N326 Final Exam Practice Questions With Complete
Solutions
A 15-year-old client is being seen for her first prenatal visit.
Because of this client's special nutritional needs, the nurse
evaluates the client's intake of:
A. Protein and magnesium
B. Calcium and iron
C. Carbohydrates and zinc
D. Folic acid and thiamine Correct Answers A. Protein and
magnesium
A client has been receiving magnesium sulfate for severe
preeclampsia for 12 hours. Reflexes are 0 and her respiratory
rate is 10. Which of the following situations could be a
precipitating factor in these findings?
A. Apical heart rate 104
B. Urinary output 240mL in 24 hr
C. Blood pressure 160/120 mm Hg
D. Temperature 100F Correct Answers B. Urinary output
240mL in 24 hr
A client has just done a fetal kick count assessment. She noted
six movements during the last hour. If taught correctly, what
should her next action be?
A. Nothing, because further action is not warranted
B. Call the provider to set up a NST
C. Redo the test during the next 30 min
,D. Drink a glass of orange juice and redo the test Correct
Answers A. Nothing, because further action is not warranted
A client has just had an external version. The nurse monitors this
client carefully for which of the following?
A. Decreased urinary output
B. Elevated blood pressure
C. Severe occipital headache
D. Variable fetal heart decelerations Correct Answers D.
Variable fetal heart decelerations
A client in the early postpartum period is very excited and
talkative. They repeatedly tell the nurse every detail of the labor
and birth. Because the client will not stop talking, the nurse is
having difficulty completing the postpartum assessments. Which
of the following actions should the nurse take?
A. Come back later when the client is more cooperative
B. Give the client time to express feelings
C. Tell the client they need to be quiet so the assessment can be
completed
D. Redirect the client's focus so that they will become quiet
Correct Answers B. Give the client time to express feelings
A client who is 24 weeks pregnant is being seen in the prenatal
clinic. She states, "I've had a terrible headache for the past two
days." Which of the following is the most appropriate action for
the nurse to perform next?
A. Inquire whether or not the client has allergies
,B. Take the woman's blood pressure
C. Assess the fundal height
D. Ask the woman about stressors at work Correct Answers B.
Take the woman's blood pressure
A doctor orders a narcotic analgesic for a laboring client. Which
of the following situations would lead a nurse to hold the
medication?
A. Contraction pattern is every 3 min X 60 sec
B. Fetal monitoring tracing shows late decelerations
C. Client sleeps between contractions
D. The blood pressure is 150/90 Correct Answers B. Fetal
monitoring tracing shows late decelerations
A gestational diabetic, who requires insulin therapy to control
her blood glucose levels, telephones the triage nurse
complaining of dizziness and headache. Which of the following
actions should the nurse take at this time?
A. Have the client proceed to the office to see her physician
B. Advise the client to drink a glass of milk
C. Instruct the client to inject yourself with regular insulin
D. Tell the client to immediately telephone her medical doctor
Correct Answers B. Advise the client to drink a glass of milk
Rationale: These are signs of hypoglycemia, so the patient
should be instructed to consume something that will help raise
the blood sugar.
, A method to prepare the cervix for induction of labor the
following day is:
A. Prostaglandin preparations
B. Fetal fibronectin
C. Oral oxytocin tablets
D. Amniotomy Correct Answers A. Prostaglandin preparations
Rationale: Misoprostol (Cytotec) or Cervidil will be
administered.
A new breastfeeding mother asks the nurse how to prevent
nipple soreness. The nurse tells this woman that the key to
preventing sore nipples is:
A. Limiting the length of breastfeeding to 10 minutes a side until
the mature milk comes in.
B. Apply lanolin to each nipple and areola after each feeding.
C. Correct latch and removal from breast.
D. Using breast shields to protect the nipples and areola between
feedings. Correct Answers C. Correct latch and removal from
breast.
A newborn was not dried completely after birth. This places the
risk at risk for which of the following types of heat loss?
A. Conduction
B. Convection
C. Evaporation
D. Radiation Correct Answers C. Evaporation
Solutions
A 15-year-old client is being seen for her first prenatal visit.
Because of this client's special nutritional needs, the nurse
evaluates the client's intake of:
A. Protein and magnesium
B. Calcium and iron
C. Carbohydrates and zinc
D. Folic acid and thiamine Correct Answers A. Protein and
magnesium
A client has been receiving magnesium sulfate for severe
preeclampsia for 12 hours. Reflexes are 0 and her respiratory
rate is 10. Which of the following situations could be a
precipitating factor in these findings?
A. Apical heart rate 104
B. Urinary output 240mL in 24 hr
C. Blood pressure 160/120 mm Hg
D. Temperature 100F Correct Answers B. Urinary output
240mL in 24 hr
A client has just done a fetal kick count assessment. She noted
six movements during the last hour. If taught correctly, what
should her next action be?
A. Nothing, because further action is not warranted
B. Call the provider to set up a NST
C. Redo the test during the next 30 min
,D. Drink a glass of orange juice and redo the test Correct
Answers A. Nothing, because further action is not warranted
A client has just had an external version. The nurse monitors this
client carefully for which of the following?
A. Decreased urinary output
B. Elevated blood pressure
C. Severe occipital headache
D. Variable fetal heart decelerations Correct Answers D.
Variable fetal heart decelerations
A client in the early postpartum period is very excited and
talkative. They repeatedly tell the nurse every detail of the labor
and birth. Because the client will not stop talking, the nurse is
having difficulty completing the postpartum assessments. Which
of the following actions should the nurse take?
A. Come back later when the client is more cooperative
B. Give the client time to express feelings
C. Tell the client they need to be quiet so the assessment can be
completed
D. Redirect the client's focus so that they will become quiet
Correct Answers B. Give the client time to express feelings
A client who is 24 weeks pregnant is being seen in the prenatal
clinic. She states, "I've had a terrible headache for the past two
days." Which of the following is the most appropriate action for
the nurse to perform next?
A. Inquire whether or not the client has allergies
,B. Take the woman's blood pressure
C. Assess the fundal height
D. Ask the woman about stressors at work Correct Answers B.
Take the woman's blood pressure
A doctor orders a narcotic analgesic for a laboring client. Which
of the following situations would lead a nurse to hold the
medication?
A. Contraction pattern is every 3 min X 60 sec
B. Fetal monitoring tracing shows late decelerations
C. Client sleeps between contractions
D. The blood pressure is 150/90 Correct Answers B. Fetal
monitoring tracing shows late decelerations
A gestational diabetic, who requires insulin therapy to control
her blood glucose levels, telephones the triage nurse
complaining of dizziness and headache. Which of the following
actions should the nurse take at this time?
A. Have the client proceed to the office to see her physician
B. Advise the client to drink a glass of milk
C. Instruct the client to inject yourself with regular insulin
D. Tell the client to immediately telephone her medical doctor
Correct Answers B. Advise the client to drink a glass of milk
Rationale: These are signs of hypoglycemia, so the patient
should be instructed to consume something that will help raise
the blood sugar.
, A method to prepare the cervix for induction of labor the
following day is:
A. Prostaglandin preparations
B. Fetal fibronectin
C. Oral oxytocin tablets
D. Amniotomy Correct Answers A. Prostaglandin preparations
Rationale: Misoprostol (Cytotec) or Cervidil will be
administered.
A new breastfeeding mother asks the nurse how to prevent
nipple soreness. The nurse tells this woman that the key to
preventing sore nipples is:
A. Limiting the length of breastfeeding to 10 minutes a side until
the mature milk comes in.
B. Apply lanolin to each nipple and areola after each feeding.
C. Correct latch and removal from breast.
D. Using breast shields to protect the nipples and areola between
feedings. Correct Answers C. Correct latch and removal from
breast.
A newborn was not dried completely after birth. This places the
risk at risk for which of the following types of heat loss?
A. Conduction
B. Convection
C. Evaporation
D. Radiation Correct Answers C. Evaporation
