Name: ____________________________________ Score: _______________

Group/ Section: ____________________________

1. A nurse is reinforcing instructions to a client about diaphragmatic breathing. The nurse tells the
client that this technique is helpful because in normal respiration, as the diaphragm contracts it
a. Moves downward and out
b. Moves up and inward
c. Aids in exhalation
d. Makes the thoracic cage smaller
2. A nurse is reading the result of a chest X-ray report of a client who has just intubated. The report
states that the tip of the endotracheal tube lies 1 cm above the carina. The nurse interprets that
the tube is positioned above
a. The point where the larynx connects to the trachea
b. The area connecting the oropharynx to the laryngopharynx
c. The bifurcation of the right and left main stem bronchi
d. The first cartilaginous ring
3. A chest X-ray result for a client states that the client has left apical pneumothorax. The nurse
monitors the status of breath sounds in that area by placing the stethoscope
a. Posteriorly under the left scapula
b. Just under the left clavicle
c. In the fifth intercostals space
d. Near the lateral 12th rib
4. A nurse is reinforcing instructions to a client with pulmonary disease about pulmonary disease
about fundamental concepts of gas exchange. When questioned further by the client, the nurse
expands on earlier comments and explains that gas exchange occurs through the process called?
a. Diffusion
b. Osmosis
c. Active transport
d. Ionization
5. A nurse is preparing to check the breath sounds of a client. When auscultating for
bronchovesicular breath sounds, the nurse would place the stethoscope over
a. The peripheral lung fields
b. The major bronchi
c. The trachea and larynx
d. The lowest posterior thorax
6. A nurse who is orienting another nurse to the emergency room instructs the orientee to assess
for one sided chest movement on the right while a client is being intubated by the physician.
The nurse’s instruction is based on the understanding that the endotracheal tube could enter
the
a. Right main stem bronchus
 b. Left main stem bronchus
c. Esophagus
d. Stomach
7. A nurse is assisting a respiratory therapist to position a client for postural drainage. The nurse
places the client in a position that will use gravity to help drain which of the following area?
a. Trachea
b. Right bronchus
c. Lobes
d. Alveoli
8. A clinic nurse is performing cardiovascular assessment on a client. The nurse prepares to assess
the client’s apical pulse and places the stethoscope in which of the following positions that
represents the apex of the heart?
a. At the midline of the chest just below the xiphoid process
b. At the midclavicular line at the fifth intercostals space
c. At the midaxillary line on the left side of the chest
d. Midsternum equal with the nipple line
9. A client has been diagnosed with heart failure as a complication of hypertension. In explaining
the disease to the patient, the nurse identifies which of the following chambers of the heart as a
primarily responsible for the client symptoms?
a. Left atrium
b. Left ventricle
c. Right atrium
d. Left atrium
10. A client is admitted to the hospital with a diagnosis of mitral stenosis. The nurse understands
that the narrowing of this valve impedes circulation of blood from the
a. Left atrium to the left ventricle
b. Left ventricle to the aorta
c. Right atrium to the right ventricle
d. Right ventricle to the pulmonary artery
11. A client is admitted to hospital with a diagnosis aortic regurgitation. The nurse understands that
the failure of this valve to close completely allows blood to flow retrograde from the
a. Left ventricle to the left atrium
b. Aorta to left ventricle
c. Right ventricle to right atrium
d. Pulmonary artery to the right ventricle
12. A nurse is reinforcing a teaching to a client with heart block about the fundamental concepts
regarding the cardiac rhythm. The nurse explains to the client that the normal site in the heart
responsible for initiating electrical impulses is the
a. Atrioventricular nodes
b. Bundle of his
c. Purkinje fibers
d. Sinoatrial node
13. A nursing instructor asks a student to describe the structure and function of the coronary
arteries. Which of the following responses by the student indicates a need for further research
of the anatomy and physiology related to the heart?
a. The coronary arteries branch from the aorta
b. The coronary arteries supply the heart muscle with blood
c. The left coronary artery provides blood for the left atrium and left ventricle
d. The left coronary artery supplies the right atrium and right ventricle with blood
14. A nurse is assigned to care for a client with cardiac disorder and is told that the client has an
alteration in cardiac output. The nurse plans care, understanding that the heart normally sends
out how many liters of blood per minute to the body
a. 2
b. 5
c. 10
d. 15
15. A nurse is preparing to take an apical pulse on an assigned client. The nurse places the
diaphragm on the stethoscope at which cardiac site?
a. Right atrium
b. Right ventricle
c. Mitral area
d. Pulmonic valve
16. A nurse is listening to a cardiologist explain the results of a cardiac catheterization to a client
and family. The physician tells the client that there is a blockage in the large blood vessel that
supplies the anterior wall of the left ventricle. The nurse interprets that the physician is referring
to which of the following arteries?
a. Left anterior descending artery
b. Right coronary artery
c. Circumflex artery
d. Posterior descending artery
17. A nurse instructs a client to use pursed lip breathing method. The client asks the nurse about the
purpose of this type of breathing, the nurse responds, knowing that the primary purpose of
pursed lip breathing is to
a. Promote oxygen intake
b. Strengthen the diaphragm
c. Strengthen the intercostal muscles
d. Promote carbon dioxide elimination
18. A client with angina pectoris has a 12-lead ECG taken during an episode of chest pain. A nurse
examines the tracing for which ECG changes caused by myocardial ischemia
a. Prolonged PR interval
b. Widened QRS complex
c. ST segment elevation
d. Tall peaked T waves
19. A client with no history of cardiovascular disease comes to ambulatory clinic with flu like
symptoms. The client suddenly complains of chest pain. Which of the following questions would
best help the nurse to discriminate pain caused by a non cardiac problem?
a. Have you ever had this pain before?
b. Can you describe the pain to me?
c. Does the pain get worse when you breathe in?
d. Can you rate the pain to me from 1-10?
20. A client with angina complains that the anginal pain is prolonged and severe and occurs at the
same time each day, most often in the morning. On further assessment a nurse notes that the
pain occurs in the absence of precipitating factors. This type of angina pain is best described as
a. Stable angina
b. Unstable angina
c. Variant angina
d. Non angina pain
21. This part of the respiratory system prevents food from entering the tracheobronchial tree?
a. Glottis
b. Epiglottis
c. Larynx
d. Pharynx
22. This is a phospholipid protein that reduces surface tension in the alveoli and prevents it from
collapsing?
a. Surfactant
b. Pleural fluid
c. Saliva
d. Bronchioles
23. This type of angina is caused by a vasospasm of a coronary artery and it may occur even at rest?
a. Prinzmetal’s angina
b. Unstable angina
c. Stable angina
d. None of the above
24. This is the largest and most muscular chamber of the heart and pumps the blood to the systemic
circulation.
a. Left atrium
b. Right atrium
c. Left ventricle
d. Right ventricle
25. It is part of the conduction system of the heart. It initiates each heart beat.
a. Left ventricle
b. Sinoatrial node
c. Bundle of his
d. Atrioventricular node
Sexuality and Reproduction

26. A nurse is caring for a postpartum woman who has received epidural anesthesia and is
monitoring the woman for presence of vulvar hematoma. Which of the following assessment
findings would best indicate the presence of hematoma?
a. Complains of a tearing sensation
b. Complains of intense pain
c. Changes in vital signs
d. Signs of heavy bruising
27. A nurse is developing a plan of care for a postpartum woman with a small vulvar hematoma. The
nurse includes which specific intervention in the plan during the first 12 hours following the
delivery for this client?
a. Assess vital signs every 4 hours
b. Inform health care provider of assessment findings
c. Measure fundal height every 4 hours
d. Prepare an ice pack for application every 4 hours
28. A new mother received epidural anesthesia during labor and had a forceps delivery after
pushing for two hours. At 6 hours post partum, her systolic blood pressure has dropped 20
points, her diastolic blood pressure has dropped 10 points, and her pulse is 120bpm. The client
is anxious and restless. On further assessment, a vulvar hematoma is verified. After notifying the
health care provider, the nurse immediately plans to...
a. Monitor fundal height
b. Apply perineal pressure
c. Prepare the client for surgery
d. Reassure the client
29. After surgical evacuation and repair of paravaginal hematoma, the mother is discharged 3 days
postpartum. A nurse knows that the new mother needs further discharge instructions when the
new mother states…
a. “Because I am so sore, I will nurse the baby while lying on my side”.
b. “I will probably need my mother to help me with housekeeping”.
c. “My husband and I will not have intercourse until the stitches are healed.”
d. “The only medications I will take are prenatal vitamins and stool softeners.”
30. A nurse is monitoring a new mother in the postpartum period for signs of hemorrhage. Which of
the ff signs, if noted in the mother, would be an early sign of excessive blood loss?
a. A temp of 100.40 F
b. An increase in the pulse rate from 88 to 102bpm
c. An increase in the respiratory rate from 18 to 22 breaths per minute
d. A blood pressure change from 130/88 to 124/80 mmHg
31. A nurse is preparing to assess the uterine fundus of a client in the immediate post partum
period. When the nurse locates the fundus, she notes that the uterus feels soft and boggy.
Which of the ff nursing interventions would be most appropriate initially?
a. Massage the fundus until it is firm
 b. Elevate the mothers legs
c. Push on the uterus to assists in experiencing clots
d. Encourage the mother to void
32. A post partum nurse is assessing a mother who delivered a healthy newborn infant by CS. The
nurse is assessing for s/s of superficial venous thrombosis? Which of the ff s/s of superficial
venous thrombosis were present?
a. Paleness of the calf area
b. Enlarged, hardened veins
c. Coolness of the calf area
d. Palpable dorsalis pedis pulses
33. A nurse is developing a plan of care for a postpartum client who was diagnosed with superficial
venous thrombosis. Which of the ff interventions would be a component of the plan of care?
a. Elevation of the affected extremity
b. Ambulation 4 to 6 times daily
c. Application of ice packs to the affected area
d. Administration of the prescribed anticoagulants
34. A client in a postpartum unit complains of a sudden sharp chest pain. The nurse notes that the
client is tachycardic and the RR is elevated. The nurse suspects a pulmonary embolism. The
initial nursing action would be which of the ff?
a. Assess the client’s BP
b. Initiate an intravenous line
c. Administer oxygen at 8 to 10 L/min by face mask
d. Prepare to administer morphine sulfate
35. The nurse is providing instructions to a mother who has been diagnosed with mastitis. Which of
the ff statements if made by the mother indicates a need for further education?
a. “ I need to take antibiotics, and I should begin to feel better in 24 t0 48 hrs
b. “ I can use analgesics to assist in alleviating some of the discomfort.”
c. “ I need to wear a supportive bra to relieve the discomfort.”
d. “ I need to stop breastfeeding until the condition resolves.”
36. A nurse s monitoring a postpartum client in the fourth stage of labor. Which of the ff findings, if
noted by the nurse, would indicate a complication related to a laceration of the birth canal?
a. The presence of dark red lochia
b. The saturation of more than one peripad per hour
c. Palpation of the uterus as a firm contracted ball
d. Palpation of the fundus at the level of the umbilicus
37. A nurse is developing a plan of care of a new mother recovering from a CS delivery. To prevent
thrombophlebitis, the nurse plans to encourage to woman to…
a. Ambulate frequently
b. Apply warm moist packs on the legs
c. Remain on bed rest
d. Elevate the legs
38. A postpartum client is being treated for deep venous thrombophlebitis. The nurse understands
that the client’s response to treatment will be evaluated by regularly assessing the client for…
a. Dysuria, ecchymosis, and vertigo.
b. Epistaxis, hematuria, and dysuria
c. Hematuria, ecchymosis, and epistaxis
d. Hematuria, ecchymosis, and vertigo
39. A nurse suspects that a postpartum client with femoral thrombophlebitis has developed a
pulmonary embolism. The immediate nursing action would be to…
a. Administer oxygen by face mask as prescribed by 8 to 10 L per minute.
b. Elevate the head of the bed to 30 to 45 degrees.
c. Initiate an intravenous line if one is not already in place.
d. Monitor vital signs.
40. A nurse performs an assessment on a client who is 4hrs postpartum. The nurse notes that the
client has cool, clammy skin and is restless and excessively thirsty. The nurse prepares
immediately to
a. Assess for hypovolemia and notify the health care provider
b. Begin hourly pad counts and reassure the client
c. Begin fundal massage and start oxygen by mask
d. Elevate the head of the bed and assess vital signs
41. The nurse is assessing a client in the fourth stage of labor and notes that the fundus is firm but
that bleeding is excessive. The initial nursing action would be which of the ff?
a. Massage the fundus
b. Place the mother in a Trendelenburg’s position
c. Notify the physician
d. Record the findings
42. A new mother is seen in a health care unit two weeks after giving birth to a healthy newborn
infant. The mother is complaining that she feels as though she has the flu and complains of
fatigue and aching muscles. On further assessment the nurse notes a localized area of redness
on the left breast, and the mother is diagnosed with mastitis. The mother asks the nurse about
the condition. The most appropriate nursing response is which of the ff?
a. “The infection can occur at anytime during breastfeeding.”
b. “The infection is most common for women who had breastfed in the past.”
c. “The infection usually involves both breasts.”
d. “The infection usually is caused by wearing a supportive bra.”
43. A nurse is providing instructions to a mother who is breastfeeding her newborn infant regarding
measures to prevent postpartum mastitis. Which of the ff if stated by the mother would indicate
a need for further instructions?
a. “I should change the breast pad most frequently.”
b. “I should wash the nipples daily with soap and water.”
c. “I should wash my hands well before breastfeeding.”
d. “I should breastfed every 2 to 3 hours.”
44. A home care nurse visits a a client who delivered a healthy newborn infant via vaginal delivery.
An episiotomy was performed, and the woman has developed a wound infection at the
episiotomy site. The nurse provides instructions to the mother regarding care related to the
infection. Which of the ff statements if made by the mother would indicate a need for further
instructions?
a. “I need to take the antibiotics as prescribed.”
b. “I need to apply warm compresses to provide comfort.”
c. “I need to take warm Sitz baths to promote healing.”
d. “I need to isolate the infant for 48 hrs after the initiation of the antibiotics.”
45. A nurse is caring for a postpartum client with a diagnosis of a deep vein thrombosis who is
receiving a continuous intravenous infusion of heparin sodium. Which of the ff lab results will
the nurse specifically review to determine if an effective and appropriate dose of the heparin is
being delivered? Action
a. Prothrombin time
b. International normalized ratio
c. Activated partial thromboplastin time
d. Platelet count
46. A nurse is assessing a client who is 6hrs postpartum after delivering a fullterm healthy newborn
infant. The client complains to the nurse of feelings of faintness and dizziness. Which of the ff
nursing actions would be most appropriate?
a. Obtain Hgb and Hct level
b. Instruct the mother to request help when getting out of bed
c. Elevate the mother’s legs
d. Inform the nursery room nurse to avoid bringing the newborn infant to the mother until
the feelings of lightheadedness and dizziness have subsided.
47. A nurse is preparing to perform a fundal assessment on a postpartum client. The initial nursing
action in performing this assessment is which of the ff actions?
a. Ask the client to turn on her side
b. Ask the client to lie flat on her back with the knees and legs flat and straight.
c. Ask the mother to urinate and empty her bladder.
d. Massage the fundus gently before determining the level of the fundus.
48. The nurse is assessing the lochia discharge on a one day postpartum woman. The nurse notes
that the lochia is red and foul smelling odor. The nurse determines that this assessment finding
is..
a. Normal
b. Indicates the presence of infection
c. Indicates the need for increasing oral fluids
d. Indicates the need for increasing ambulation
49. A nurse is performing a postpartum assessment on a client who is preparing to breastfeed.
Which of the ff breast assessment findings would the nurse determines to be the most effective
for breastfeeding?
a. Flat nipples
 b. Inverted nipples
c. Erectile nipples
d. Nipples that are level with the skin surface
50. A nursing student is preparing to perform cardiovascular assessment on a postpartum woman. A
nursing instructor asks the student about the procedure to elicit Homan’s sign. Which response
of the nursing student would indicate an understanding of this assessment technique?
a. “I will ask the woman to raise the legs up to the waist and then lower the legs slowly.”
b. “I will ask the woman to extend her legs flat on the bed, and I will grasp the foot and
gently dorsiflex if forward.”
c. “I will ask the woman to extend the legs flat on the bed, and I will grasp the foot and
sharply extend it backward.”
d. “I will ask the woman to raise the legs and to try to lower them against pressure from
my hand.”