EXAM 2026-2027 ACTUAL COMPLETE REAL EXAM
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES (EXPERTLY VERIFIED ANSWERS)
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A 3-day old newborn who weighed 7 pounds, 8 ounces at birth
is breast feeding and now weighs 6 pound and 15 ounces.
Which action should the practical nurse take?
1. Provide supplemental formula feedings.
2. Document the weight loss.
3. Review admission assessment findings.
4. Maintain strict intake and output. - ANSWER-2. Document the
weight loss.
A 10% weight loss in the first 3 days after birth is normal and
related to the loss of excess extracellular fluid and meconium.
Documentation of the weight loss (B) is indicated to determine
subsequent fluid and nutritional intake. (A, C, and D) are not
necessary at this time.
A multiparous client's membranes rupture after 8 hours of
labor. Which action should the practical nurse implement at
this time?
1. Notify the client's healthcare provider.
2. Prepare the client for imminent birth.
,3. Document the characteristics of the fluid.
4. Assess the fetal heart rate (FHR) and pattern. - ANSWER-4.
Assess the fetal heart rate (FHR) and pattern.
Assessment of the FHR and pattern (D) evaluates the fetus for
distress due to a
possible prolapsed cord. There is no data to support (B) at
this time. After
assessing the FHR and the appearance of the amniotic fluid,
the healthcare
provider (A) should be notified of the findings. (C) is
implemented after
assessing maternal and fetal
status.
A client who is 5 weeks pregnant calls the clinic to report
that her home pregnancy test is positive. She asks what she
should be concerned about during the weeks before her first
visit. Which signs and symptoms should the practical nurse
(PN) tell the client to report immediately to the healthcare
provider? (Select all that apply.) 1. Vaginal bleeding.
2. Decreased libido.
3. Urinary frequency.
4. Membrane rupture.
5. Severe headaches. - ANSWER-1. Vaginal bleeding
4. Membrane rupture.
5. Severe headaches.
, Vaginal bleeding (A), rupture of membranes (D), and severe
headaches (E) are signs and symptoms that indicate the client
is at risk for premature onset of labor and should be reported
immediately. (B and C) are common complaints of early
pregnancy that do not increase the risk for complications in
pregnancy.
What is the most important action by the practical nurse (PN) in
preventing neonatal infection?
1. Hand washing.
2. Isolating infected infants.
3. Adequate spacing of bassinets.
4. Practicing Standard Precautions. - ANSWER-1. Hand washing
Almost all controlled clinical trials have demonstrated that
effective hand washing (A) is the most responsible and the
most important action for the prevention of nosocomial
infection in nursery units. Other measures include
implementing isolation policies for infants with potentially
infectious conditions (B) and standard precautions (D). Other
standards and policies in nurseries define procedures for
careful and thorough cleaning, frequent replacement of used
equipment, proper disposal of excrement and linens, and
criteria to prevent overcrowding, such as the distance or
spacing of bassinets (C) placed in a common area in the
nursery.
The practical nurse (PN) palpates fundal height at the umbilicus
of a multiparous client who has just given birth to an 8-pound