EXAM 2025 QUESTIONS AND ANSWERS
A 24-hour-old newborn has a pink papular rash with vesicles superimposed on the thorax, back,
and abdomen. What action should the nurse implement? - ANS Document the finding in the
infant's record.
Which assessment finding should the nursery nurse report to the pediatric healthcare provider?
- ANS Central cyanosis when crying.
At 14 weeks gestation, a client arrives at the Emergency Center complaining of a dull pain in the
RLQ of the abd. The nurse obtains a blood sample and initiates an IV. Thirty minutes after
admission, the client reports feeling a sharp abd pain and a shoulder pain. Assessment findings
including diaphoresis, a HR of 120 bpm, and a BP of 86/48. Which action should the nurse
implement next? - ANS Increase the rate of IV fluids.
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, An off-duty nurse finds a woman in a supermarket parking lot delivering an infant while her
husband is screening for someone to help his wife. What intervention has the highest priority? -
ANS Put the newborn to breast.
The healthcare provider prescribes terbutaline (Brethine) for a client in preterm labor. Before
initiating this prescription, it is most important to assess the client for which condition? -
ANS Gestational diabetes.
A full term infant is transferred to the nursery from L & D. Which information is most important
for the nurse to receive while planning care for the newborn? - ANS Infant's condition at
birth and treatment received.
A client who is in the second trimester of pregnancy tells the nurse she wants to use herbal
therapy. Which response is best for the nurse to provide? - ANS It is important you want to
take part in your care.
The nurse is preparing a client with a term pregnancy who is in active labor for an amniotomy.
What equipment should the nurse have available at the client's bedside? - ANS Lubricant, a
sterile glove, and an anmnihook.
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