PN LEARNING SYSTEM 2026 EXAM UPDATED QUESTIONS AND
ANSWERS
A nurse is caring for four newborns. Which of the following findings should the nurse report to
the provider?
A 12-hr-old newborn who has a heart rate of 70/min while sleeping
An average heart rate for a newborn is 80 to 100/min while sleeping. A newborn's heart rate
can increase to 180/min during episodes of crying. A heart rate less than 80/min is bradycardia
and should be reported to the provider.
A nurse is contributing to the plan of care for a client who plans to formula feed her newborn.
Which of the following actions should the nurse include in the plan?
Have the client place ice packs on her breasts four times per day.
Engorgement can occur in the non-breastfeeding client. For some clients, it is uncomfortable,
and occasionally painful. Ice application to the breasts for 15 to 20 min, four times per day for 5
days, avoiding breast stimulation, and keeping warm water off the breasts during showering are
effective methods to reduce milk production and suppress lactation.
A nurse is caring for a client wo is at 34 weeks of gestation and has a prescription for terbutaline
for preterm labor. Which of the following statements by the client is the nurse's priority?
,"My heart feels as if it is racing."
The nurse should apply the urgent versus nonurgent priority-setting framework. Using this
framework, the nurse should consider urgent needs to be the priority need because they pose
more of a threat to the client. If the pulse is greater than 130/min, the terbutaline needs to be
held until the provider is notified. The nurse might also need to use Maslow's hierarchy of
needs, the ABC priority-setting framework, or nursing knowledge to identify which finding is the
most urgent.
A nurse in an antepartum client answers a phone call from a client wo is at 37 weeks of
gestation reports, "I became very dizzy while lying in bed this morning, but the feeling went
away when I turned on my side." Which of the following actions should the nurse take?
Instruct the client about vena cava syndrome and measures to prevent it.
This is the typical finding of vena cava syndrome, or hypotension that occurs in clients who are
pregnant upon assuming a supine position. It is caused by compression of the inferior vena cava
by the gravid uterus with a consequent reduction in venous return. A side-lying position
promotes uterine perfusion and fetoplacental oxygenation.
A nurse is caring for a client who has trichomoniasis and a prescription for metronidazole.
Which of the following instructions should the nurse reinforce with the client about the
treatment plan?
"You and your partner need to take the medication and use a condom during intercourse until
cultures are negative."
, Trichomonas vaginalis is the organism that causes the sexually transmitted infection
trichomoniasis. Both men and woman can be infected with trichomoniasis. Clinical findings
include yellowish to greenish, frothy, mucopurulent, copious discharge with an unpleasant odor,
as well as itching, burning, or redness of the vulva and vagina. Trichomoniasis can be treated
easily with metronidazole. However, for the treatment to work, it is important to make sure
both sexual partners receive treatment to prevent reinfection. Instruct the client to use
condoms during sexual intercourse while being treated.
A nurse is reinforcing teaching about formula feeding with a parent of a newborn. Which of the
following statements by the parent indicates an understanding of the teaching?
"I will warm the bottle of formula by placing it in a pan of hot water."
The nurse should instruct the client to warm the bottle of formula by placing it in a pan of hot
water and to test the temperature of the formula by dropping a couple drops on the wrist. A
bottle of formula should never be placed in the microwave to warm.
A nurse is assisting with the care of a preterm newborn who is receiving oxygen therapy. Which
of the following findings should the nurse identify as a potential complication from the oxygen
therapy?
Retinopathy
ANSWERS
A nurse is caring for four newborns. Which of the following findings should the nurse report to
the provider?
A 12-hr-old newborn who has a heart rate of 70/min while sleeping
An average heart rate for a newborn is 80 to 100/min while sleeping. A newborn's heart rate
can increase to 180/min during episodes of crying. A heart rate less than 80/min is bradycardia
and should be reported to the provider.
A nurse is contributing to the plan of care for a client who plans to formula feed her newborn.
Which of the following actions should the nurse include in the plan?
Have the client place ice packs on her breasts four times per day.
Engorgement can occur in the non-breastfeeding client. For some clients, it is uncomfortable,
and occasionally painful. Ice application to the breasts for 15 to 20 min, four times per day for 5
days, avoiding breast stimulation, and keeping warm water off the breasts during showering are
effective methods to reduce milk production and suppress lactation.
A nurse is caring for a client wo is at 34 weeks of gestation and has a prescription for terbutaline
for preterm labor. Which of the following statements by the client is the nurse's priority?
,"My heart feels as if it is racing."
The nurse should apply the urgent versus nonurgent priority-setting framework. Using this
framework, the nurse should consider urgent needs to be the priority need because they pose
more of a threat to the client. If the pulse is greater than 130/min, the terbutaline needs to be
held until the provider is notified. The nurse might also need to use Maslow's hierarchy of
needs, the ABC priority-setting framework, or nursing knowledge to identify which finding is the
most urgent.
A nurse in an antepartum client answers a phone call from a client wo is at 37 weeks of
gestation reports, "I became very dizzy while lying in bed this morning, but the feeling went
away when I turned on my side." Which of the following actions should the nurse take?
Instruct the client about vena cava syndrome and measures to prevent it.
This is the typical finding of vena cava syndrome, or hypotension that occurs in clients who are
pregnant upon assuming a supine position. It is caused by compression of the inferior vena cava
by the gravid uterus with a consequent reduction in venous return. A side-lying position
promotes uterine perfusion and fetoplacental oxygenation.
A nurse is caring for a client who has trichomoniasis and a prescription for metronidazole.
Which of the following instructions should the nurse reinforce with the client about the
treatment plan?
"You and your partner need to take the medication and use a condom during intercourse until
cultures are negative."
, Trichomonas vaginalis is the organism that causes the sexually transmitted infection
trichomoniasis. Both men and woman can be infected with trichomoniasis. Clinical findings
include yellowish to greenish, frothy, mucopurulent, copious discharge with an unpleasant odor,
as well as itching, burning, or redness of the vulva and vagina. Trichomoniasis can be treated
easily with metronidazole. However, for the treatment to work, it is important to make sure
both sexual partners receive treatment to prevent reinfection. Instruct the client to use
condoms during sexual intercourse while being treated.
A nurse is reinforcing teaching about formula feeding with a parent of a newborn. Which of the
following statements by the parent indicates an understanding of the teaching?
"I will warm the bottle of formula by placing it in a pan of hot water."
The nurse should instruct the client to warm the bottle of formula by placing it in a pan of hot
water and to test the temperature of the formula by dropping a couple drops on the wrist. A
bottle of formula should never be placed in the microwave to warm.
A nurse is assisting with the care of a preterm newborn who is receiving oxygen therapy. Which
of the following findings should the nurse identify as a potential complication from the oxygen
therapy?
Retinopathy
