EXAM NGN 2026 FORMS A & B COMPLETE STUDY
QUESTIONS WITH VERIFIED SOLUTIONS | RATED A+
A nurse is caring for a postpartum client who is receiving heparin via a continuous IV infusion
for thrombophlebitis in her left calf. Which of the following actions should the nurse take?
Administer aspirin for pain.
Maintain the client on bed rest.
Massage the affected leg every 12 hr.
Apply cold compresses to the affected calf. - Answer>>> Maintain the client on bed rest.
The client should remain on bed rest to decrease the risk of dislodging the clot, which could
cause a pulmonary embolism. Elevation of the affected leg is recommended.
A nurse is assessing a late preterm newborn. Which of the following manifestations is an
indication of hypoglycemia?
Hypertonia
Increased feeding
Hyperthermia
Respiratory distress - Answer>>> Respiratory distress
Late preterm newborns are at an increased risk for hypoglycemia due to decreased glycogen
stores and immature insulin secretion. Respiratory distress is a manifestation of hypoglycemia.
Other manifestations of hypoglycemia include an abnormal cry, jitteriness, lethargy, poor
feeding, apnea, and seizures.
,A nurse is providing teaching to a client who is at 40 weeks og gestation and has a new
prescription for mistoprostol. Which of the following instructions should a nurse include in the
teaching?
A) "I can administer oxytocin 4 hours after the insertion of the medication."
B) "You will need a full bladder prior to the insertion of the medication."
C) "Remain in a side-lying position for 15 minutes after the medication is inserted."
D) "An antacid will be given 20 minutes prior to the insertion of the medication." - Answer>>>
A) "I can administer oxytocin 4 hours after the insertion of the medication."
The nurse can administer oxytocin no sooner than 4 hr after the last dose of misoprostol.
Oxytocin can be administered following misoprostol for clients who have cervical ripening and
have not begun labor.
A nurse is reviewing the prenatal lab results for a client who is at 12 weeks of gestation
following an initial prenatal visit. Which of the following lab findings should the nurse report to
the provider?
Hemoglobin 10 g/dL
WBC count 10,000/mm3
Platelets 250,000/mm3
Fasting blood glucose 90 mg/dL - Answer>>> Hemoglobin 10 g/dL
A hemoglobin of 10 g/dL is below the expected reference range of greater than 11 g/dL for a
client who is pregnant. The nurse should report this finding to the provider to obtain a
prescription for ferrous iron supplementation because of anemia.
A nurse is caring for a prenatal cleint who has parvovirus (5th's disease). Which of the following
actions should the nurse take?
, A) Administer antiviral medication.
B) Schedule an ultrasound examination.
C) Administer Haemophilus influenzae type b vaccine.
D) Schedule an indirect Coombs' test. - Answer>>> B) Schedule an ultrasound examination.
The nurse should schedule serial ultrasound examinations to monitor the fetus during the
pregnancy to detect the possible development of fetal hydrops. Also, the virus can cause
miscarriage, intrauterine growth restriction, fetal anemia, or stillbirth.
A nurse is assessing a client who is at 36 weeks of gestation. Which of the following findings
should the nurse report to the provider?
Report of visual disturbances
Report of tingling of the fingers
Report of urinary frequency
Report of leg cramps - Answer>>> Report of visual disturbances
Visual disturbances such as blurred vision are a potential prenatal complication associated with
hypertension. The nurse should report this finding to the provider so that additional fetal and
maternal evaluation can be performed.
A nurse is providing teaching to a client about the physiological changes that occur during
pregnancy. The client is at 10 weeks of gestation and has a BMI within the expected reference
range. Which of the following client statements indicates an understanding of the teaching?
"I will not gain more than 15 to 20 pounds during my pregnancy."
"I will likely need to use alternative positions for sexual intercourse."
"I'm glad I had a breast reduction years ago, so they will not enlarge with my pregnancy."