©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
N326 Final Exam Practice Questions with
Correct Answers
When caring for a woman with mild preeclampsia, it is critical that during assessment the nurse be alert
for signs of progress to severe preeclampsia. Progress to severe preeclampsia is indicated by this
assessment finding:
A. Proteinuria greater than 2+, in two specimens collected 6 hours apart
B. Platelet count of 180,000/mm3
C. Positive ankle clonus
D. Blood pressure of 154/94 and 156/100, 6 hours apart - Ans:✔✔-C. Positive ankle clonus
Rationale: Think about the effects on the CNS, specifically hyperreflexia.
The primary expected outcome for nursing care associated with the administration of magnesium sulfate
would be met if which assessment finding is present? The woman:
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, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
A. Exhibits a decrease in both systolic and diastolic blood pressure
B. Experiences no seizures
C. States that she feels more relaxed and calm
D. Urinates more frequently resulting in a decrease in pathologic edema - Ans:✔✔-B. Experiences no
seizures
A woman with severe preeclampsia is receiving nifedipine (Procardia). She asks the nurse what this
medication is far. The nurse should tell her that nifedipine is used to:
A. Prevent seizures
B. Relieve the headache she is beginning to have.
C. Decrease her blood pressure.
D. Reduce the edema in her hands and legs - Ans:✔✔-C. Decrease her blood pressure.
A woman's preeclampsia has advanced to the severe stage. She is admitted to the hospital and her
primary health care provider has ordered an infusion of magnesium sulfate be started. In implementing
this order, the nurse should: (Select all that apply.)
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FIRST PUBLISH OCTOBER 2024
A. Prepare a solution of 20g of magnesium sulfate in 100 mL of 5% glucose in water
B. Monitor maternal vital signs FHR patterns and uterine contractions
C. Expect the maintenance dose to be approximately 2g/hr
D. Administer a loading dose of 4 to 6 g over 15 to 30 minutes
E. Prepare to administer Apresoline if signs of toxicity appear
F. Report a respiratory rate of 12 breaths or less to the Primary health care provider immediately -
Ans:✔✔-B. Monitor maternal vital signs FHR patterns and uterine contractions
C. Expect the maintenance dose to be approximately 2g/hr
D. Administer a loading dose of 4 to 6 g over 15 to 30 minutes
F. Report a respiratory rate of 12 breaths or less to the Primary health care provider immediately
Following vaginal birth 2 hours ago a woman with preeclampsia is experiencing a heavy flow as a result
of a boggy uterus. It is determined that she will require medication to reduce the amount of blood loss.
Which medication would the nurse anticipate administering?
A. Methylergonovine (Methergine)
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, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
B. Calcium gluconate
C. Oxytocin (Pitocin)
D. Labetalol (Normodyne) - Ans:✔✔-C. Oxytocin (Pitocin)
A woman at 35 weeks of gestation with preeclampsia, has a seizure. Immediately after the seizure, the
nurse's priority action is to:
A. Evaluate FHR and pattern for signs of decreasing variability, late decelerations, or bradycardia
B. Assess status of the maternal airway, respiratory effort, and pulse
C. Determine if membranes have ruptured and if the amniotic fluids contain meconium
D. Prepare to increase the amount of magnesium sulfate being infused from 1g/hr to 2g/hr - Ans:✔✔-B.
Assess status of the maternal airway, respiratory effort, and pulse
A nurse in a health clinic is reviewing contraceptive use with a group of clients. Which of the following
client statements demonstrates understanding?
A. "A water-soluble lubricant should be used with condoms."
Page 4/60
FIRST PUBLISH OCTOBER 2024
N326 Final Exam Practice Questions with
Correct Answers
When caring for a woman with mild preeclampsia, it is critical that during assessment the nurse be alert
for signs of progress to severe preeclampsia. Progress to severe preeclampsia is indicated by this
assessment finding:
A. Proteinuria greater than 2+, in two specimens collected 6 hours apart
B. Platelet count of 180,000/mm3
C. Positive ankle clonus
D. Blood pressure of 154/94 and 156/100, 6 hours apart - Ans:✔✔-C. Positive ankle clonus
Rationale: Think about the effects on the CNS, specifically hyperreflexia.
The primary expected outcome for nursing care associated with the administration of magnesium sulfate
would be met if which assessment finding is present? The woman:
Page 1/60
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
A. Exhibits a decrease in both systolic and diastolic blood pressure
B. Experiences no seizures
C. States that she feels more relaxed and calm
D. Urinates more frequently resulting in a decrease in pathologic edema - Ans:✔✔-B. Experiences no
seizures
A woman with severe preeclampsia is receiving nifedipine (Procardia). She asks the nurse what this
medication is far. The nurse should tell her that nifedipine is used to:
A. Prevent seizures
B. Relieve the headache she is beginning to have.
C. Decrease her blood pressure.
D. Reduce the edema in her hands and legs - Ans:✔✔-C. Decrease her blood pressure.
A woman's preeclampsia has advanced to the severe stage. She is admitted to the hospital and her
primary health care provider has ordered an infusion of magnesium sulfate be started. In implementing
this order, the nurse should: (Select all that apply.)
Page 2/60
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
A. Prepare a solution of 20g of magnesium sulfate in 100 mL of 5% glucose in water
B. Monitor maternal vital signs FHR patterns and uterine contractions
C. Expect the maintenance dose to be approximately 2g/hr
D. Administer a loading dose of 4 to 6 g over 15 to 30 minutes
E. Prepare to administer Apresoline if signs of toxicity appear
F. Report a respiratory rate of 12 breaths or less to the Primary health care provider immediately -
Ans:✔✔-B. Monitor maternal vital signs FHR patterns and uterine contractions
C. Expect the maintenance dose to be approximately 2g/hr
D. Administer a loading dose of 4 to 6 g over 15 to 30 minutes
F. Report a respiratory rate of 12 breaths or less to the Primary health care provider immediately
Following vaginal birth 2 hours ago a woman with preeclampsia is experiencing a heavy flow as a result
of a boggy uterus. It is determined that she will require medication to reduce the amount of blood loss.
Which medication would the nurse anticipate administering?
A. Methylergonovine (Methergine)
Page 3/60
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
B. Calcium gluconate
C. Oxytocin (Pitocin)
D. Labetalol (Normodyne) - Ans:✔✔-C. Oxytocin (Pitocin)
A woman at 35 weeks of gestation with preeclampsia, has a seizure. Immediately after the seizure, the
nurse's priority action is to:
A. Evaluate FHR and pattern for signs of decreasing variability, late decelerations, or bradycardia
B. Assess status of the maternal airway, respiratory effort, and pulse
C. Determine if membranes have ruptured and if the amniotic fluids contain meconium
D. Prepare to increase the amount of magnesium sulfate being infused from 1g/hr to 2g/hr - Ans:✔✔-B.
Assess status of the maternal airway, respiratory effort, and pulse
A nurse in a health clinic is reviewing contraceptive use with a group of clients. Which of the following
client statements demonstrates understanding?
A. "A water-soluble lubricant should be used with condoms."
Page 4/60
