgency, ensuring that the most critical patients receive immediate attention.
C. Delegate tasks to emergency health care specialists.
Delegating tasks to emergency health care specialists is generally the role of the emergency department leadership or incident command team. These teams coordinate the overall response and ensure that specialists are utilized effectively. While nurses may collaborate with specialists, they do not typically delegate tasks to them.
D. Provide informational updates to members of the media.
Providing informational updates to members of the media is usually handled by the hospital’s public relations or communications department. This ensures that accurate and consistent information is disseminated to the public and media outlets. Nurses are focused on patient care and do not typically engage in media communications during a mass casualty event.
E. None
None
F. None
None
Full Explanation
The correct answer is: B. Determine the acuity and number of casualties arriving at the facility.
Choice A rationale: Assisting in discharging stable clients to home is important but not the primary focus during the immediate response to a mass casualty event.
Choice B rationale: Determining the acuity and number of casualties arriving at the facility is crucial in a mass casualty event. This involves assessing the severity of injuries and prioritizing care based on urgency, ensuring that the most critical patients receive immediate attention.
Choice C rationale: Delegating tasks to emergency health care specialists is typically the responsibility of team leaders or incident command staff, not the medical-surgical unit nurses.
Choice D rationale: Providing informational updates to members of the media is generally managed by hospital administration or public relations staff, not by medical-surgical nurses.