Question 54
A patient is admitted with liver and gallbladder disease. On assessment, where should the nurse focus palpation for tenderness?
A. Left upper quadrant
B. Right upper quadrant
C. Left lower quadrant
D. Right lower quadrant
Correct Answer: B. Right upper quadrant

Question 55
A nurse is assisting a patient who is unsteady while walking. Which of the following devices is most appropriate to ensure safety?
A. Gait belt
B. Cane
C. Walker without supervision
D. Wheelchair only
Correct Answer: A. Gait belt

Question 56
A child has undergone surgery for hypospadias. Which of the following instructions should the nurse teach the mother regarding postoperative care?
A. Allow the child to swim immediately
B. Let the child play with certain toys that require straddling
C. Change the child’s diaper frequently with standard diapers
D. Use a double diaper to protect the surgical site
Correct Answer: D. Use a double diaper to protect the surgical site

Question 57
A patient is prescribed medication for hypothyroidism. When is the best time for the patient to take the medication?
A. Morning before breakfast
B. With lunch
C. Evening before bedtime
D. Any time during the day with meals
Correct Answer: A. Morning before breakfast

Question 58
A 3-month-old infant presents with abdominal pain and ribbon-like stools. Which question should the nurse ask the mother first to gather relevant history?
A. History of failure to pass meconium
B. History of recent infections
C. Dietary habits and formula type
D. Family history of gastrointestinal disorders
Correct Answer: A. History of failure to pass meconium

Question 59
The nurse manager held a meeting with the nursing staff. Which of the following leadership qualities is best demonstrated in this scenario?
A. Committee decision-making
B. Openness to staff input
C. Fairness in assigning duties
D. Strict adherence to policy
Correct Answer: B. Openness to staff input

Question 60
A pregnant client wants to actively participate in labor but does not want to experience pain. Which pain management intervention is most appropriate?
A. Intravenous opioids
B. Epidural anesthesia
C. Nitrous oxide inhalation
D. Non-pharmacological methods only (e.g., breathing techniques)
Correct Answer: B. Epidural anesthesia

Question 61
A pregnant client presents with vaginal bleeding. On examination, the cervix is closed. Which of the following are types of spontaneous abortion that the nurse should be aware of?

A. Threatened abortion
C. Incomplete abortion
D. Complete abortion
E. Missed abortion

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1. Range of Motion (ROM) Exercise
A nurse is performing range of motion exercises for a patient. Resistance is noted in one joint. What is the nurse’s best action?
A. Continue the exercise
B. Stop the exercise ✅
C. Move the joint in the opposite direction
D. Apply additional force

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2. Cerebral Palsy (CP) Causes
Which of the following are common causes of cerebral palsy in infants?
A. Prenatal hypoxia ✅
B. Birth trauma ✅
C. Intraventricular hemorrhage ✅
D. Congenital heart disease

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3. Meningitis Precautions
A child is admitted with bacterial meningitis. Which isolation precautions should the nurse implement?
A. Standard precautions only
B. Contact precautions
C. Droplet precautions ✅
D. Airborne precautions

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4. Respiratory Distress Syndrome (RDS) in Neonates
Which of the following are typical risk factors or causes of RDS in neonates?
A. Premature birth ✅
B. Surfactant deficiency ✅
C. Meconium aspiration
D. Congenital heart defect