Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
Which data would be included in a health history? (Select all that apply.)
A. Review of systems
This is correct because a review of systems is a systematic method of collecting data on all body systems.
B. Physical assessment
This is wrong because physical assessment is not part of the health history, but a separate process of examining the patient’s body systems.
C. Sexual history
This is correct because sexual history is an important aspect of the patient’s health that may affect their risk for sexually transmitted infections, reproductive health, and psychosocial well-being.
D. Height, Weight, BMI data
This is correct because height, weight, and BMI data are part of the biographical data that provide a baseline for comparing the patient’s characteristics to established norms for physical and emotional health.
E. Diet and nutritional intake
This is correct because diet and nutritional intake are relevant factors that influence the patient’s health status and may indicate potential problems such as malnutrition, obesity, or eating disorders.
F. Family medical history
This is correct because family medical history provides information about the patient’s genetic risk for certain diseases and conditions that may affect their current or future health.
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Similar Questions
Medications used to manage postpartum hemorrhage (PPH) include (Select all that apply.):.Medications used to manage postpartum hemorrhage (PPH) include (Select all that apply.):
A. Pitocin
Pitocin (oxytocin) is a first-line medication used to manage postpartum hemorrhage by stimulating uterine contractions to reduce bleeding.
B. Methergine
Methergine (methylergonovine) is another uterotonic agent used to control postpartum hemorrhage by causing sustained uterine contractions.
C. Terbutaline
Terbutaline is a tocolytic agent used to relax the uterus and is not used to manage postpartum hemorrhage. It is actually used to delay preterm labor.
D. Hemabate
Hemabate (carboprost) is a prostaglandin used to treat severe postpartum hemorrhage by inducing strong uterine contractions.
E. Magnesium sulfate
Magnesium sulfate is used to prevent seizures in preeclampsia and is not indicated for the management of postpartum hemorrhage.
Full Explanation
The correct answer is A. Pitocin, B. Methergine, and D. Hemabate.
Choice A rationale:
Pitocin (oxytocin) is a first-line medication used to manage postpartum hemorrhage by stimulating uterine contractions to reduce bleeding.
Choice B rationale:
Methergine (methylergonovine) is another uterotonic agent used to control postpartum hemorrhage by causing sustained uterine contractions.
Choice C rationale:
Terbutaline is a tocolytic agent used to relax the uterus and is not used to manage postpartum hemorrhage. It is actually used to delay preterm labor.
Choice D rationale:
Hemabate (carboprost) is a prostaglandin used to treat severe postpartum hemorrhage by inducing strong uterine contractions.
Choice E rationale:
Magnesium sulfate is used to prevent seizures in preeclampsia and is not indicated for the management of postpartum hemorrhage.
The diagnosis of pregnancy is based on which positive signs of pregnancy? (Select all that apply.)
A. Identification of fetal heartbeat.
This is apositive signs of pregnancy, which are definitive and can only be explained by the presence of a fetus. A positive sign of pregnancy is fetal movement palpated by the nurse-midwife.
B. Palpation of fetal outline.
Palpation of the fetal outline is considered a probable sign of pregnancy. While suggestive, it is not definitive because uterine tumors or myomas can occasionally mimic the fetal shape.
C. Visualization of the fetus.
This is apositive signs of pregnancy, which are definitive and can only be explained by the presence of a fetus. A positive sign of pregnancy is fetal movement palpated by the nurse-midwife.
D. Verification of fetal movement.
This is apositive signs of pregnancy, which are definitive and can only be explained by the presence of a fetus. A positive sign of pregnancy is fetal movement palpated by the nurse-midwife.
E. Positive hCG test.
This is wrong because a positive hCG test is a probable sign of pregnancy, not a positive one. A probable sign of pregnancy is strongly suggestive of pregnancy but could have other causes. A positive hCG test could be caused by medications, tumors, or other conditions that affect the level of hCG in the blood or urine. Some other probable signs of pregnancy are uterine enlargement, Hegar’s sign (softening of the lower uterine segment), Goodell’s sign (softening of the cervix), Chadwick’s sign (bluish discoloration of the cervix), ballottement (rebound of the fetus when tapped by the examiner’s finger), Braxton Hicks contractions (painless, irregular uterine contractions), and a positive pregnancy test. Some other positive signs of pregnancy are the identification of fetal heartbeat, visualization of the fetus by ultrasound or x-ray, and verification of fetal movement by an experienced clinician.
Full Explanation
Choice A rationale: Identification of a fetal heartbeat via Doppler or ultrasound is a positive sign because it provides objective, undeniable evidence of a living fetus separate from the maternal systems.
Choice B rationale: Palpation of the fetal outline is considered a probable sign of pregnancy. While suggestive, it is not definitive because uterine tumors or myomas can occasionally mimic the fetal shape.
Choice C rationale: Visualization of the fetus through ultrasound or radiographic study is a positive sign. It offers direct, objective confirmation of the embryo or fetus, leaving no room for diagnostic error.
Choice D rationale: Verification of fetal movement by a trained healthcare provider is a positive sign. Unlike subjective maternal "quickening," professional palpation of movement confirms the presence of a live, developing fetus.
Choice E rationale: A positive hCG test is a probable sign of pregnancy. Human chorionic gonadotropin levels can be elevated by certain medications, molar pregnancies, or specific types of choriocarcinoma tumors.
The practical nurse (PN) is caring for a child who was admitted after experiencing a generalized tonic-clonic seizure. When witnessing the child begin to seize again, which actions should the PN implement immediately?(Select all that apply.).
A. Observe the progression of the seizure.
Observing the progression of the seizure is essential to provide accurate information to the healthcare team and to ensure appropriate interventions can be implemented.
B. Loosen clothing around the neck.
Loosening clothing around the neck helps prevent potential airway obstruction during the seizure.
C. Insert a tongue blade between the teeth.
Inserting a tongue blade between the teeth is not recommended as it could lead to injury or airway obstruction. It is important to keep the airway clear, but this should be achieved through other means.
D. Hold the extremities close to the body.
Holding the extremities close to the body during a seizure is not necessary and may cause harm to the patient or the person trying to restrain them. It is best to allow the seizure to run its course while ensuring the safety of the patient.
E. Pad the side rails with pillows.
Padding the side rails with pillows helps prevent injury if the child inadvertently strikes the side rails during the seizure. It is a safety measure to protect the patient from harm.