_________ 1.

In differentiating physilogic jaundice from pathologic jaundice, which of the following

facts is most important?
A. Mother is 37 years of age
B. Infant is a term newborn
C. Unconjugated bilorubun level is 6mg/dl on third day
D. Appears at 12 12 hours after birth
_________ 2. A newborn is receiving phototherapy. To meet safety needs while he is undegoing
phototherapy, then urse would
A. Limit fluid intake
B. Cover thei nfant;s eyes while he is under the light
C. Keep him clothed to prevetn skin burns
D. Make sure thel ight is not closer than 24 inches
_________ 3. The morning temperature on a newborn is 36.4°C. In order to prevent cold stress,
which nursing action should be included in the plan of care? Teach the mother to
A. Keep the baby’s head covered
B. Keep the baby unwrapped
C. Turn up the thermostat in then ursery
D. Use warm waetr for the bath
_________ 4. A diabetic woman has a problem-free prenatal course and delivers a full-term 9 lbs 2
oz girl. At 1 hour after birth, the baby exhibits tremors. The nurse performs a heel
stick an a Dextrostix test. The result is 40 mg/dl. The nurse concludes that these
sysmptoms are most likely caused by
A. Hypoglycemia
B. Hypokalemia
C. Hypothermia
D. Hypercalcemia
_________ 5. An adult is admitted to the coronary care unit tp rule out a myocardial infarction. The
client states, “I am not sure if it is just angina, and I cannot understand the difference
betweem angina and heart attack pain.” Which response is most appropriate for then
urse to make?
A. Anginal pain usually lasts only 3-5 minutes
B. Anginal pain produces clenching of the fists over the chestwhile acute MI pain
does not
C. Anginal pain requires morphine for relief
D. Anginal pain radiates to the left arm while acute MI does not
_________ 6. An adult woman is admitted to the cardiac care unit with a myocardial infarction. The
morning after admission she and her husband tell then urse that she must be home
tonight to care for the children when her husband goes to work. The problem
identified at this point would be
A. Anxiety related to physical limitations
B. Alteration in cardiac output
C. Inability of client/family to understand disease process
D. Safety needs related to inability to cope
_________ 7. The nurse is caring for an adult who is being treated for a myocardial infarction.
Oxygen is ordered. Administering oxygen to this client is related to which of the
following client problems?
A. Anxiety
B. Chest pains
C. Inefective myocardial perfusion
D. Alteration in heart rate, rhythm, or conduction
_________ 8. An adult female has a history of coronary artery disease and angina pectoris. After
walking to the bathroom, she complains of aching substernal pain that radiates to her
left shoulder. The nurse should
A. Assist her to lie down and elevate her legs
B. Administer a PRN dose of nitroglycerine sublingually
C. Use pillows to support and immobilize the left shoulder
 D. Administer a PRN dose of aspirin or acetaminophen (Tylenol)
_________ 9. A nitrog;ycerine trnadermal patch was prescribed 6 weeks ago for an adult to treat
angina pectoris. The nurse knows that the patch has been effective if
A. The client’s serum cholesterol level has decreased
B. The client’s blod pressure is within normal limits
C. The client reports no episodes of chest pain
D. Pulse oximetry shows the c;ient’s oxygen saturation is improved