MEDICAL-SURGICAL NURSING FINAL PROFESSIONAL
EXAMINATION – [2025\ 2026]
FACULTY OF HEALTH SCIENCES |HEALTH ASSESSMENT
FINAL SPRING EXAMINATION
QUESTIONS AND ANSWERS WITH CORRECT RATIONALES
| HIGHER GRADED TIER EXAM
PASS GUARANTEED | GRADE A+
Which assessment finding should the nursery nurse report to the pediatric healthcare provider?
a. Blood glucose level of 45 mg/dl
b. Blood pressure of 82/45 mmHg
c. Non-bulging anterior fontanel
d. Central cyanosis when crying
d. Central cyanosis when crying
An infant who demonstrates central cyanosis when crying (D) is manifesting poor adaptation to
extrauterine life which should be reported to the healthcare provider for determination of a
possible underlying cardiovascular problem.
A client who gave birth to a healthy 8 pound infant 3 hours ago is admitted to the postpartum
unit. Which nursing plan is best in assisting this mother to bond with her newborn infant?
a. Encourage the mother to provide total care for her infant
,b. Provide privacy so the mother can develop a relationship with the infant
c. Encourage the father to provide most of the infant's care during hospitalization
d. Meet the mother's physical needs and demonstrate warmth toward the infant
d. Meet the mother's physical needs and demonstrate warmth toward the infant
It is most important to meet the mother's requirement for attention to her needs so that she
can begin infant care-taking (D). Nurse theorist Reva Rubin describes the initial postpartal
period as the "taking-in phase," which is characterized by maternal reliance on others to satisfy
the needs for comfort, rest, nourishment, and closeness to families and the newborn.
A client receiving epidural anesthesia begins to experience nausea and becomes pale and
clammy. What intervention should the nurse implement first?
a. Raise the foot of the bed
b. Assess for vaginal bleeding
c. Evaluate the fetal heart rate
d. Take the client's blood pressure
a. Raise the foot of the bed
These symptoms are suggestive of hypotension which is a side effect of epidural anesthesia.
Raising the foot of the bed (A) will increase venous return and provide blood to the vital areas.
Increasing the IV fluid rate using a balanced non-dextrose solution and ensuring that the silent
is in a lateral position are also appropriate interventions.
The nurse is providing discharge teaching for a client who is 24 hours postpartum. The nurse
explains to the client that her vaginal discharge will change from red to pink and then to white.
The client asks, "What if I start having red bleeding after it changes?" What should the nurse
instruct the client to do?
,a. Reduce activity level and notify the healthcare provider
b. Go to bed and assume a knee-chest position
c. Massage the uterus and go to the emergency room
d. Do not worry as this is a normal occurrence
a. Reduce activity level and notify the healthcare provider
Lochia should progress in stages from rubra (red) to serosa (pinkish) to alba (whitish), and not
return to red. The return to rubra usually indicates subinvolution of infection.
A pregnant client with mitral stenosis Class III is prescribed complete bedrest. The client asks
the nurse, "Why must I stay in bed all the time?" Which response is best for the nurse to
provide this client?
a. Complete bedrest decreases oxygen needs and demands on the heart muscle
b. We want your baby to be healthy, and this is the only way we can make sure that will happen
again
c. I know you're upset. Would you like to talk about somethings you could so while in bed?
d. Labor is difficult and you need to use this time to rest before you have to assume all child-
caring duties
a. Complete bedrest decreases oxygen needs and demands on the heart muscle tissue
To help preserve cardiac reserves, the woman may need to restrict her activities and complete
bedrest is often prescribes (A).
A pregnant woman comes to the prenatal clinic for an initial visit. In reviewing her childbearing
history, the client indicated that she has delivered premature twins, one full-term baby, and has
had no abortions. Which GTPAL should the nurse document in this client's record?
, a. 3-1-2-0-3
b. 4-1-2-0-3
c. 2-1-2-1-2
d. 3-1-1-0-3
d. 3-1-1-0-3
(D) describes the correct GTPAL. The client has been pregnant 3 times including the current
pregnancy (G-3). She had one full-term infant (T-1). She also had a preterm (P-1) twin pregnancy
(a multifetal gestation is considered one birth when calculating parity). There were no abortions
(A-0), so this client has a total of 3 living children.
A client at 32-weeks gestation comes to the prenatal clinic with complaints of pedal edema,
dyspnea, fatigue, and a moist cough. Which question is most important for the nurse to ask this
client?
a. Which symptom did you experience first?
b. Are you eating large amounts of salty foods?
c. Have you visited a foreign country recently?
d. Do you have a history of rheumatic fever?
d. Do you have a history of rheumatic fever?
Clients with a history of rheumatic fever (D) may develop mitral valve prolapse, which increases
the risk for cardiac decompensation due to the increased blood volume that occurs during
pregnancy, so obtaining information about the client's health history is priority.
A 35-year-old primigravida client with severe preeclampsia is receiving magnesium sulfate via
continuous IV infusion. Which assessment data indicates to the nurse that the client is
experiencing magnesium sulfate toxicity?
EXAMINATION – [2025\ 2026]
FACULTY OF HEALTH SCIENCES |HEALTH ASSESSMENT
FINAL SPRING EXAMINATION
QUESTIONS AND ANSWERS WITH CORRECT RATIONALES
| HIGHER GRADED TIER EXAM
PASS GUARANTEED | GRADE A+
Which assessment finding should the nursery nurse report to the pediatric healthcare provider?
a. Blood glucose level of 45 mg/dl
b. Blood pressure of 82/45 mmHg
c. Non-bulging anterior fontanel
d. Central cyanosis when crying
d. Central cyanosis when crying
An infant who demonstrates central cyanosis when crying (D) is manifesting poor adaptation to
extrauterine life which should be reported to the healthcare provider for determination of a
possible underlying cardiovascular problem.
A client who gave birth to a healthy 8 pound infant 3 hours ago is admitted to the postpartum
unit. Which nursing plan is best in assisting this mother to bond with her newborn infant?
a. Encourage the mother to provide total care for her infant
,b. Provide privacy so the mother can develop a relationship with the infant
c. Encourage the father to provide most of the infant's care during hospitalization
d. Meet the mother's physical needs and demonstrate warmth toward the infant
d. Meet the mother's physical needs and demonstrate warmth toward the infant
It is most important to meet the mother's requirement for attention to her needs so that she
can begin infant care-taking (D). Nurse theorist Reva Rubin describes the initial postpartal
period as the "taking-in phase," which is characterized by maternal reliance on others to satisfy
the needs for comfort, rest, nourishment, and closeness to families and the newborn.
A client receiving epidural anesthesia begins to experience nausea and becomes pale and
clammy. What intervention should the nurse implement first?
a. Raise the foot of the bed
b. Assess for vaginal bleeding
c. Evaluate the fetal heart rate
d. Take the client's blood pressure
a. Raise the foot of the bed
These symptoms are suggestive of hypotension which is a side effect of epidural anesthesia.
Raising the foot of the bed (A) will increase venous return and provide blood to the vital areas.
Increasing the IV fluid rate using a balanced non-dextrose solution and ensuring that the silent
is in a lateral position are also appropriate interventions.
The nurse is providing discharge teaching for a client who is 24 hours postpartum. The nurse
explains to the client that her vaginal discharge will change from red to pink and then to white.
The client asks, "What if I start having red bleeding after it changes?" What should the nurse
instruct the client to do?
,a. Reduce activity level and notify the healthcare provider
b. Go to bed and assume a knee-chest position
c. Massage the uterus and go to the emergency room
d. Do not worry as this is a normal occurrence
a. Reduce activity level and notify the healthcare provider
Lochia should progress in stages from rubra (red) to serosa (pinkish) to alba (whitish), and not
return to red. The return to rubra usually indicates subinvolution of infection.
A pregnant client with mitral stenosis Class III is prescribed complete bedrest. The client asks
the nurse, "Why must I stay in bed all the time?" Which response is best for the nurse to
provide this client?
a. Complete bedrest decreases oxygen needs and demands on the heart muscle
b. We want your baby to be healthy, and this is the only way we can make sure that will happen
again
c. I know you're upset. Would you like to talk about somethings you could so while in bed?
d. Labor is difficult and you need to use this time to rest before you have to assume all child-
caring duties
a. Complete bedrest decreases oxygen needs and demands on the heart muscle tissue
To help preserve cardiac reserves, the woman may need to restrict her activities and complete
bedrest is often prescribes (A).
A pregnant woman comes to the prenatal clinic for an initial visit. In reviewing her childbearing
history, the client indicated that she has delivered premature twins, one full-term baby, and has
had no abortions. Which GTPAL should the nurse document in this client's record?
, a. 3-1-2-0-3
b. 4-1-2-0-3
c. 2-1-2-1-2
d. 3-1-1-0-3
d. 3-1-1-0-3
(D) describes the correct GTPAL. The client has been pregnant 3 times including the current
pregnancy (G-3). She had one full-term infant (T-1). She also had a preterm (P-1) twin pregnancy
(a multifetal gestation is considered one birth when calculating parity). There were no abortions
(A-0), so this client has a total of 3 living children.
A client at 32-weeks gestation comes to the prenatal clinic with complaints of pedal edema,
dyspnea, fatigue, and a moist cough. Which question is most important for the nurse to ask this
client?
a. Which symptom did you experience first?
b. Are you eating large amounts of salty foods?
c. Have you visited a foreign country recently?
d. Do you have a history of rheumatic fever?
d. Do you have a history of rheumatic fever?
Clients with a history of rheumatic fever (D) may develop mitral valve prolapse, which increases
the risk for cardiac decompensation due to the increased blood volume that occurs during
pregnancy, so obtaining information about the client's health history is priority.
A 35-year-old primigravida client with severe preeclampsia is receiving magnesium sulfate via
continuous IV infusion. Which assessment data indicates to the nurse that the client is
experiencing magnesium sulfate toxicity?
