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LATEST 2026/2027 ACTUAL EXAM
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1. Amnursemismcaringmformamclientmwhomismatm32mwksmgestationmandmismexperiencingmpretermml
abor.mWhatmmedsmshouldmthemnursemplanmtomadminister?m-
mCORRECTmANSWERmbetamethasone
2. Amnursematmamprenatalmclinicmismcaringmformamclientmwhomsuspectsmshemmaymbempregnantma
ndmasksmthemnursemhowmthemprovidermwillmconfirmmhermpregnancy.mThemnursemshouldminf
ormmthemclientmthatmwhatmlabmtestmwillmbemusedmtomconfirmmhermpregnancy?m-
mCORRECTmANSWERmurinemtestmformpresencemofmHCG
3. Amnursemismcaringmformamclientmwhombelievesmshemmaymbempregnant.mWhatmfindingmshould
mthemnursemidentifymasmampositivemsignmofmpregnancy?
a. palpablemfetalmmovementm-mCORRECTmANSWERmpalpablemfetalmmovement
4. Amnursemismcaringmformamclientmwhomhasmoligohydraminios.mWhatmfetalmanomaliesmshouldm
themnursemexpect?m-mCORRECTmANSWERmrenalmagenesis
5. Amnursemismassessingmamclientmwhomismatm37mwksmgestationmandmhasmamsuspectedmpelvicmfr
acturemduemtombluntmabdmtrauma.mWhatmfindingsmshouldmthemnursemexpect?m-
mCORRECTmANSWERmuterinemcontractions
6. Themnursemshouldmexpectmthemclientmtombemexperiencingmuterinemcontractionsmduemtomab
dominalmtrauma.
,7. Amnursemismassessingmamclientmwhomismatm12mwksmgestationmandmhasmhydatidiformmmole.m
Whatmfindingsmshouldmthemnursemexpect?m-
mCORRECTmANSWERmdarkmbrownmvaginalmdischarge
8. Amhydatidiformmmole,mormammolarmpregnancy,mismambenignmproliferativemgrowthmofmthemch
orionicmvilli,mwhichmgivesmrisemtommultiplemcysts.mThemproductsmofmconceptionmtransformmi
ntomamlargemnumbermofmedematous,mfluid-
filledmvesicles.mAsmcellsmsloughmoffmthemuterinemwall,mvaginalmdischargemismusuallymdarkmbr
ownmandmcanmcontainmgrapelikemclusters.
9. Amnursemismassessingmamclientmwhomismatm35mweeksmofmgestationmandmhasmmildmgestational
mHTN.mWhatmfindingmshouldmthemnursemidentifymasmthempriority?m-
mCORRECTmANSWERm480mmLmurinemoutputminm24mhrs
10. Whenmusingmthemurgentmvs.mnonurgentmapproachmtomclientmcare,mthemnursemshouldmdeter
minemthatmthemprioritymfindingmism480mmLmofmurinemoutputminm24mhrmbecausemthemminimu
mmacceptablemurinemoutputminmanmadultmclientmism30mmL/hr.mThismcanmindicatemprogressio
nmofmpreeclampsiamtompreeclampsiamwithmseveremfeatures,mwhichmrequiresmimmediatemint
ervention.mTherefore,mthismismthemprioritymfinding.
11. Amnursemismteachingmamclientmwhomismatm12mwksmgestationmandmhasmHIV.mWhatmstatementm
shouldmthemnursemincludeminmthemteaching?m-
mCORRECTmANSWERmyoumshouldmcontinuemtomtakemzidovudinemthroughoutmthempregnanc
y
12. -canmbemtransmittedmthroughmbreastfeeding
13. -shemcanmcontinuemtomhavemsex
14. Themnursemshouldminformmthemclientmthatmtakingmprescriptionmantiviralmmedicationmeverym
daymdecreasesmthemriskmofmtransmissionmofmHIVmtomhermnewborn.
,15. Amnursemismprovidingmteachingmtomamclientmwhomismatm8mwksmgestationmaboutmmanifestatio
nsmtomreportmtomthemprovidermduringmpregnancy.mWhatminfomshouldmthemnursemincludeminm
themteaching?m-mCORRECTmANSWERmblurredmormdoublemvision
16. Amnursemismcaringmformamclientmwhomisminmthemlatentmphasemofmlabormandmismreceivingmoxyt
ocinmviamcontinuousmIVminfusion.mThemnursemnotesmthatmthemclientmismhavingmcontractionsm
everym2mminmwhichmlastm100-
110msecondsmthatmthemfetalmheartmratemismreassuring.mWhatmactionmshouldmthemnursemtake
?m-mCORRECTmANSWERmdecreasemthemdosemofmoxytocinmbymhalf
17. Themnursemshouldmdecreasemthemdosemofmoxytocinmbymhalfmbecausemthemclientmismexperien
cingmuterinemtachysystole.
18. Amnursemismcaringmformamclientmwhomisminmactivemlabormandmhasmmeconiummstainingmofmthe
mamnioticmfluid.mThemnursemnotesmamreassuringmFHRmtracingmfrommthemexternalmfetalmmoni
tor.mWhatmactionmshouldmthemnursemtake?m-
mCORRECTmANSWERmpreparemequipmentmneededmformnewbornmresuscitation
19. Themnursemshouldmensuremthatmallmsuppliesmandmequipmentmneededmformresuscitationmofm
themnewbornmaremreadilymavailablemformeverymdelivery.mEndotrachealmsuctioningmismrecom
mendedminmcasesmofmmeconiummstainingmonlymifmthemnewbornmhasmpoormrespiratorymeffor
t,mdecreasedmmusclemtone,mandmbradycardiamaftermdelivery.
20. Amnursemismreviewingmthemmedicalmrecordmofmamclientmwhomismatm33mwksmgestationmandmha
smplacentampreviamandmbleeding.mWhatmscriptsmshouldmthemnursemclarifymwithmthemprovide
r?m-mCORRECTmANSWERmperformmamvaginalmexam
21. Whenmamclientmhasmamplacentamprevia,mthemplacentamimplantsminmthemlowermpartmofmthemu
terusmandmobstructsmthemcervicalmosm(themopeningmtomthemvagina).mThemnursemshouldmclari
fymthismprescriptionmbecausemanymmanipulationmcanmcausemtearingmofmthemplacentamandmi
ncreasedmbleeding.
, 22. Amnursemismcaringmformamclientmwhomismatm37mwksmgestationmandmismundergoingmamnonstres
smtest.mThemFHRmism130mwithoutmaccelerationsmformthempastm10mmin.mWhatmactionmshouldm
themnursemtake?m-
mCORRECTmANSWERmusemvibroacousticmstimmonmthemclient'smabdmform3mseconds
23. Themnursemshouldmusemamvibroacousticmstimulatormonmthemclient'smabdomenmtomelicitmfetal
mactivitymbecausemthemfetusmismmostmlikelymsleeping.mFetalmmovementmshouldmcausemaccel
erationsminmthemFHR.
24. Amnursemismreviewingmlabmresultsmformamclientmwhomismatm37mwksmgestation.mThemnursemnot
esmthatmthemclientmismrubellamnon-immune,mpositivemformgroupmAmbeta-
hemolyticmstrep,mandmhasmambloodmtypemOmneg.mWhatmactionmshouldmthemnursemtake?m-
mCORRECTmANSWERminstructmthemclientmtomobtainmamrubellamimmunizationmaftermdelivery
25. Amnursemismreviewingmthemmedmrecordmofmamclientmwhomismatm39mwksmgestationmandmhasmp
olyhydramnios.mWhatmfindingmshouldmthemnursemexpect?m-
mCORRECTmANSWERmfetalmGImanomaly
26. Polyhydramniosmismthempresencemofmexcessivemamnioticmfluidmsurroundingmthemunbornmfe
tus.mGastrointestinalmmalformationsmandmneurologicmdisordersmaremexpectedmfindingsmfor
mamfetusmexperiencingmthemeffectsmofmpolyhydramnios.
27. Amnursemismcaringmformamclientmwhomisminmthemlatentmphasemofmlabormandmismexperiencingml
owmbackmpain.mWhatmactionmshouldmthemnursemtake?m-
mCORRECTmANSWERmapplympressuremtomthemclient'smsacralmareamduringmcontractions
28. Amnursemismteachingmamclientmwhomhasmpre-
eclampsiamandmismtomreceivemmagnesiummsulfatemviamcontinuousmIVminfusionmaboutmexpec
tedmadversemeffects.mWhatmadversemeffectsmshouldmthemnursemincludeminmthemteaching?m-
mCORRECTmANSWERmfeelingmofmwarmth