COMPREHENSIVE TEST 2026 QUESTIONS
WITH ANSWERS VERIFIED A+
◉ A nurse is reviewing the medical records of a client who is at 8
wks. of gestation. Which of the following findings should the nurse
identify as a risk factor for developing preeclampsia? Answer:
Rheumatoid Arthritis.
-The presence of a connective tissue disease, such as rheumatoid
arthritis or systemic lupus erythematosus, increase a clients risk for
developing preeclampsia.
◉ A nurse is reviewing the laboratory results for a postpartum client
who is receiving warfarin for deep-vein thrombosis. Which of the
following laboratory tests should the nurse monitor? Answer:
International normalized ratio (INR).
-The nurse should monitor the INR of a client who is taking warfarin.
Prothrombin time(PT) is also measure to regulate warfarin therapy.
However, PT values are more difficult to interpret. INR determined
by multiplying the PT by a correction factor based on the specific
thromboplastin preparation used for the test, as a way of equalizing
laboratory to laboratory variations.
◉ A nurse is monitoring a client who is in the active phase of labor
and has an intrauterine pressure catheter and fetal scalp electrode.
,Which of the following findings should the nurse expect? Answer:
Montevideo units (MVU) of 220 mm Hg.
- The nurse should identify that an MVU of 220 mm Hg is within the
expected range during the active phase of labor. MVUs generally
range between 100 to 250 mm Hg during the first stage of labor and
increase to 300 to 400 mm Hg during the second stage of labor.
MVUs are calculated by subtracting the baseline uterine pressure
from the peak contraction pressure for every contraction that occurs
during a 10-min period. The nurse then adds the pressure produced
by each contraction during that time to determine the MVUs.
◉ A nurse is assessing a client who has just undergone a cesarean
birth and was given epidural morphine for postpartum pain relief
1hr ago. The nurse notes that the clients respiratory rate is 10/min.
Which of the following actions should the nurse take first? Answer:
Administer oxygen by nonrebreather face mask.
-The first action the nurse should take when using the airway,
breathing, circulation approach to client care is to administer oxygen
by nonrebreather mask to treat manifestations of respiratory
depression due to morphine administration.
◉ A nurse is assessing a client who has placenta previa and is
receiving fetal monitoring. Which of the following clinical findings
should the nurse expect? Answer: Painless vaginal bleeding.
-The placenta implants in the lower uterine segment, partially or
completely covering the cervix. With cervical changes, the placental
blood vessels can tear, which results in bleeding.
, ◉ A nurse is assessing a client who is at 33wks of gestation. Which
of the following findings should the nurse report to the provider?
Answer: Episodes of blurred vision.
-Blurred vision is a manifestation of preeclampsia. Arterial
vasospasms and decreased perfusion to the retina cause visual
disturbances, such as blurred vision, double vision, or dark spots in
the visual field.
◉ A nurse is assessing a client who is at 8wks of gestation and has
hyperemesis gravidarum. Which of the following are findings of this
condition? (SATA) Answer: 1. Tachycardia.
-Hyperemesis gravidarum typically occurs during the first trimester
and results in electrolyte imbalance, excessive weight loss,
ketonuria, and nutritional deficiencies.
2. Dry mucous membranes.
3. Poor skin turgor.
◉ A nurse is reviewing the laboratory results for a client who is at
29wks of gestation. Which of the following results should the nurse
identify as an indication of a prenatal complication? Answer: BUN 30
mg/dL
-Above the expected reference range of 10-20 mg/dL for a client
who is pregnant. The BUN typically decreases during pregnancy due
to the increase in the glomerular filtration rate. The nurse should