Ultimate Nursing Exam Prep: Pediatric,
Maternal, Newborn, and Psychiatric Care
Scenarios with Critical Medications &
Interventions Verified Questions
Provided with A+ Graded Rationales
Latest Updated 2026
A nurse is assessing a client who has schizophrenia and has been on long-term treatment with
chlorpromazine. He notes the client is experiencing some involuntary movements of the
tongue and face. The nurse should suspect the client has developed which of the following
adverse effects?
Tardive dyskinesia
Parkinsonism
Dystonia
Akathisia
Tardive dyskinesia These findings indicate tardive dyskinesia, which can develop in clients
during long-term therapy with chlorpromazine. For many clients, the manifestations are
irreversible.
A nurse in a hospital is caring for a client who is at 38 weeks of gestation and has a large
amount of painless, bright red vaginal bleeding. The client is placed on a fetal monitor
indicating a regular fetal heart rate of 138/min and no uterine contractions. The client's vital
signs are: blood pressure 98/52 mm Hg, heart rate 118/min, respiratory rate 24/min, and
temperature 36.4° C (97.6° F). Which of the following is the priority nursing action?
Insert an indwelling urinary catheter.
Initiate IV access.
Witness the signature for informed consent for surgery.
Prepare the abdominal and perineal areas.
Initiate IV access. Insertion of a large-bore IV catheter is the priority nursing action. The client is
losing blood rapidly, has hypotension, and tachycardia. IV access will allow IV fluids and blood to
be administered quickly if hypovolemia develops.
,A nurse is assessing a client who is receiving magnesium sulfate to treat pre-eclampsia. Which
of the following findings should the nurse report to the provider?
Respirations 16/min
Headache for 30 min
Urinary output 40 mL in 2 hr
Fetal heart rate 158/min
Urinary output 40 mL in 2 hr
Urinary output is critical for the excretion of magnesium from the body. The nurse should report
an hourly output below 30 mL/hr to the provider immediately and discontinue the medication.
A nurse is caring for an adolescent client who has pneumonia and a prescription for
cefpodoxime 5 mg/kg PO every 12 hr for 5 days. The client weighs 88 lb. How many mg should
the nurse administer per dose? (Round the answer to the nearest whole number. Use a
leading zero if it applies. Do not use a trailing zero.)
_________mg
Follow these steps for the Ratio and Proportion method of calculation:
Step 1: What is the unit of measurement the nurse should calculate? kg
Step 2: Set up an equation and solve for X.
2.2 lbClient's weight in lb = 1 kgX kg
2.2 lb88 lb = 1 kgX kg
X kg = 40 kg
Step 3: What is the unit of measurement the nurse should calculate? mg
Step 4: Set up an equation and solve for X.
DoseClient's weight in kgX mg = × kg1
5 mg40 kgX mg = × kg1
X mg = 200 mg
Step 5: Round, if necessary.
,Step 6: Determine whether the amount to administer makes sense. If the provider prescribed
cefpodoxime 5 mg/kg/dose and the client weighs 40 kg, it makes sense to administer 200 mg
per dose. The nurse should administer cefpodoxime 200 mg PO every 12 hr.
A nurse is caring for a newborn who is 72 hr old.
Vital Signs
Medical History
Physical Examination
Vital Signs
0900:
Heart rate 160/min
Respiratory rate 80/min
Temperature 38.1° C (100.6° F)
Oxygen saturation 97%
1000:
Heart rate 167/min
Respiratory rate 72/min
Temperature 38°C (100.4°F)
Oxygen saturation 97%
1100:
Heart rate 174/min
Respiratory rate 79/min
Temperature 38° C (100.5° F)
Oxygen saturation 98%
Medical History
0900:
A term newborn 37 weeks of gestation is admitted to the newborn nursery following a
precipitous vaginal birth. Birthing parent has a history of heroin use during pregnancy and
, prenatal care beginning at 34 weeks of gestation. Birthing parent and newborn drug screens
positive for heroin.
Physical Examination
1100:
Neonatal Abstinence Scoring System (NAS)
Excessive high-pitched cry=2
Sleeps < 2 hr=2
Hyperactive Moro reflex=2
Moderate- severe tremors disturbed=2
Increased muscle tone=2
Fever < 37.2 to 38.2° C (99 to 100.8° F)=1
Excessive sucking=1
Frequent sneezing=1
Frequent yawning=1
Loose stools=2
Poor feeding=2
Respiratory rate > 60/min=1
Mottling=1
NAS score 20
The nurse is planning to contact the provider regarding the newborn's status. Which of the
following prescriptions should the nurse anticipate?
Select the 3 interventions the nurse should anticipate.
Encourage the birthing parent to breastfeed.
Swaddle the newborn.
Administer oral morphine.
Administer naloxone for NAS scores greater than 24.
Continue NAS scoring as prescribed.
Maternal, Newborn, and Psychiatric Care
Scenarios with Critical Medications &
Interventions Verified Questions
Provided with A+ Graded Rationales
Latest Updated 2026
A nurse is assessing a client who has schizophrenia and has been on long-term treatment with
chlorpromazine. He notes the client is experiencing some involuntary movements of the
tongue and face. The nurse should suspect the client has developed which of the following
adverse effects?
Tardive dyskinesia
Parkinsonism
Dystonia
Akathisia
Tardive dyskinesia These findings indicate tardive dyskinesia, which can develop in clients
during long-term therapy with chlorpromazine. For many clients, the manifestations are
irreversible.
A nurse in a hospital is caring for a client who is at 38 weeks of gestation and has a large
amount of painless, bright red vaginal bleeding. The client is placed on a fetal monitor
indicating a regular fetal heart rate of 138/min and no uterine contractions. The client's vital
signs are: blood pressure 98/52 mm Hg, heart rate 118/min, respiratory rate 24/min, and
temperature 36.4° C (97.6° F). Which of the following is the priority nursing action?
Insert an indwelling urinary catheter.
Initiate IV access.
Witness the signature for informed consent for surgery.
Prepare the abdominal and perineal areas.
Initiate IV access. Insertion of a large-bore IV catheter is the priority nursing action. The client is
losing blood rapidly, has hypotension, and tachycardia. IV access will allow IV fluids and blood to
be administered quickly if hypovolemia develops.
,A nurse is assessing a client who is receiving magnesium sulfate to treat pre-eclampsia. Which
of the following findings should the nurse report to the provider?
Respirations 16/min
Headache for 30 min
Urinary output 40 mL in 2 hr
Fetal heart rate 158/min
Urinary output 40 mL in 2 hr
Urinary output is critical for the excretion of magnesium from the body. The nurse should report
an hourly output below 30 mL/hr to the provider immediately and discontinue the medication.
A nurse is caring for an adolescent client who has pneumonia and a prescription for
cefpodoxime 5 mg/kg PO every 12 hr for 5 days. The client weighs 88 lb. How many mg should
the nurse administer per dose? (Round the answer to the nearest whole number. Use a
leading zero if it applies. Do not use a trailing zero.)
_________mg
Follow these steps for the Ratio and Proportion method of calculation:
Step 1: What is the unit of measurement the nurse should calculate? kg
Step 2: Set up an equation and solve for X.
2.2 lbClient's weight in lb = 1 kgX kg
2.2 lb88 lb = 1 kgX kg
X kg = 40 kg
Step 3: What is the unit of measurement the nurse should calculate? mg
Step 4: Set up an equation and solve for X.
DoseClient's weight in kgX mg = × kg1
5 mg40 kgX mg = × kg1
X mg = 200 mg
Step 5: Round, if necessary.
,Step 6: Determine whether the amount to administer makes sense. If the provider prescribed
cefpodoxime 5 mg/kg/dose and the client weighs 40 kg, it makes sense to administer 200 mg
per dose. The nurse should administer cefpodoxime 200 mg PO every 12 hr.
A nurse is caring for a newborn who is 72 hr old.
Vital Signs
Medical History
Physical Examination
Vital Signs
0900:
Heart rate 160/min
Respiratory rate 80/min
Temperature 38.1° C (100.6° F)
Oxygen saturation 97%
1000:
Heart rate 167/min
Respiratory rate 72/min
Temperature 38°C (100.4°F)
Oxygen saturation 97%
1100:
Heart rate 174/min
Respiratory rate 79/min
Temperature 38° C (100.5° F)
Oxygen saturation 98%
Medical History
0900:
A term newborn 37 weeks of gestation is admitted to the newborn nursery following a
precipitous vaginal birth. Birthing parent has a history of heroin use during pregnancy and
, prenatal care beginning at 34 weeks of gestation. Birthing parent and newborn drug screens
positive for heroin.
Physical Examination
1100:
Neonatal Abstinence Scoring System (NAS)
Excessive high-pitched cry=2
Sleeps < 2 hr=2
Hyperactive Moro reflex=2
Moderate- severe tremors disturbed=2
Increased muscle tone=2
Fever < 37.2 to 38.2° C (99 to 100.8° F)=1
Excessive sucking=1
Frequent sneezing=1
Frequent yawning=1
Loose stools=2
Poor feeding=2
Respiratory rate > 60/min=1
Mottling=1
NAS score 20
The nurse is planning to contact the provider regarding the newborn's status. Which of the
following prescriptions should the nurse anticipate?
Select the 3 interventions the nurse should anticipate.
Encourage the birthing parent to breastfeed.
Swaddle the newborn.
Administer oral morphine.
Administer naloxone for NAS scores greater than 24.
Continue NAS scoring as prescribed.
