Last Updated: Aug 22, 2026
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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Planning and Implementation | 43% | - Patient Care Management
|
| Topic 2: Assessment and Diagnosis | 27% | - Clinical Assessment
|
| Topic 3: Evaluation | 30% | - Outcome Evaluation
|
1. A nurse in a delivery room is assisting with the delivery of newborn infant. After the delivery, the nurse
prepares to prevent heat loss in the newborn infant resulting from evaporation by:
A) Closing the doors to the room
B) Drying the infant with a warm blanket
C) Warming the crib
D) Turning on the overhead radiant warmer
2. A nurse is part of a multi-disciplinary team discussing a newborn patient's plan of care. The nurse
recognizes that her role on the team is to:
A) Serve as the group facilitator
B) Assure that her recommendations are adopted in the plan of care
C) Work with other team members to achieve a mutually agreed upon outcome
D) Identify team members who don't understand the nursing role
3. A fifteen-year-old patient refuses to proceed to a twice-a-day sessions for a physical therapy. The nurse
might best approach this situation by:
A) Assuring the patient that analgesic will be given before the therapy
B) Request from the physician whether the therapy can be decreased to once daily
C) Have the patient observe the progress of a more cooperative patient with the same case
D) Planning a conference with the therapist to discuss the patient's feelings
4. A nurse is preparing a nursing care plan for a six-year-old patient who is in the acute phase of sickle cell
vaso-occlusive crisis. Which of the following interventions should be included in the plan?
A) Encourage patient to increase caloric intake
B) Administration of analgesia as prescribed
C) Fluid restriction of 1L per day
D) Ambulation for at least six hours a day
5. A clinical nurse specialist is monitoring the blood glucose level of a neonate who was born to a diabetic mother.
The nurse determined that the blood glucose level is 50 mg/dL. What would be the action of the nurse?
A) Feed the baby orally with 10% dextrose in water
B) Alert the physician and request an order of glucose 50%
C) Assess the cord serum glucose level
D) Monitor the neonate continuously for the next twenty-four hours
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: C | Question # 3 Answer: D | Question # 4 Answer: B | Question # 5 Answer: D |
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