Question 1

A client has had amniocentesis. One of the tests performed on the amniotic fluid is a lecithin/sphingomyelin (L/ S) ratio. The results show a ratio of 1:1. This is indicative of:

Options :

A : Lung immaturity

B : Intrauterine growth retardation (IUGR)

C : Intrauterine infection

D : Neural tube defect

Answer: A

Question 2

Assessment of a newborn for Apgar scoring includes observation for:

Options :

A : Pupil response

B : Respiratory rate

C : Heart rate

D : Babinski’s reflex

Answer: C

Question 3

In performing the initial nursing assessment on a client at the prenatal clinic, the nurse will know that which of the following alterations is abnormal during pregnancy?

Options :

A : Striae gravidarum

B : Chloasma

C : Dysuria

D : Colostrum

Answer: C

Question 4

A client who has sustained a basilar skull fracture exhibits blood-tinged drainage from his nose. After
establishing a clear airway, administering supplemental O2, and establishing IV access, the next nursing
intervention would be to:

Options :

A : Pass a nasogastric tube through the left nostril

B : Place a 4x4 gauze in the nares to impede the flow

C : Gently suction the nasal drainage to protect the airway

D : Perform a halo test and glucose level on the drainage

Answer: D

Question 5

Which of the following nursing actions is essential to prevent drug-resistant tuberculosis?

Options :

A : Monitor liver function.

B : Monitor renal function.

C : Assess knowledge of respiratory isolation

D : Monitor compliance with drug therapy.

Answer: D