NR 327 FINAL PAPER 2026 QUESTIONS AND
ANSWERS GRADED A+
◉A patient arrives at the hospital at 38 weeks' gestation with
profuse vaginal bleeding. She states that it occurred suddenly
without any contractions. Which condition may the patient be
experiencing that requires immediate notification of the health care
provider?
a. Placenta previa
b. Placenta accreta
c. Ruptured uterus
d. Concealed abruptio. Answer: a. Placenta previa
◉A healthcare provider orders a contraction stress test (CST) for a
client whose nonstress test (NST) was nonreactive. Which maternal
complications should alert the nurse to question the order? Select all
that apply.
a. Hypertension
b. Preterm labor
c. Drug addiction
d. Incompetent cervix
e. Premature rupture of membranes. Answer: b. Preterm labor
,d. Incompetent cervix
e. Premature rupture of membranes
◉What nursing intervention should be included when caring for a
patient with placenta previa?
a. Vital signs at least once per shift
b. Tap water enema before the birth
c. Documentation of the amount of bleeding
d. Limited ambulation until the bleeding stops. Answer: c.
Documentation of the amount of bleeding
◉A patient is receiving magnesium sulfate therapy for severe
preeclampsia. What initial sign of toxicity should alert the nurse to
intervene?
a. Hyperactive sensorium
b. Increase in respiratory rate
c. Lack of the knee-jerk reflex
d. Development of a cardiac dysrhythmia. Answer: c. Lack of the
knee-jerk reflex
◉A nurse is monitoring a patient with severe preeclampsia who is
receiving an infusion of magnesium sulfate. Assessment reveals a
pulse rate of 55/minute, respirations of 12/minute, and a flushed
face. What is the next nursing action?
, a. Continue the infusion and notify the health care provider.
b. Stop the infusion and start an infusion of dextrose and water.
c. Continue the infusion and document the findings on the clinical
record.
d. Decrease the rate of the infusion and obtain blood for a
magnesium level.. Answer: b. Stop the infusion and start an infusion
of dextrose and water.
◉A patient admitted with preeclampsia is receiving magnesium
sulfate. Which assessment indicates that a therapeutic level of the
medication has been reached?
a. Respiratory rate of 12
b. Increased fetal activity
c. Decreased urine output
d. Deep tendon reflexes of +2. Answer: d. Deep tendon reflexes of +2
◉How should a nurse screen a newborn of a diabetic mother for
hypoglycemia?
a. Test for glucose tolerance
b. Draw blood for a serum glucose level
c. Arrange for a fasting blood glucose level
d. Test heel blood with a glucose-oxidase strip. Answer: d. Test heel
blood with a glucose-oxidase strip
ANSWERS GRADED A+
◉A patient arrives at the hospital at 38 weeks' gestation with
profuse vaginal bleeding. She states that it occurred suddenly
without any contractions. Which condition may the patient be
experiencing that requires immediate notification of the health care
provider?
a. Placenta previa
b. Placenta accreta
c. Ruptured uterus
d. Concealed abruptio. Answer: a. Placenta previa
◉A healthcare provider orders a contraction stress test (CST) for a
client whose nonstress test (NST) was nonreactive. Which maternal
complications should alert the nurse to question the order? Select all
that apply.
a. Hypertension
b. Preterm labor
c. Drug addiction
d. Incompetent cervix
e. Premature rupture of membranes. Answer: b. Preterm labor
,d. Incompetent cervix
e. Premature rupture of membranes
◉What nursing intervention should be included when caring for a
patient with placenta previa?
a. Vital signs at least once per shift
b. Tap water enema before the birth
c. Documentation of the amount of bleeding
d. Limited ambulation until the bleeding stops. Answer: c.
Documentation of the amount of bleeding
◉A patient is receiving magnesium sulfate therapy for severe
preeclampsia. What initial sign of toxicity should alert the nurse to
intervene?
a. Hyperactive sensorium
b. Increase in respiratory rate
c. Lack of the knee-jerk reflex
d. Development of a cardiac dysrhythmia. Answer: c. Lack of the
knee-jerk reflex
◉A nurse is monitoring a patient with severe preeclampsia who is
receiving an infusion of magnesium sulfate. Assessment reveals a
pulse rate of 55/minute, respirations of 12/minute, and a flushed
face. What is the next nursing action?
, a. Continue the infusion and notify the health care provider.
b. Stop the infusion and start an infusion of dextrose and water.
c. Continue the infusion and document the findings on the clinical
record.
d. Decrease the rate of the infusion and obtain blood for a
magnesium level.. Answer: b. Stop the infusion and start an infusion
of dextrose and water.
◉A patient admitted with preeclampsia is receiving magnesium
sulfate. Which assessment indicates that a therapeutic level of the
medication has been reached?
a. Respiratory rate of 12
b. Increased fetal activity
c. Decreased urine output
d. Deep tendon reflexes of +2. Answer: d. Deep tendon reflexes of +2
◉How should a nurse screen a newborn of a diabetic mother for
hypoglycemia?
a. Test for glucose tolerance
b. Draw blood for a serum glucose level
c. Arrange for a fasting blood glucose level
d. Test heel blood with a glucose-oxidase strip. Answer: d. Test heel
blood with a glucose-oxidase strip
