A poor student needs help with some registration exam questions

Scrubby · Oct 27, 2010

Sounds like you want us to do your homework for you.

ceridwyn · Oct 27, 2010

best wait for an answer from a kiwi, mental health/midwife, I am but a poor oncology/palliative care nurse.

K+MgSO4, BSN · Oct 28, 2010

Since when was there a written test for rego in Oz or NZ?

SamZ · Oct 28, 2010

Dear Scrubby:

I am not trying to get anyone to do my homework for me:

1) Mental health questions are very confusing

2) We have only be taught a little bit of maternity nursing, but are asked so many maternity questions in the state exam, which is ridiculous anyway.

3) I have tried my best and looked everywhere to find an answer, but could not find a definite answer for these questions.

Please do not comment on someone without knowing that person and what that person has done.

Scrubby · Oct 28, 2010

I manage to find the answers to a couple of your questions by doing a quick internet search:

Displaced uterus in post partum period:

Maternal, neonatal, and women's ... - Google Books

Chlorpromazine:

Chlorpromazine Disease Interactions - Drugs.com

Normal labour:

Normal Labor and Delivery: eMedicine Obstetrics and Gynecology

Silverdragon102, BSN · Oct 28, 2010

When asking questions like this it helps to know what sort of answers you have and why you think that is the answer, better then to guide you if heading in the wrong or right direction

talaxandra · Oct 28, 2010

Scrubby made that comment for a reason. Students very often post here expecting members to do their work for them; if you want to make it clear that you've already made an effort but are stuck, you will get a better response by indicating that you've already given the questions some thought. If you don't include any of your thought processes then it's impossible to know whether you're genuinely stuck or after a free ride - it's the internet, and we don't know you. For example, had you written:

I don't know what to put for this question -
2) The most common side effects of chlorpromazine are:
a. drowsiness, hypotension, restlessness, tremor
b. photosensitivity, hypertension, tardive dyskinesia
I've found drowsiness, dizziness and hypotension and restlessness as listed side effects, but also photosensitivity and tardive dyskinesia!

then I'd direct you to the key part of the question, most common, and point out that a. tardive dyskinesia is rarer in chlorpromazine than in most anti-psychotics, and that chlorpromazine is sometimes used to treat hypertension and is therefore not a side-effect, whcih means that the answer can't be b.

ceridwyn · Oct 29, 2010

Its also nice to be recognised when you do offer help. I will not do it again.

And Yes, as my limited knowledge, there is not a national exam in Australia and pretty sure there is not one in New zealand, if there is there would be no obstetrics like Australia their midwives rule on that one. Nor mental health asking where electrodes are places for goodness sake why would we want to know that as general nurses.....maybe preparing us for some remote stuff ha ha ha ha.

SamZ · Oct 29, 2010

hi all:

thank you very much for your reply. i really appreciate that you guys have showed me the best way to ask a question here. and i apologize to anyone that i may have offended. please do not take it seriously, i do not mean that.

to ceridwyn specifically: i did hit the kudos button for a quick "thank you" yesterday, i don't know why it was not shown. here, i thank you again for your help. and also, yes, there is a national exam for rn in nz, is called "state final". you can ask any nursing students, they should know it. it is 3 hours long and comprises 180 mcq. there are heaps of obstetric and mental health nursing questions in it. the questions that i have posted are the actual exam questions that are released by the nz nurisng council for sample questions.

SamZ · Oct 29, 2010

Here I have re-posted the questions with my thinking and looking forward hearing you guys to give me some suggestions on my thinking. Thank you.

1)A patient with bipolar disorder, manic phase in the psychiatric unit states"I can leave anytime i want. why am i still here?". The most therapeutic response would be:

a. you sound frustrated and want to go home (i know in mental health you want to prompt the pt to explore his thinking behind what he said, so this one sounds right)

b. we would prefer that you were more settled before you leave (this one provides the pt with the fact in a polite way, so could be helpful for the pt as well)

3) A patient is right-handed. ECT would most likely be given by placing:

a. one electrode on the right side of her skull

b. one electrode on the left side of her skull

c. two electrode on the right side of her skull

d. two electrode on the left side of her skull

(this one i really have no idea)

4) A patient had a R) below knee amputation, to prevent flexion deformity of the limb, you should do all the following except:

a. give him a knee pillow to relax his quadriceps muscle

b. encourage him to lie prone three times/day

c. place him in a chair twice/day with his left leg extended

d. assist him to do straight leg raising

(i think it is A. because doing A will results the residue limb to be held in a flexed position, which will cause permanent flexion deformity. is my thinking right?)

5) A patient a laminectomy, which of the following would him to encouranged to do when allowed out of bed on the 2nd/3rd post-op day:

a. rest comfortably in an easy chair

b. sit on the side of the bed

c. stand erect

(i don't really know this one, but i think it is C, because doing C keeps the spine straight and also a and b are kind of similar)

6) which of the following is true in normal labour:

a. foetus is born at term

b. the foetus presents by vertex

c. the onset is spontaneous

d. all of the above

(i think it is d.)

7) (this question is specifically based in NZ) The registrar of births and deaths must be notified of birthplace, sex of child and parents address within:

a. 14 days by the occupier of the premises

b. 48 hours by the occupier of the premises

(what i found was both parents of child must notify births, deaths&marriage as soon as reasonably practicable after birth, usually within 2 months of birth. just the time frame is really different to what it provided in the choices)

8) If you palpate a woman's uterus 3 fingers above umbilicus and displaced to one side in the postpartum period, you should suspect:

a. a full bladder

b. she has retained placental fragments

(initially i was quite sure it is A. but then i read it somewhere b could cause this as well, that is why now i am confused)

kiwinarz · May 14, 2011

Hi SamZ! how are you? I am about to sit my state exam on the 15th Nov. 2011. May I ask for your tips please? your thread here is very helpful for me. Thanks. :)