NUR418 Final Practice Exam Prep
NUR418 FINAL PRACTICE EXAM PREP NEWEST 2026/2027 ACTUAL
EXAM COMPLETE 150 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) WITH DETAILED RATIONALES |ALREADY GRADED
A+||BRAND NEW VERSION!!
A female client with infertility is suspected as having a problem with patent
fallopian tubes and ovum motility. The nurse expects that this client will be
evaluated for all of the following health problems except which?
A. Endometriosis
B. Cervical stenosis
C. Ectopic pregnancy
D. Pelvic inflammatory disease
B. Cervical stenosis
Cervical stenosis affects cervical mucus. Fallopian tube function and motility can
be affected by endometriosis, ectopic pregnancy, and pelvic inflammatory disease.
To create a neutral thermal environment for a newborn immediately after
delivery, the nurse should consider:
A. Deep suction every hour while under the radiant warmer bed
B. Providing care and assessments while the infant is skin-to-skin on the mother's
chest
C. Placing the newborn with the extremities extended and relaxed under the
radiant warmer bed
D. Placing the newborn with the extremities extended and relaxed and placing an
hat on the newborn's head
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, NUR418 Final Practice Exam Prep
B. Providing care and assessments while the infant is skin-to-skin on the mother's
chest
An infant weighing 8 lb., 4 oz. at birth weighs 7 lb., 15 oz. three days later. What
should the nurse explain to the parents about this change in the newborn's
weight?
A. "This weight loss is unusual."
B. "This weight loss is less than expected."
C. "This weight loss is excessive."
D. "This weight loss is within normal limits."
D. "This weight loss is within normal limits."
The postpartum client is diagnosed with thrombophlebitis in the right leg. Which
assessment finding requires immediate intervention by the nurse?
A. Acute pain
B. Redness
C. Chest pressure
D. Edema
C. Chest pressure
A sudden onset of chest pain or pressure might indicate pulmonary embolus,
which is a life-threatening complication of thrombophlebitis. This is the most
abnormal finding, and requires immediate intervention by the nurse.
A client with preeclampsia is assessed with the following: blood pressure 158/100;
urinary output 50 mL/hour; lungs clear to auscultation; urine protein 1+ on
dipstick; and edema of the hands, ankles, and feet. Which new assessment finding
indicates the client's condition is getting worse?
2|Page
, NUR418 Final Practice Exam Prep
A. Reflexes 2+
B. Platelet count 150,000
C. Blood pressure 158/104
D. Urinary output 20mL/hour
D. Urinary output 20mL/hour
When planning care for an infant newly diagnosed with a tracheoesophageal
fistula, which potential problem is the highest priority?
A. Risk for impaired infant attachment
B. Risk for altered nutrition
C. Risk for aspiration
D. Risk for infection
C. Risk for aspiration
The nurse is preparing to administer an IM vaccine injection to a 1-year-old. The
nurse knows which of the following is the best site for injection for this patient?
A. Gluteus maximus
B. Vastus lateralis
C. Rectus femoris
D. Deltoid
B. Vastus lateralis
The vastus lateralis is the largest muscle in infants and toddlers, so is the least
painful, and there are no critical nerves or central vasculature present.
The nurse is preparing to administer a weight-appropriate dose of parenteral
ondansetron to a 2-year-old patient admitted for acute gastroenteritis. Which of
the following topics are relevant for medication teaching with the family?
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, NUR418 Final Practice Exam Prep
A. The amount of medication administered is determined by your child's weight.
B. This medication may cause your child to become combative.
C. Your child should not have anything to eat or drink an hour before or after
receiving this medication.
D. This medication improves nausea and vomiting by blocking acid producing
receptors in the GI tract.
A. The amount of medication administered is determined by your child's weight.
Which developmental theoretical framework includes the sensorimotor,
preoperational, concrete operational and formal operational stages?
A. Erikson's Theory of Psychosocial Development
B. Freud's Theory of Psychosexual Development
C. Piaget's Theory of Cognitive Development
D. Kohlberg's Theory of Moral Development
C. Piaget's Theory of Cognitive Development
IV potassium is ordered for electrolyte replacement in your 4-year-old patient.
Which lab value is most important for the RN to review prior to administration?
A. Blood urea nitrogen (BUN)
B. Carbon dioxide (CO2)
C. Total bilirubin
D. Creatinine
D. Creatinine
The kidneys are critical for potassium excretion, so the RN should assure their
function; creatinine level is the most specific to kidney function. BUN can be
affected by the liver, so is not as specific. CO2 reflects acidosis and/or dehydration
4|Page
NUR418 FINAL PRACTICE EXAM PREP NEWEST 2026/2027 ACTUAL
EXAM COMPLETE 150 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) WITH DETAILED RATIONALES |ALREADY GRADED
A+||BRAND NEW VERSION!!
A female client with infertility is suspected as having a problem with patent
fallopian tubes and ovum motility. The nurse expects that this client will be
evaluated for all of the following health problems except which?
A. Endometriosis
B. Cervical stenosis
C. Ectopic pregnancy
D. Pelvic inflammatory disease
B. Cervical stenosis
Cervical stenosis affects cervical mucus. Fallopian tube function and motility can
be affected by endometriosis, ectopic pregnancy, and pelvic inflammatory disease.
To create a neutral thermal environment for a newborn immediately after
delivery, the nurse should consider:
A. Deep suction every hour while under the radiant warmer bed
B. Providing care and assessments while the infant is skin-to-skin on the mother's
chest
C. Placing the newborn with the extremities extended and relaxed under the
radiant warmer bed
D. Placing the newborn with the extremities extended and relaxed and placing an
hat on the newborn's head
1|Page
, NUR418 Final Practice Exam Prep
B. Providing care and assessments while the infant is skin-to-skin on the mother's
chest
An infant weighing 8 lb., 4 oz. at birth weighs 7 lb., 15 oz. three days later. What
should the nurse explain to the parents about this change in the newborn's
weight?
A. "This weight loss is unusual."
B. "This weight loss is less than expected."
C. "This weight loss is excessive."
D. "This weight loss is within normal limits."
D. "This weight loss is within normal limits."
The postpartum client is diagnosed with thrombophlebitis in the right leg. Which
assessment finding requires immediate intervention by the nurse?
A. Acute pain
B. Redness
C. Chest pressure
D. Edema
C. Chest pressure
A sudden onset of chest pain or pressure might indicate pulmonary embolus,
which is a life-threatening complication of thrombophlebitis. This is the most
abnormal finding, and requires immediate intervention by the nurse.
A client with preeclampsia is assessed with the following: blood pressure 158/100;
urinary output 50 mL/hour; lungs clear to auscultation; urine protein 1+ on
dipstick; and edema of the hands, ankles, and feet. Which new assessment finding
indicates the client's condition is getting worse?
2|Page
, NUR418 Final Practice Exam Prep
A. Reflexes 2+
B. Platelet count 150,000
C. Blood pressure 158/104
D. Urinary output 20mL/hour
D. Urinary output 20mL/hour
When planning care for an infant newly diagnosed with a tracheoesophageal
fistula, which potential problem is the highest priority?
A. Risk for impaired infant attachment
B. Risk for altered nutrition
C. Risk for aspiration
D. Risk for infection
C. Risk for aspiration
The nurse is preparing to administer an IM vaccine injection to a 1-year-old. The
nurse knows which of the following is the best site for injection for this patient?
A. Gluteus maximus
B. Vastus lateralis
C. Rectus femoris
D. Deltoid
B. Vastus lateralis
The vastus lateralis is the largest muscle in infants and toddlers, so is the least
painful, and there are no critical nerves or central vasculature present.
The nurse is preparing to administer a weight-appropriate dose of parenteral
ondansetron to a 2-year-old patient admitted for acute gastroenteritis. Which of
the following topics are relevant for medication teaching with the family?
3|Page
, NUR418 Final Practice Exam Prep
A. The amount of medication administered is determined by your child's weight.
B. This medication may cause your child to become combative.
C. Your child should not have anything to eat or drink an hour before or after
receiving this medication.
D. This medication improves nausea and vomiting by blocking acid producing
receptors in the GI tract.
A. The amount of medication administered is determined by your child's weight.
Which developmental theoretical framework includes the sensorimotor,
preoperational, concrete operational and formal operational stages?
A. Erikson's Theory of Psychosocial Development
B. Freud's Theory of Psychosexual Development
C. Piaget's Theory of Cognitive Development
D. Kohlberg's Theory of Moral Development
C. Piaget's Theory of Cognitive Development
IV potassium is ordered for electrolyte replacement in your 4-year-old patient.
Which lab value is most important for the RN to review prior to administration?
A. Blood urea nitrogen (BUN)
B. Carbon dioxide (CO2)
C. Total bilirubin
D. Creatinine
D. Creatinine
The kidneys are critical for potassium excretion, so the RN should assure their
function; creatinine level is the most specific to kidney function. BUN can be
affected by the liver, so is not as specific. CO2 reflects acidosis and/or dehydration
4|Page
