NURSING NUR 2400 Exam Questions and Answers
100% correct/verified Attained Grade A+ New
Update 2022 answers with rationales
Which of the following would be inappropriate to assess in a
mother who is breast-feeding?
A. The attachment of the neonate to the breast
B. The mother's comfort level with positioning the neonate
C. Audible swallowing
D. The
d Rationale: Assessing the attachment process for breast-
feeding should include all of the answers except the
smacking of lips. A neonate who is smacking his lips isn't
well attached and can injure the mother's nipples.
A multigravida at 36 weeks' gestation visits the emergency department because her
boyfriend has beaten her severely. The first nursing intervention should be to:
A. contact the authorities.
B. ensure the client's safety.
C. identify
b Rationale: The first nursing intervention is to ensure the client's safety
because these clients are terrified that the abuser will arrive and continue
the cycle of violence. After this has been done, the nurse can contact the
authorities, identify a support person, and ensure confidentiality.
A client who is 7 months pregnant reports severe leg cramps at
night. Which nursing action would be most effective in helping her
NURSING NUR 2400 Exam Questions and Answers
100% correct/verified Attained Grade A+ New
Update 2022 answers with rationales
,NURSING NUR 2400 Exam Questions and Answers
100% correct/verified Attained Grade A+ New
Update 2022 answers with rationales
cope with these cramps?
A. Suggesting that she walk for 1 hour twice per day
B. Advising her to take over-the-
c Rationale: Common during late pregnancy, leg cramps
cause shortening of the gastrocnemius muscle in the calf.
Dorsiflexing or standing on the affected leg extends that
muscle and relieves the cramp. Although moderate exercise
promotes circulation, walking 2 hours per day during the
third trimester is excessive. Excessive calcium intake may
cause hypercalcemia, promoting leg cramps; the physician
must evaluate the client's need for calcium supplements. If
the client eats a balanced diet, calcium supplements or
additional servings of high-calcium foods may be
unnecessary.
A client who is planning a pregnancy asks the nurse about ways to promote a
healthy pregnancy. Which of the following would be the nurse's best response?
A. "Pregnancy is a human process; you don't have to worry."
B. "You pra
d Rationale: When counseling a client who is planning to become pregnant,
the nurse should discuss the role of folic acid in preventing neural tube
defects. The nurse should provide information but not prescribe the drug. It's
the client's responsibility to ask the health care provider about a prescription.
Telling the client not to worry ignores the client's needs. Practicing good
health habits is important for any person. Telling the client that it's up to
NURSING NUR 2400 Exam Questions and Answers
100% correct/verified Attained Grade A+ New
Update 2022 answers with rationales
,NURSING NUR 2400 Exam Questions and Answers
100% correct/verified Attained Grade A+ New
Update 2022 answers with rationales
Which instructions should the nurse give to a client who is 26
weeks pregnant and complains of constipation?
A. Encourage her to increase her intake of roughage and to
drink at least six 8 oz glasses of water per day.
B. Tell her to ask her
a Rationale: The best instruction is to encourage the client to
increase her intake of high- fiber foods (roughage) and to
drink at least six glasses of water per day. Mild laxatives and
stool softeners may be needed, but dietary changes should
be tried first. Straining during defecation and diarrhea can
stimulate uterine contractions, but telling the client to go to
the evaluation unit doesn't address her concern.
It has been 6 hours since a client's initial voiding following an uncomplicated vaginal
delivery. The nurse assesses her fundus to be 3 cm above the umbilicus and
deviated to the right side.
The nurse has an order to catheterize this client if she's unab
a Rationale: The nurse should catheterize the client if she measures 100 ml
of urine. A voiding of 300 ml or less is a sign of urine retention. Other signs
of urine retention include increased lochia flow and a dull sound upon
in making an assessment of urine retention. The nurse should assess for
other signs of urine retention. Initial voiding of 400 or 500 ml is within an
acceptable range.
NURSING NUR 2400 Exam Questions and Answers
100% correct/verified Attained Grade A+ New
Update 2022 answers with rationales
, NURSING NUR 2400 Exam Questions and Answers
100% correct/verified Attained Grade A+ New
Update 2022 answers with rationales
A client diagnosed with gestational diabetes has been admitted
for induction of labor at 38 weeks. The client tells the nurse, "My
previous labors started on their own. How will this induction of
labor be different from my last labor?" Upon whi
Rationale: The goal during induction of labor is to produce a
contractile pattern similar to that observed in spontaneous
labor. The infusion of oxytocin is increased until a contractile
pattern is achieved in which the contractions occur every 2
to 3 minutes with a duration of 40 to 60 seconds in a 10-
minute period and the uterus relaxes between contractions.
One of the complications of an induction is the risk of
uterine rupture. The client scheduled to receive oxytocin is
monitored for at least 20 minutes before initiation of the
drug to establish a baseline fetal heart rate. Thereafter, the
client is monitored in the same way as a client in
spontaneous labor, which depends on the maternal and fetal
responses to labor.
NURSING NUR 2400 Exam Questions and Answers
100% correct/verified Attained Grade A+ New
Update 2022 answers with rationales
100% correct/verified Attained Grade A+ New
Update 2022 answers with rationales
Which of the following would be inappropriate to assess in a
mother who is breast-feeding?
A. The attachment of the neonate to the breast
B. The mother's comfort level with positioning the neonate
C. Audible swallowing
D. The
d Rationale: Assessing the attachment process for breast-
feeding should include all of the answers except the
smacking of lips. A neonate who is smacking his lips isn't
well attached and can injure the mother's nipples.
A multigravida at 36 weeks' gestation visits the emergency department because her
boyfriend has beaten her severely. The first nursing intervention should be to:
A. contact the authorities.
B. ensure the client's safety.
C. identify
b Rationale: The first nursing intervention is to ensure the client's safety
because these clients are terrified that the abuser will arrive and continue
the cycle of violence. After this has been done, the nurse can contact the
authorities, identify a support person, and ensure confidentiality.
A client who is 7 months pregnant reports severe leg cramps at
night. Which nursing action would be most effective in helping her
NURSING NUR 2400 Exam Questions and Answers
100% correct/verified Attained Grade A+ New
Update 2022 answers with rationales
,NURSING NUR 2400 Exam Questions and Answers
100% correct/verified Attained Grade A+ New
Update 2022 answers with rationales
cope with these cramps?
A. Suggesting that she walk for 1 hour twice per day
B. Advising her to take over-the-
c Rationale: Common during late pregnancy, leg cramps
cause shortening of the gastrocnemius muscle in the calf.
Dorsiflexing or standing on the affected leg extends that
muscle and relieves the cramp. Although moderate exercise
promotes circulation, walking 2 hours per day during the
third trimester is excessive. Excessive calcium intake may
cause hypercalcemia, promoting leg cramps; the physician
must evaluate the client's need for calcium supplements. If
the client eats a balanced diet, calcium supplements or
additional servings of high-calcium foods may be
unnecessary.
A client who is planning a pregnancy asks the nurse about ways to promote a
healthy pregnancy. Which of the following would be the nurse's best response?
A. "Pregnancy is a human process; you don't have to worry."
B. "You pra
d Rationale: When counseling a client who is planning to become pregnant,
the nurse should discuss the role of folic acid in preventing neural tube
defects. The nurse should provide information but not prescribe the drug. It's
the client's responsibility to ask the health care provider about a prescription.
Telling the client not to worry ignores the client's needs. Practicing good
health habits is important for any person. Telling the client that it's up to
NURSING NUR 2400 Exam Questions and Answers
100% correct/verified Attained Grade A+ New
Update 2022 answers with rationales
,NURSING NUR 2400 Exam Questions and Answers
100% correct/verified Attained Grade A+ New
Update 2022 answers with rationales
Which instructions should the nurse give to a client who is 26
weeks pregnant and complains of constipation?
A. Encourage her to increase her intake of roughage and to
drink at least six 8 oz glasses of water per day.
B. Tell her to ask her
a Rationale: The best instruction is to encourage the client to
increase her intake of high- fiber foods (roughage) and to
drink at least six glasses of water per day. Mild laxatives and
stool softeners may be needed, but dietary changes should
be tried first. Straining during defecation and diarrhea can
stimulate uterine contractions, but telling the client to go to
the evaluation unit doesn't address her concern.
It has been 6 hours since a client's initial voiding following an uncomplicated vaginal
delivery. The nurse assesses her fundus to be 3 cm above the umbilicus and
deviated to the right side.
The nurse has an order to catheterize this client if she's unab
a Rationale: The nurse should catheterize the client if she measures 100 ml
of urine. A voiding of 300 ml or less is a sign of urine retention. Other signs
of urine retention include increased lochia flow and a dull sound upon
in making an assessment of urine retention. The nurse should assess for
other signs of urine retention. Initial voiding of 400 or 500 ml is within an
acceptable range.
NURSING NUR 2400 Exam Questions and Answers
100% correct/verified Attained Grade A+ New
Update 2022 answers with rationales
, NURSING NUR 2400 Exam Questions and Answers
100% correct/verified Attained Grade A+ New
Update 2022 answers with rationales
A client diagnosed with gestational diabetes has been admitted
for induction of labor at 38 weeks. The client tells the nurse, "My
previous labors started on their own. How will this induction of
labor be different from my last labor?" Upon whi
Rationale: The goal during induction of labor is to produce a
contractile pattern similar to that observed in spontaneous
labor. The infusion of oxytocin is increased until a contractile
pattern is achieved in which the contractions occur every 2
to 3 minutes with a duration of 40 to 60 seconds in a 10-
minute period and the uterus relaxes between contractions.
One of the complications of an induction is the risk of
uterine rupture. The client scheduled to receive oxytocin is
monitored for at least 20 minutes before initiation of the
drug to establish a baseline fetal heart rate. Thereafter, the
client is monitored in the same way as a client in
spontaneous labor, which depends on the maternal and fetal
responses to labor.
NURSING NUR 2400 Exam Questions and Answers
100% correct/verified Attained Grade A+ New
Update 2022 answers with rationales
