60 2026 TEST PAPER SOLVED QUESTIONS
AND SOLUTIONS
◉ A nurse is caring for a 12-hour newborn who is asymptomatic and
has a blood glucose level of 32 mg/dL. Which of the following
actions should the nurse take?
Advised the parent to feed the newborn
Give the newborn 60 ml (2 oz.) of glucose water
Recheck the newborn's glucose level in 4 hours
Initiate phototherapy for the newborn. Answer: Advised the parent
to feed the newborn
Rationale: The nurse should identify a blood glucose level of 32
mg/dL in a 12-hour-old newborn as borderline hypoglycemia. This
level should be treated by offering the newborn carbohydrates such
as breast milk or formula; therefore, the nurse should advise the
parent to feed the newborn.
,◉ A nurse is caring for a client who is postpartum and reports
abdominal pain due to flatus. Which of the following actions should
the nurse take?
Assist the client to ambulate in the hallway
Encourage the client to increase fiber intake
Administer a dose of laxative medication to the client
Increase the client's fluid intake. Answer: Assist the client to
ambulate in the hallway
Rationale: Encourage the client to increase fiber intake
◉ A nurse is reviewing the fetal heart tracings for a client in labor
and notes variable decelerations. Which of the following actions
should the nurse take?
Request a prescription for oxytocin
Administer oxygen at 2 L/min via nasal cannula
,Prepare for the insertion of an intrauterine balloon
Reposition the client from side to side. Answer: Reposition the client
from side to side
Rationale: Variable deceleration are caused by cord compression.
Changing the client from side to side or assisting her into a knee-
chest position might relive cord compression and improve the
variable declarations.
◉ A nurse is reinforcing education with a client who is of
childbearing age. The nurse should state that which of the following
structures expels the mature ovum?
Blastocyst
Fallopian tube
Corpus luteum
Graafian follicle. Answer: Graafian follicle
Rationale: The Graafian follicle expels the mature ovum.
, ◉ A nurse is assisting with the preparation of a laboring client who
is scheduled to receive an intrauterine pressure catheter. The client
asks why this type of monitoring is needed. which of the following
responses should the nurse make?
"This type of monitoring is necessary for timing the frequency of
your contractions."
"This type of monitoring is noninvasive, so it is the best way to
monitor your labor contractions."
"This type of monitor allows us to evaluate your baby's heart rate
while you are in labor."
"This type of monitoring allow us to measure the intensity of your
contractions.". Answer: "This type of monitoring allow us to measure
the intensity of your contractions."
Rationale: A tocotransducer can monitor the frequency and duration
of contractions, but only an intrauterine pressure catheter can
monitor the intensity of contractions.