PREBOARD 3 EXAMINATION
Nursing Practice II
Situation 1 – This is the first postoperative day
for patient Eliza who delivered by caesarean
section (CS). Nurse Ivy a newly hired staff was
assigned to her.
1. Eliza asks the nurse why she has to get up and walk
the day after surgery. Which of the following is the BEST
response of the nurse? Walking hastens _________.
A. Hastens lactation
B. Relieves pain
C. Heals wounds
D. Fast recovery from anesthesia
2. Which laboratory finding should the nurse assess on
the patient 24 hours after caesarian section delivery
upon doctor’s request?
A. Trace 1+ proteinuria
B. Hematocrit 35%
C. White blood cell count 20,000/cu.mm
D. Hemoglobin 7.0 g/dL
3. Eliza complains of “afterpains”. What should be the
nurse IMMEDIATE action?
A. Advise her to stop breast-feeding for a
day
B. Encourage her to drink more water
C. Assess vital signs and pain level
D. Administer an analgesic STAT
4. Eliza is to be discharge 3 days after CS delivery.
Which of the following observations of the nurse would
cause the delay of her discharge and would warrant
notification to the physician?
A. Moderate amount of lochia rubra
B. Fundus is firm at umbilicus
C. Pulse rate of 61 beats/minute taken in
24 hours
5. On the third postpartum day, Eliza reports that she
has voided five times that morning. What should the
nurse INITIALLY do?
A. Insert a Foley catheter
B. Collect the next voiding and measure
the urine amount
C. Catheterize the client to check fo
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