Question 1

What was recommended by Karl Credé in 1884?

Accepted Answer

A)   All women should be delivered in a hospital setting.
B)   Chemical means should be used to combat infection.
C)   Podalic version should be done on all fetuses.
D)   Silver nitrate should be placed in the eyes of newborns. D

Question 2

The nurse is aware that there is a legal responsibility to report certain diseases and conditions to county or state health authorities.Which would be included?

Accepted Answer

A)   Tuberculosis
B)   Child abuse
C)   Industrial accidents
D)   Sexually transmitted diseases
E)   Food-borne infections A,B,D,E

Question 3

The nurse is clarifying information to a patient regarding diagnosis-related groups (DRGs).What is the nurse's best response when the patient asks how DRGs reduce medical care costs?

Accepted Answer

A)   By determining payment based on diagnosis
B)   By requiring two medical opinions to confirm a diagnosis
C)   By organizing HMOs
D)   By defining a person who will require hospitalization A

Question 4

What is one major advantage to the application of critical thinking?

Accepted Answer

A)   Problem-free care
B)   Limitation of approaches to care
C)   Decreased need for assessment
D)   Problem prevention

Question 5

-A patient in the prenatal clinic is concerned about losing her job because of her pregnancy.The nurse instructs her that the Family Medical Leave Act (FMLA)allows an employee to be absent from work without pay.How many weeks does the FMLA allow a woman to recover from childbirth or care for a sick family member without loss of benefits or pay status?

Accepted Answer

A)   4
B)   6
C)   10
D)   12

Question 6

-What is the best example of a Nursing Interventions Classification (NIC)intervention?

Accepted Answer

A)   Patient will ambulate in the hall independently for 10 minutes three times a day.
B)   Nurse will report temperature elevations to the charge nurse.
C)   Nurse will offer extra liquids at all meals.
D)   Patient will express pain relief after massage.

Question 7

How does electronic charting ensure comprehensive charting more effectively than handwritten charting?

Accepted Answer

A)   Provides a uniform style of chart
B)   Requires certain responses before allowing the user to progress
C)   All documentation is reflective of the nursing care plan
D)   Requires a daily audit by the charge nurse

Question 8

A pregnant woman who has recently immigrated to the United States comments to the nurse,"I am afraid of childbirth.It is so dangerous.I am afraid I will die." What is the best nursing response reflecting cultural sensitivity?

Accepted Answer

A)   "Maternal mortality in the United States is extremely low."
B)   "Anesthesia is available to relieve pain during labor and childbirth."
C)   "Tell me why you are afraid of childbirth."
D)   "Your condition will be monitored during labor and delivery."

Question 9

What factors have played a role in meeting the goals of Healthy People 2020 as it relates the goals for outcomes of pregnancy?

Accepted Answer

A)   Early prenatal care
B)   Increased number of surgical births
C)   NICU care
D)   Use of prenatal glucocorticoids
E)   Fetal surgery

Question 10

What developments in the early 20th century encouraged women to seek hospitalization for childbirth?

Accepted Answer

A)   Use of specialized obstetric instruments
B)   Use of anesthesia
C)   Physicians' closer relationships with hospitals
D)   Focus on family-centered care
E)   Insurance coverage

Question 11

The nurse who is very conscientious about hand hygiene is following the concepts set out by ____________________ and ____________________.

Accepted Answer

The answer of The nurse who is very conscientious about...

Question 12

How does the clinical pathway or critical pathway improve quality of care?

Accepted Answer

A)   Lists diagnosis-specific implementations
B)   Outlines expected progress with stated timelines
C)   Prioritizes effective nursing diagnoses
D)   Describes common complications

Question 13

The first White House Conference on Children and Youth was called by President ______________ ________________.

Accepted Answer

The answer of The first White House Conference on Children...

Question 14

A patient asks the nurse to explain what is meant by "gene therapy." What is the nurse's best response?

Accepted Answer

A)   Gene therapy can replace missing genes.
B)   Gene therapy evaluates the parent's genes.
C)   Gene therapy can change the sex of the fetus.
D)   Gene therapy supports the regeneration of defective genes.

Question 15

What was the result of research done in the 1930s by the Children's Bureau?

Accepted Answer

A)   Children with heart problems are now cared for by pediatric cardiologists.
B)   The Child Abuse and Prevention Act was passed.
C)   Hot lunch programs were established in many schools.
D)   Children's asylums were founded.

Question 16

-An inservice program at a long-term care facility is reviewing the Nursing Outcomes Classification (NOC)with nursing staff.After the presentation the nurses review resident care plans.Which of the following are found to be appropriately written outcomes?

Accepted Answer

A)   Suction patient orally every 4 hours and as needed.
B)   Auscultate lung sounds every 2 hours.
C)   Provide Tylenol as ordered by health care provider.
D)   Patient states "Pain has decreased" after medication administration.
E)   Patient blood pressure recorded as 120/72 after dressing change.

Question 17

A community health nurse is providing specialized care to patients in the home setting.What kind of specialized care may this nurse be providing?

Accepted Answer

A)   Glucose monitoring
B)   Heparin therapy
C)   Family education
D)   Total parenteral nutrition
E)   Provision of referral services

Question 18

What is the purpose of the White House Conference on Children and Youth?

Accepted Answer

A)   Set criteria for normal growth patterns.
B)   Examine the number of live births in minority populations.
C)   Raise money to support well-child clinics in rural areas.
D)   Promote comprehensive child welfare.

Question 19

Which medical pioneer discovered the relationship between the incidence of puerperal fever and unwashed hands?

Accepted Answer

A)   Karl Credé
B)   Ignaz Semmelweis
C)   Louis Pasteur
D)   Joseph Lister

Question 20

What services are birthing centers able to provide?

Accepted Answer

A)   Prenatal care
B)   Labor and delivery services
C)   Classes for new mothers
D)   Adoption referrals
E)   Family planning

Exam 1: The Past, Present, and Future