Question 1

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 B

Question 2

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 B

Question 3

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. D

Question 4

How many hours of hospital stay does legislation currently allow for a postpartum patient who has delivered vaginally without complications?

Accepted Answer

A)   24
B)   48
C)   36
D)   72

Question 5

What guidelines define multidisciplinary patient care in terms of expected outcome and timeframe from different areas of care provision?

Accepted Answer

A)   Clinical pathways
B)   Nursing outcome criteria
C)   Standards of care
D)   Nursing care plan

Question 6

A patient chooses to have the certified nurse-midwife (CNM)provide care during her pregnancy.What does the CNM's scope of practice include?

Accepted Answer

A)   Practice independent from medical supervision
B)   Comprehensive prenatal care
C)   Attendance at all deliveries
D)   Cesarean sections

Question 7

A community health nurse is providing specialized care to patients in the home setting.What kind of specialized care may this nurse be providing? (Select all that apply. )

Accepted Answer

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

Question 8

What non-family-centered policies were prevalent in the 1960s? (Select all that apply. )

Accepted Answer

A)   Waiting room for fathers
B)   Sedation of mother during labor
C)   Delay of reunion of mother and infant
D)   Lenient visiting hours
E)   Restrictions of visitations by minor children

Question 9

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? (Select all that apply. )

Accepted Answer

A)   Tuberculosis
B)   Child abuse
C)   Industrial accidents
D)   Sexually transmitted diseases
E)   Foodborne infections

Question 10

The nurse reminds family members that the philosophy of family-centered care is to provide control to the family over health care decisions.What is the appropriate term for this type of control?

Accepted Answer

A)   Empowerment
B)   Insight
C)   Regulation
D)   Organization

Question 11

What factors have played a role in meeting the goals of Healthy People 2030 as it relates the goals for outcomes of pregnancy? (Select all that apply. )

Accepted Answer

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

Question 12

Student practical nurses are discussing the North American Nursing Diagnosis Association International (NANDA-I)taxonomy in post conference on the acute care clinical setting.The students are aware that the role of the LPN with nursing diagnosis formulation is what?

Accepted Answer

A)   To initiate and identify nursing diagnosis specific to patient
B)   To update changes in nursing diagnosis as needed
C)   To have an understanding of nursing diagnosis terminology
D)   To accurately document nursing diagnosis on patient plan of care

Question 13

Practical nursing students are using critical thinking skills to study for an upcoming test.What will these students include when studying? (Select all that apply. )

Accepted Answer

A)   Memorization of facts first
B)   Prioritizing information
C)   Relating facts to other facts
D)   Making assumptions
E)   Reviewing before the test

Question 14

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 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

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

Question 17

What is the focus of current maternity practice?

Accepted Answer

A)   Hospital births for the majority of women
B)   The traditional family unit
C)   Separation of labor rooms from delivery rooms
D)   A quality family experience for each patient

Question 18

What developments in the early 20th century encouraged women to seek hospitalization for childbirth? (Select all that apply. )

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 19

What government program was implemented to increase the educational exposure of preschool children?

Accepted Answer

A)   WIC
B)   Title XIX of Medicaid
C)   The Children's Charter
D)   Head Start

Question 20

A nursing student on an obstetric rotation questions the floor nurse about the definition of the LVN/LPN scope of practice.What resource can the nurse suggest to the student?

Accepted Answer

A)   American Nurses Association
B)   State's board of nursing
C)   Joint Commission
D)   Association of Women's Health,Obstetric and Neonatal Nurses

Exam 1: The Past, Present, and Future