2023-2024 ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
A nurse is caring for a client who is at 32 wks gestation and is
experiencing preterm labor. What meds should the nurse plan
to administer?
• misoprostol
• betamethasone
• poractant alfa
• methylergonovine - CORRECT ANSWER b. betamethasone
A nurse at a prenatal clinic is caring for a client who suspects
she may be pregnant and asks the nurse how the provider will
confirm her pregnancy. The nurse should inform the client that
what lab test will be used to confirm her pregnancy?
• urine test for presence of HCG
• urine test for the presence of HCS
• blood test for presence of estrogen
• blood test for the amount of circulating progesterone
- CORRECT ANSWER a. urine test for presence of
HCG
A nurse is reviewing lab results for a client who is at 37 wks
gestation. The nurse notes that the client is rubella non-
immune, positive for group A beta-hemolytic strep, and has a
blood type O neg. What action should the nurse take?
• instruct the client to obtain a rubella immunization after delivery
• request a script for an antibiotic until delivery
,• inform the client that she will have to deliver via c-section
• administer a dose of Pho(D) immune globulin - CORRECT
ANSWER a. instruct the client to obtain a rubella
immunization after delivery
A nurse is reviewing the med record of a client who is at 39 wks
gestation and has polyhydramnios. What finding should the
nurse expect?
• total pregnancy wt gain of 3.6 kg
• fetal GI anomaly
• gestational HTN
• fundal height of 34 cm - CORRECT ANSWER b. fetal
GI anomaly
Polyhydramnios is the presence of excessive amniotic fluid
surrounding the unborn fetus. Gastrointestinal malformations
and neurologic disorders are expected findings for a fetus
experiencing the effects of polyhydramnios.
A nurse is teaching a client who has pre-eclampsia and is to
receive magnesium sulfate via continuous IV infusion about
expected adverse effects. What adverse effects should the
nurse include in the teaching?
• elevated BP
• feeling of warmth
• generalized pruritis
• hyperactivity - CORRECT ANSWER b. feeling of warmth
The nurse should tell the client to expect the feeling of warmth
all over her body while the magnesium sulfate is infusing.
,A nurse is caring for a client who is in the latent phase of labor
and is experiencing low back pain. What action should the
nurse take?
• position the client supine with legs elevated
• instruct the client to pant during contractions
• encourage the client to soak in a warm bath
• apply pressure to the client's sacral area during
contractions - CORRECT ANSWER d. apply pressure to
the client's sacral area during contractions
A nurse is teaching a client who is at 12 wks gestation about
manifestations of potential complications that she should report
to her provider. What info should the nurse include in the
teaching?
• intermittent nausea
• white vaginal discharge
• swelling of the face
• urinary frequency - CORRECT ANSWER c. swelling of
the face
A nurse is teaching a client who is at 10 wks gestation about
an abd. ultrasound in the first trimester. What info should the
nurse include in the teaching?
• you will need to have a full bladder during the ultrasound
• you will have a non stress test prior to the ultrasound
• the ultrasound will determine the length of your cervix
, • you will experience uterine cramping during the
ultrasound - CORRECT ANSWERa. you will need to have a
full bladder during the ultrasound
MY ANSWER
The nurse should tell the client that a full bladder helps to lift
the gravid uterus out of the pelvis during the examination.
Therefore, it is important to ensure that the client has a full
bladder to obtain the most accurate image of the fetus.
A nurse is assessing a client who is 34 wks gestation and has
mild placental abruption. What finding should the nurse
expect?
• decreased urinary output
• fetal distress
• dark red vaginal bleeding
• increased platelet count - CORRECT ANSWER c. dark
red vaginal bleeding
The nurse should expect the client who has a mild placental
abruption to have minimal dark red vaginal bleeding.
A nurse is caring for a client whose last menstrual period began
july 8. Using Nageles rule, the nurse should identify the client's
estimated DOB as what?
• oct 15
• april 15
• oct 1
• april 1 - CORRECT ANSWER b. april 15