2026/ 2027 WITH COMPLETE ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) WITH
RATIONALES ALREADY GRADED A+
A nurse is planning care for a client who is at 35 weeks
1.
gestation. Which of the following laboratory tests should the
nurse obtain?
A. Rubella titer
B. Blood type
C. Group B streptococcus B-hemolytic
D. 1-hour glucose tolerance test: C. Group B Streptococcus B-
hemolytic
Rationale:
A vaginal/anal group B streptococcus B-hemolytic (GBS) culture
should be done @ 35-37 weeks gestation to screen for infections.
Prophylactic antibiotics should be given during labor to clients who
are + for GBS
Incorrect Answers:
Rubella titer is obtained at 1st prenatal visit; Maternal blood type &
Rh factor should be obtained at 1st prenatal visit to determine if
,client will need Rho(D) immune globulin at 28 wks.;!-hr. glucose
tolerance test should be obtained at 24 - 28 weeks
A nurse is reviewing the laboratory findings for 4 clients.
2.
Which of the following infections should be reported to the
public health department?
A. Bacterial Vaginosis
B. Trichomoniasis
C. Candidiasis
D. Gonorrhea: D. Gonorrhea
Rationale:
Gonorrhea is often asymptomatic. The client may have purulent
endocervical discharge. Gonorrhea is one of the infectious
conditions on the Nationally Notifiable Infections list and should be
reported by the nurse to the community health department, which
will report the infection to the CDC.
Incorrect Answers:
A. Bacterial vaginosis, also known as vaginitis, is the most common
vaginal infection. Manifestations include client report of "fishy
odor" and vaginal discharge that appears thin, watery, gray, white,
or milky. The client may also report pruritus. This vaginal
infection doesn't require reporting: however, it should be treated
with metronidazole or clindamycin cream.
,B. Trichomoniasis can be asymptomatic. Manifestations include
greenish to yellowish mucopurulent, frothy, malodorous discharge.
This vaginal infection does not require reporting.
C. Candidiasis, also known as a yeast infection, is the 2nd most
common vaginal infection. Manifestations include a client report
of thick, cottage cheese-like discharge and vaginal itching. This
vaginal infection does not require reporting.
A nurse is providing teaching about calcium intake to a client
3.
who is breast-feeding. Which of the following is the recommended
daily calcium intake for a client who is breastfeeding?
A. 800 mg
B. 400 mg
C. 1,000 mg
D. 2,000 mg: C. 1,000 mg
Rationale:
The nurse should instruct the client that 1,000 mg of calcium is
recommended for women age 19 and older, as well as those who
are lactating. This amount of calcium is sufficient to meet the needs
of the client and the infant b/c additional calcium is absorbed from
the intestines during this time.
Both A & B are incorrect b/c they are below the recommended daily
allowance of calcium for women age 19 & older. D is incorrect b/c
2,00mg is above the recommended daily allowance and a high
, calcium intake can result in the development of kidney stones and
decrease the absorption of other nutrients, such as iron and zinc.
4.A nurse is teaching a client who is postpartum and
breastfeeding. Which of the following statements should the nurse
include?
A. "You will need to wait 3 months before resuming sexual
intercourse."
B. "You don't need to use contraception until you are 4 months
postpartum."
C. As long as you breastfeed, you will experience an
overproduction of vaginal lubrication."
D. "A reduction in sexual interest could indicate postpartum
depression.": D. "A reduction in sexual interest could indicate
postpartum depression."
Rationale:
Manifestations of postpartum depression include decreased libido,
feelings of sadness or anxiety, difficulty sleeping, or loss of appetite.
Incorrect answers:
A. Sexual intercourse can be resumed once the bleeding has
stopped, which occurs approximately 2-4 weeks postpartum.
B. Clients who breastfeed can still ovulate and will need a reliable
method of birth control if they want to prevent pregnancy.
C. Lactation can cause vaginal dryness, and breastfeeding mothers