NURN 218 ACTUAL TEST PAPER 2026 FULL
QUESTIONS AND CORRECT ANSWERS
GRADED A+
●● pre-eclampsia/eclampsia.
Answer: BP 140/90 develops after 20th week of pregnancy there is
protein in urine
●● chronic hypertension.
Answer: BP OF 140/90 develops prior to pregnancy. there is no protein
in urine
●● pre eclampsia super imposed on chronic hypertension.
Answer: BP of 140/90 HTN prior to pregnancy and then pre-eclampsia
develops in pregnancy. there is protein in urine
●● risk factors for pre-eclampsia.
Answer: • Teenagers or > 35
• Primigravida
• Hx of pre eclampsia
• Rh incompatibility
• Diabetes
,. multiple gestation
●● s/s of preeclampsia.
Answer: HA, hyperreflexia, visual changes, irritability, epigastric pain,
edema of face/hands/abdomen, oliguria, swelling in the hands and legs,
sudden weight gain
●● Pre-eclampsia management.
Answer: home/hospital care, bedrest, left lateral position, urine dipstick,
I/O specific gravity, increase protein and high fiber, reflexes, antenatal
testing
●● severe preeclampsia management.
Answer: seizure precaution, maternal-fetal monitoring, anticonvulsants,
antihypertensive, corticosteroids, fluid and electrolyte replacement
●● treatment for pre-eclampsia.
Answer: -primary goal is to deliver a healthy baby and restore women to
healthy state.
-most important management decision: timing of delivery
-prevent maternal seizures- bed rest(left side) in a dark quiet room .
-magenesium sulfate-smooth muscle relaxant and cns depressant
-therapeutic level of mag sulfate 4-8mg
-toxicity 9mg or greater
, ●● S/S of magnesium toxicity.
Answer: respiratory depression(less than 12)
-decreased urine output(less than 30 ml/hr)
-reflexes disappear, hypotension
-decreased level of consciousness, cardiac dysrhythmia
-IMMEDIATELY DISCONTINUE INFUSION
●● pharmacology used to treat pre-eclampsia.
Answer: -magnesium sulfate(antieizure/lowers BP)
-Hydrazalazine hydrochloride(lowers BP)
-Labetalol hydrochloride(lowers bp)
-nifedipine(lowers bp)
-sodium nitroprusside(rapidly lowers bp)
-Furosemide-diuretics
●● magnesium sulfate nursing considerations.
Answer: VS/FHR
REFLEXES
LOC
I/O
THERAPEUTIC LEVELS
QUESTIONS AND CORRECT ANSWERS
GRADED A+
●● pre-eclampsia/eclampsia.
Answer: BP 140/90 develops after 20th week of pregnancy there is
protein in urine
●● chronic hypertension.
Answer: BP OF 140/90 develops prior to pregnancy. there is no protein
in urine
●● pre eclampsia super imposed on chronic hypertension.
Answer: BP of 140/90 HTN prior to pregnancy and then pre-eclampsia
develops in pregnancy. there is protein in urine
●● risk factors for pre-eclampsia.
Answer: • Teenagers or > 35
• Primigravida
• Hx of pre eclampsia
• Rh incompatibility
• Diabetes
,. multiple gestation
●● s/s of preeclampsia.
Answer: HA, hyperreflexia, visual changes, irritability, epigastric pain,
edema of face/hands/abdomen, oliguria, swelling in the hands and legs,
sudden weight gain
●● Pre-eclampsia management.
Answer: home/hospital care, bedrest, left lateral position, urine dipstick,
I/O specific gravity, increase protein and high fiber, reflexes, antenatal
testing
●● severe preeclampsia management.
Answer: seizure precaution, maternal-fetal monitoring, anticonvulsants,
antihypertensive, corticosteroids, fluid and electrolyte replacement
●● treatment for pre-eclampsia.
Answer: -primary goal is to deliver a healthy baby and restore women to
healthy state.
-most important management decision: timing of delivery
-prevent maternal seizures- bed rest(left side) in a dark quiet room .
-magenesium sulfate-smooth muscle relaxant and cns depressant
-therapeutic level of mag sulfate 4-8mg
-toxicity 9mg or greater
, ●● S/S of magnesium toxicity.
Answer: respiratory depression(less than 12)
-decreased urine output(less than 30 ml/hr)
-reflexes disappear, hypotension
-decreased level of consciousness, cardiac dysrhythmia
-IMMEDIATELY DISCONTINUE INFUSION
●● pharmacology used to treat pre-eclampsia.
Answer: -magnesium sulfate(antieizure/lowers BP)
-Hydrazalazine hydrochloride(lowers BP)
-Labetalol hydrochloride(lowers bp)
-nifedipine(lowers bp)
-sodium nitroprusside(rapidly lowers bp)
-Furosemide-diuretics
●● magnesium sulfate nursing considerations.
Answer: VS/FHR
REFLEXES
LOC
I/O
THERAPEUTIC LEVELS
