NURS 326 FINAL EXAM QUESTIONS EXAM QUESTIONS
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Practice Questions Approved Correct Answers Exam 2026
A nurse in a clinic is teaching a client about a new prescription for
medroxyprogesterone. Which of the following information should the nurse
include in the teaching? (Select all that apply.)
A. "Weight fluctuations can occur."
B. "You are protected against STIs."
C. "You should increase your intake of calcium."
D. "You should avoid taking antibiotics."
E. "Irregular vaginal spotting can occur."
A. "Weight fluctuations can occur."
C. "You should increase your intake of calcium."
E. "Irregular vaginal spotting can occur."
A nurse is admitting a client who is in labor and has HIV. Which of the
following interventions should the nurse identify as contraindicated for this
client? (Select all that apply.)
A. Vacuum extractor
B. Oxytocin infusion
C. The use of forceps during delivery should be avoided due to the risk of fetal
bleeding
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D. Cesarean birth
E. Internal fetal monitoring
A. Vacuum extractor
C. The use of forceps during delivery should be avoided due to the risk of fetal
bleeding
E. Internal fetal monitoring
Rationale: The use of a vacuum extractor should be avoided due to risk of exposing
the fetus to maternal blood. The use of forceps during delivery and internal fetal
monitoring should be avoided due to the risk of fetal bleeding.
A nurse in an antepartum clinic is assessing a client who has a TORCH
infection. Which off the following findings should the nurse expect? (Select all
that apply.)
A. Joint pain
B. Malaise
C. Rash
D. Urinary frequency
E. Tender lymph nodes
A. Joint pain
B. Malaise
C. Rash
E. Tender lymph nodes
A nurse is caring for a client who has gonorrhea. Which of the following
medications should the nurse expect the provider will prescribe?
A. Ceftriaxone
B. Fluconazole
C. Metronidazole
D. Zidovudine
A. Ceftriaxone
A nurse is caring for a client who is in labor. The nurse should identify that
which of the following infections can be treated during labor or immediately
following birth? (Select all that apply.)
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A. Gonorrhea
B. Chlamydia
C. HIV
D. Group B streptococcus beta-hemolytic
E. TORCH infection
A. Gonorrhea
B. Chlamydia
C. HIV
D. Group B streptococcus beta-hemolytic
Rationale: Erythromycin is administered to the infant immediately after delivery to
prevent gonorrhea and chlamydia. Retrovir is prescribed to a client in labor who is
HIV positive. Penicillin G or ampicillin may be prescribed to treat positive GBS.
A nurse manager is reviewing ways to prevent a TORCH infection during
pregnancy with a group of newly licensed nurses. Which of the following
statements by a nurse indicates understanding of the teaching?
A. "Obtain an immunization against rubella early in pregnancy."
B. "Seek prophylactic treatment if cytomegalovirus is detected during
pregnancy."
C. "A client should avoid crowded places during pregnancy."
D. "A client should avoid consuming undercooked meat while pregnant."
D. "A client should avoid consuming undercooked meat while pregnant."
A nurse is performing a fundal assessment for a client who is 2 days
postpartum and observes the perineal pad for lochia. The pad is saturated
approximately 12 cm with lochia that is bright red and contains small clots.
Which of the following findings should the nurse document?
A. Moderate lochia rubra
B. Excessive lochia serosa
C. Light lochia rubra
D. Scant lochia serosa
A. Moderate lochia rubra
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During ambulation to the bathroom, a postpartum client experiences a gush of
dark red blood that soon stops. On assessment, a nurse finds the client's
uterus to be firm and midline & at the level of the umbilicus. The nurse
interprets this finding as:
A. Evidence of a possible vaginal hematoma
B. An indication of a cervical or perineal laceration
C. A normal postural discharge of lochia
D. Abnormally excessive lochia rubra flow
C. A normal postural discharge of lochia
A nurse is completing postpartum discharge teaching to a client who had no
immunity to varicella and was given the varicella vaccine. Which of the
following statements by the client indicates understanding of the teaching?
A. "I will need to use contraception for 3 months before considering
pregnancy."
B. "I need a second vaccination at my postpartum visit."
C. "I was given the vaccine because my baby is O-positive."
D. "I will be tested in 3 mo. to see if I have developed immunity."
B. "I need a second vaccination at my postpartum visit."
A nurse is assessing a postpartum client for fundal height, location, and
consistency. The fundus is noted to be displaced laterally to the right, and
there is uterine atony. The nurse should identify which of the following
conditions as the cause of uterine atony?
A. Poor involution
B. Urinary retention
C. Hemorrhage
D. Infection
B. Urinary retention
A nurse is providing education to a client who is 2 hr postpartum and has a
perineal laceration. Which of the following information should the nurse
include? (Select all that apply.)