2026/2027 ACTUAL EXAM COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS GRADED A+
Providing care to the postpartum client, the nurse B. Observe lower extremities for symmetry
recognizes that women are hypercoagulable during the D. Observe respiratory rate and effort
third trimester of pregnancy. Assessment of this client E. Auscultate lung
sounds should include evaluation for the development of venous
thromboembolism. Which of the follow should be
included in this eval? SATA
A. Observe distal upper extremities for swelling/edema
B.Observe lower extremities for symmetry
C. Asses for uterine cramping
D.Observe respiratory rate and effort
E.Auscultate lung sounds
A newborn is prescribed to receive Vitamin K 0.5 mg B. Administer medication into the vastus
lateralis intramuscularly. How should the nurse administer the
medication to the newborn?
A. Provide medication immediately before breastfeeding
B. Administer medication into the vastus lateralis
C. Notify physician for swelling and irritation at
the injection site
D.Administer the medication in the deltoid muscle
Which technique is used to palpate the fundal heigh on D. Placing one hand at the base of the uterus , one on the
fundus postpartum client?
A. Placing one hand on the fundus, one on the perineum
B.Resting both hands on the fundus
C. Palpating the fundus with only fingertip pressure
D.Placing one hand at the base of the uterus , one on
the fundus
A nurse is caring for a 4 yr old female. Which of the
,following is expected of a preschool-aged child
A. Describing manifestations of illness
B.Understanding cause of illness
C. Relating fears to magical thinking
D.Awareness of body function
A new mother asks the nurse how soon she can try to B. Immediately after birth
breastfeed after deliery. Which of the following would be
the nurses best response?
A. Once the infant has his first feeding of formula
B.Immediately after birth
C. In 24 hours after her infant is given water
D.After the infant is allowed to rest
Which assessment finding indicated to the nurse that a C. Inability of the right hip to abduct
newborn has hip sublaxtion?
A. Crying on straightening of the right leg
B.Inward rotation of the right foot
C. Inability of the right hip to abduct
D.Drawing of the legs underneath while prone
A nurse is helping her postpartum client up to the A. the color of the flow is
red bathroom for the first time after delivery. Which finding
indicates her lochia is within normal imites?
A. the color of the flow is red
B.Lochia contains large clots
C. The flow is over 500 mL
D.Her uterus is boggy and soft
A nurse is caring for an infant with myelomeningocele. C. Apply a sterile, moist dressing on the
sac Which of the following actions should the nurse include
in the preoperative plan of care.
A. Place the infant in a supine position
B. Assess the infants temp rectally
C. Apply a sterile, moist dressing on the sac
D.Assist the caregiver with cuddling the infant
The nurse is inspecting a males newborns genitalia. B. Retracting the foreskin over the glans to assess for secretions
Which action should the nurse avoid when conducting
, this assessment?
A. Palpating if testes are descended into the scrotal sac
B.Retracting the foreskin over the glans to assess
for secretions
C. Inspecting if the urethral opening appears circular
D.Inspecting the genital area for irritated skin