EXAM 2025 EXAMINATION TEST PAPER WITH
DETAILED ACCURATE ANSWERS
◉ a nurse is preparing to administer azithromycin to a client who is at
16 weeks of gestation and has a positive chlamydia culture. the
prescription states "administer azithromycin 1 g orally now" available is
250 mg tablets. how many tablets should the nurse administer? Answer:
4
1000/250
◉ a nurse is assessing a client who is postpartum and has idiopathic
thrombocytopenia purpura. which of the following findings should the
nurse expect? Answer: decreased platelet count
rationale: a client who has ITP has an autoimmune response that results
in a decreased platelet count.
◉ a nurse is assessing a newborn for manifestations of hypoglycemia.
which of the following findings should the nurse expect? Answer:
jitteriness
rationale: jitteriness, tachypnea, retractions, nasal flaring, lethargy,
temperature instability, apnea, abnormal cry, poor feeding, and seizures
,are expected findings of hypoglycemia. newborns are who are small or
large for gestational age and late preterm newborns are at an increased
risk of hypoglycemia.
◉ a nurse in a women's health clinic is providing teaching about
nutritional intake to a client who is at 8 weeks of gestation. the nurse
should instruct the client to increase her daily intake of which of the
following nutrients? Answer: iron
rationale: the recommendation for iron intake during pregnancy is higher
than that for women who are not pregnant. for women who are pregnant,
it is 27 mg/day. for women who are not pregnant, it is 15 mg/day for
women younger than 19 years old and 18 mg/day for women between
the ages of 19 and 50 years old.
◉ a nurse is teaching a new parent about newborn safety. which of the
following instructions should the nurse include in the teaching? Answer:
"you can share your room with the baby for the next few weeks"
rationale: the nurse should recommend room-sharing during the first few
weeks. this allows the parent to be readily available to the newborn and
learn the newborn's cues. however, the nurse should instruct the parent
to avoid placing the newborn in their bed as it increases the risk for
SIDS.
, ◉ a nurse is providing teaching about family planning to a client who
has a new prescription for a diaphragm. which of the following
statements should the nurse include in the teaching? Answer: "you
should leave the diaphragm in place for at least 6 hours after the
intercourse"
rationale: the client should keep the diaphragm in place for at least 6 hr
after the intercourse to provide protection against pregnancy.
◉ a nurse is reviewing the medical record of a client who is postpartum
and has preeclampsia. which of the following laboratory results should
the nurse report to the provider? Answer: platelets 50,000/mm3
rationale: a platelet count of 50,000 below the expected reference range,
which can indicate disseminated intravascular coagulation. the nurse
should report this finding to the provider.
◉ a nurse is providing dietary teaching to a client who has hyperemesis
gravidarum. which of the following statements by the client indicates an
understanding of the teaching? Answer: "i will eat foods that taste good
instead of balancing my diet"
rationale: clients who have hyperemesis gravidarum should eat foods
they like in order to avoid nausea, rather than trying to consume a well-
balanced diet.