1|Page
Nurs 326 Final Exam Practice Questions
Approved Correct Answers Exam 2026
Brand New!
When caring for a woman with mild preeclampsia, it is critical that
during assessment the nurse be alert for signs of progress to severe
preeclampsia. Progress to severe preeclampsia is indicated by this
assessment finding:
A. Proteinuria greater than 2+, in two specimens collected 6 hours apart
B. Platelet count of 180,000/mm3
C. Positive ankle clonus
D. Blood pressure of 154/94 and 156/100, 6 hours apart --Verified--
Solution----C. Positive ankle clonus
Rationale: Think about the effects on the CNS, specifically
hyperreflexia.
The primary expected outcome for nursing care associated with the
administration of magnesium sulfate would be met if which assessment
finding is present? The woman:
,2|Page
A. Exhibits a decrease in both systolic and diastolic blood pressure
B. Experiences no seizures
C. States that she feels more relaxed and calm
D. Urinates more frequently resulting in a decrease in pathologic edema
--Verified--Solution----B. Experiences no seizures
A woman with severe preeclampsia is receiving nifedipine (Procardia).
She asks the nurse what this medication is far. The nurse should tell her
that nifedipine is used to:
A. Prevent seizures
B. Relieve the headache she is beginning to have.
C. Decrease her blood pressure.
D. Reduce the edema in her hands and legs --Verified--Solution----C.
Decrease her blood pressure.
A woman's preeclampsia has advanced to the severe stage. She is
admitted to the hospital and her primary health care provider has ordered
an infusion of magnesium sulfate be started. In implementing this order,
the nurse should: (Select all that apply.)
A. Prepare a solution of 20g of magnesium sulfate in 100 mL of 5%
glucose in water
B. Monitor maternal vital signs FHR patterns and uterine contractions
C. Expect the maintenance dose to be approximately 2g/hr
,3|Page
D. Administer a loading dose of 4 to 6 g over 15 to 30 minutes
E. Prepare to administer Apresoline if signs of toxicity appear
F. Report a respiratory rate of 12 breaths or less to the Primary health
care provider immediately --Verified--Solution----B. Monitor maternal
vital signs FHR patterns and uterine contractions
C. Expect the maintenance dose to be approximately 2g/hr
D. Administer a loading dose of 4 to 6 g over 15 to 30 minutes
F. Report a respiratory rate of 12 breaths or less to the Primary health
care provider immediately
Following vaginal birth 2 hours ago a woman with preeclampsia is
experiencing a heavy flow as a result of a boggy uterus. It is determined
that she will require medication to reduce the amount of blood loss.
Which medication would the nurse anticipate administering?
A. Methylergonovine (Methergine)
B. Calcium gluconate
C. Oxytocin (Pitocin)
D. Labetalol (Normodyne) --Verified--Solution----C. Oxytocin (Pitocin)
A woman at 35 weeks of gestation with preeclampsia, has a seizure.
Immediately after the seizure, the nurse's priority action is to:
A. Evaluate FHR and pattern for signs of decreasing variability, late
decelerations, or bradycardia
, 4|Page
B. Assess status of the maternal airway, respiratory effort, and pulse
C. Determine if membranes have ruptured and if the amniotic fluids
contain meconium
D. Prepare to increase the amount of magnesium sulfate being infused
from 1g/hr to 2g/hr --Verified--Solution----B. Assess status of the
maternal airway, respiratory effort, and pulse
A nurse in a health clinic is reviewing contraceptive use with a group of
clients. Which of the following client statements demonstrates
understanding?
A. "A water-soluble lubricant should be used with condoms."
B. "A diaphragm should be removed 2 hours after intercourse."
C. "Oral contraceptives can worsen a case of acne."
D. "A contraceptive patch is replaced once a month." --Verified--
Solution----A. "A water-soluble lubricant should be used with
condoms."
A nurse is instructing a client who is taking oral contraceptives about
manifestations to report to the provider. Which of the following
manifestations should the nurse include?
A. Reduced menstrual flow
B. Breast tenderness
C. Shortness of breath
D. Increased appetite --Verified--Solution----C. Shortness of breath
Nurs 326 Final Exam Practice Questions
Approved Correct Answers Exam 2026
Brand New!
When caring for a woman with mild preeclampsia, it is critical that
during assessment the nurse be alert for signs of progress to severe
preeclampsia. Progress to severe preeclampsia is indicated by this
assessment finding:
A. Proteinuria greater than 2+, in two specimens collected 6 hours apart
B. Platelet count of 180,000/mm3
C. Positive ankle clonus
D. Blood pressure of 154/94 and 156/100, 6 hours apart --Verified--
Solution----C. Positive ankle clonus
Rationale: Think about the effects on the CNS, specifically
hyperreflexia.
The primary expected outcome for nursing care associated with the
administration of magnesium sulfate would be met if which assessment
finding is present? The woman:
,2|Page
A. Exhibits a decrease in both systolic and diastolic blood pressure
B. Experiences no seizures
C. States that she feels more relaxed and calm
D. Urinates more frequently resulting in a decrease in pathologic edema
--Verified--Solution----B. Experiences no seizures
A woman with severe preeclampsia is receiving nifedipine (Procardia).
She asks the nurse what this medication is far. The nurse should tell her
that nifedipine is used to:
A. Prevent seizures
B. Relieve the headache she is beginning to have.
C. Decrease her blood pressure.
D. Reduce the edema in her hands and legs --Verified--Solution----C.
Decrease her blood pressure.
A woman's preeclampsia has advanced to the severe stage. She is
admitted to the hospital and her primary health care provider has ordered
an infusion of magnesium sulfate be started. In implementing this order,
the nurse should: (Select all that apply.)
A. Prepare a solution of 20g of magnesium sulfate in 100 mL of 5%
glucose in water
B. Monitor maternal vital signs FHR patterns and uterine contractions
C. Expect the maintenance dose to be approximately 2g/hr
,3|Page
D. Administer a loading dose of 4 to 6 g over 15 to 30 minutes
E. Prepare to administer Apresoline if signs of toxicity appear
F. Report a respiratory rate of 12 breaths or less to the Primary health
care provider immediately --Verified--Solution----B. Monitor maternal
vital signs FHR patterns and uterine contractions
C. Expect the maintenance dose to be approximately 2g/hr
D. Administer a loading dose of 4 to 6 g over 15 to 30 minutes
F. Report a respiratory rate of 12 breaths or less to the Primary health
care provider immediately
Following vaginal birth 2 hours ago a woman with preeclampsia is
experiencing a heavy flow as a result of a boggy uterus. It is determined
that she will require medication to reduce the amount of blood loss.
Which medication would the nurse anticipate administering?
A. Methylergonovine (Methergine)
B. Calcium gluconate
C. Oxytocin (Pitocin)
D. Labetalol (Normodyne) --Verified--Solution----C. Oxytocin (Pitocin)
A woman at 35 weeks of gestation with preeclampsia, has a seizure.
Immediately after the seizure, the nurse's priority action is to:
A. Evaluate FHR and pattern for signs of decreasing variability, late
decelerations, or bradycardia
, 4|Page
B. Assess status of the maternal airway, respiratory effort, and pulse
C. Determine if membranes have ruptured and if the amniotic fluids
contain meconium
D. Prepare to increase the amount of magnesium sulfate being infused
from 1g/hr to 2g/hr --Verified--Solution----B. Assess status of the
maternal airway, respiratory effort, and pulse
A nurse in a health clinic is reviewing contraceptive use with a group of
clients. Which of the following client statements demonstrates
understanding?
A. "A water-soluble lubricant should be used with condoms."
B. "A diaphragm should be removed 2 hours after intercourse."
C. "Oral contraceptives can worsen a case of acne."
D. "A contraceptive patch is replaced once a month." --Verified--
Solution----A. "A water-soluble lubricant should be used with
condoms."
A nurse is instructing a client who is taking oral contraceptives about
manifestations to report to the provider. Which of the following
manifestations should the nurse include?
A. Reduced menstrual flow
B. Breast tenderness
C. Shortness of breath
D. Increased appetite --Verified--Solution----C. Shortness of breath
