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Question 1 of 5

A pregnant client at 36 weeks' gestation has partial placenta previa and has been on bedrest at home for the previous 4 weeks. The client has started to have occasional contractions and is beginning to experience increasing vaginal bleeding. What intervention does the nurse anticipate?

Correct Answer: D

Rationale: Increasing bleeding with placenta previa at 36 weeks requires cesarean delivery (
D) to prevent hemorrhage.
Tocolytics (
A), induction (
B), or transfusions (
C) are not primary interventions.

Question 2 of 5

The physician has ordered an IV bolus of Solu-Medrol (methylprednisolone sodium succinate) in normal saline for a client admitted with a spinal cord injury. Solu-Medrol has been shown to be effective in:

Correct Answer: C

Rationale: Solu-Medrol is used in acute spinal cord injuries to reduce inflammation and swelling, which can improve motor and sensory outcomes if given promptly.

Question 3 of 5

A 4-year-old is admitted with acute leukemia. It will be most important to monitor the child for:

Correct Answer: C

Rationale: Acute leukemia causes bone marrow suppression, leading to anemia (pallor) and thrombocytopenia (bleeding), which are critical to monitor.

Question 4 of 5

The nurse is precepting a student nurse in the ICU. Which statement regarding student nurses is correct? Select all that apply.

Correct Answer: B,D,E

Rationale: Student nurses can assist with tasks like repositioning (
B), provide care under supervision (
D), and discuss cases in educational settings without identifiers (E). They cannot administer medications independently (
A) or determine interventions (
C).

Question 5 of 5

The director of nursing is working on an occupational health and safety manual for the staff. She wants to include a section describing how factors in the environment can increase safety and reduce risk and injury. The term for this study is

Correct Answer: C

Rationale: Ergonomics studies workplace design to enhance safety and reduce injury risk, aligning with the manual’s goals.

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