NUR 114 Final Exam Questions And Correct Verified Answers
Updated Version 2026/2027
Test-Taking Strategy: Note the strategic words, need for further instruction.These words
26
indicate a negative event query and ask you to select an option that is an incorrect
statement. Recalling basic infection control measures and the measures to prevent the
spread of HIV will direct you to the correct option.
20
The home care nurse visits a pregnant client who has a diagnosis of preeclampsia. Which
assessment finding indicates a worsening of the preeclampsia and the need to notify the
primary health care provider (PHCP)? ly
Ju
1. Urinary output has increased.
2. Dependent edema has resolved.
3. Blood pressure reading is at the prenatal baseline.
ng
4. The client complains of a headache and blurred vision. - CORRECT ANSWERAnswer:4
si
Rationale: If the client commplains of a headache and blurred vision, the PHCP needs to
be notified because these are signs of worsening preeclampsia. Options 1, 2, and 3 are
ur
normal findings.
N
Taied
, Test-Taking Strategy: Note the word worsening in the question. Eliminate options 1, 2, and 3
because these options are comparable or alike and indicate normal findings.
26
The maternity nurse is preparing for the admission of a client in the third trimester of
pregnancy who is experiencing vaginal bleeding and has a suspected diagnosis of placenta
previa. The nurse reviews the primary health care provider's prescriptions and would
20
question which prescription?
1. Prepare the client for an ultrasound.
2. Obtain equipment for a manual pelvic examination.
ly
3. Prepare to draw a hemoglobin and hematocrit blood sample.
Ju
4. Obtain equipment for external electronic fetal heart rate monitoring. -CORRECT
ANSWER-Answer: 2
ng
Rationale: Placenta previa is an improperly implanted placenta in the lower uterine segment
near or over the internal cervical os. Manual pelvic examinations are contraindicated when
vaginal bleeding is apparent until a diagnosis is made and placenta previa is ruled out. Digital
si
examination of the cervix can lead to hemorrhage. A diagnosis of placenta previa is made by
ur
ultrasound. The hemoglobin and hematocrit levels are monitored, and external electronic fetal
heart rate monitoring is initiated. Electronic fetal monitoring (external) is crucial in evaluating
the status of the fetus, which is at risk for severe hypoxia.
N
L9aied
, Test-Taking Strategy: Focus on the subject, nursing care of the client with placenta previa. Use
knowledge of the patho-physiology associated with placenta previa. Note the words question
which prescription in the event query.Also, note that the correct option is the only procedure
that is invasive to the pregnancy and endangers the physiological safety of the client and the
fetus.
26
The nurse administers erythromycin ointment (0.5%) to the eyes of a newborn,and the birthing
parent asks the nurse why this is performed. Which explanation is best for the nurse to provide
20
about neonatal eye prophylaxis?
1. Protects the newborn's eyes from possible infections acquired while hospitalized.
2. Prevents cataracts in the newborn born to a parent who is susceptible to rubella.
3.
ly
Minimizes the spread of microorganisms to the newborn from invasive procedures
during labor.
Ju
4. Prevents an infection called ophthalmia neonatorum from occurring after birth in a newborn
born to a parent with an untreated gonococcal infection. -CORRECT ANSWER-Answer: 4
g
Rationale: Erythromycin ophthalmic ointment 0.5% is used as a prophylactic treatment for
in
ophthalmia neonatorum, which is caused by the bacterium Neisseria gonorrhoeae. Preventive
treatment of gonorrhea is required by law.Options 1, 2, and 3 are not the purposes for
s
administering this medication to a newborn infant.
ur
Test-Taking Strategy: Note the strategic word, best. Use knowledge of the purpose of
N
administering erythromycin ophthalmic ointment to a newborn infant. Remember that
this is done to prevent ophthalmia neonatorum.
89aied
, The nurse analyzes the laboratory results of a child with hemophilia. The nurse understands that
which result will most likely be abnormal in this child?
1. Platelet count
2. Hematocrit level
26
3. Hemoglobin level
4. Partial thromboplastin time - CORRECT ANSWER-Answer:4
20
Rationale: Hemophilia refers to a group of bleeding disorders resulting from a deficiency of
specific coagulation proteins. Results of tests that measure platelet function are normal; results
ly
of tests that measure clottingfactor function may be abnormal. Abnormal laboratory results in
hemophilia indicate a prolonged partial thromboplastin time. The platelet count, hemoglobin
Ju
level, and hematocrit level are normal in hemophilia.
Test-Taking Strategy: Focus on the subject, laboratory tests uused to monitor hemophilia, and
ng
note the strategic words, most likely. Recalling the pathophysiology associated with this
disorder and recalling that it results from a deficiency of specific coagulation proteins will direct
si
you to the correct option.
ur
The nurse analyzes the laboratory values of a child with leukemia who is receiving
chemotherapy. The nurse notes that the platelet count is 19,500 mm3(19.5 x 109/L). On the
basis of this laboratory result, which intervention would the nurse include in the plan of care?
N
1. Initiate bleeding precautions.
2. Monitor closely for signs of infection.
3. Monitor the temperature every 4 hours.
6gaied
Updated Version 2026/2027
Test-Taking Strategy: Note the strategic words, need for further instruction.These words
26
indicate a negative event query and ask you to select an option that is an incorrect
statement. Recalling basic infection control measures and the measures to prevent the
spread of HIV will direct you to the correct option.
20
The home care nurse visits a pregnant client who has a diagnosis of preeclampsia. Which
assessment finding indicates a worsening of the preeclampsia and the need to notify the
primary health care provider (PHCP)? ly
Ju
1. Urinary output has increased.
2. Dependent edema has resolved.
3. Blood pressure reading is at the prenatal baseline.
ng
4. The client complains of a headache and blurred vision. - CORRECT ANSWERAnswer:4
si
Rationale: If the client commplains of a headache and blurred vision, the PHCP needs to
be notified because these are signs of worsening preeclampsia. Options 1, 2, and 3 are
ur
normal findings.
N
Taied
, Test-Taking Strategy: Note the word worsening in the question. Eliminate options 1, 2, and 3
because these options are comparable or alike and indicate normal findings.
26
The maternity nurse is preparing for the admission of a client in the third trimester of
pregnancy who is experiencing vaginal bleeding and has a suspected diagnosis of placenta
previa. The nurse reviews the primary health care provider's prescriptions and would
20
question which prescription?
1. Prepare the client for an ultrasound.
2. Obtain equipment for a manual pelvic examination.
ly
3. Prepare to draw a hemoglobin and hematocrit blood sample.
Ju
4. Obtain equipment for external electronic fetal heart rate monitoring. -CORRECT
ANSWER-Answer: 2
ng
Rationale: Placenta previa is an improperly implanted placenta in the lower uterine segment
near or over the internal cervical os. Manual pelvic examinations are contraindicated when
vaginal bleeding is apparent until a diagnosis is made and placenta previa is ruled out. Digital
si
examination of the cervix can lead to hemorrhage. A diagnosis of placenta previa is made by
ur
ultrasound. The hemoglobin and hematocrit levels are monitored, and external electronic fetal
heart rate monitoring is initiated. Electronic fetal monitoring (external) is crucial in evaluating
the status of the fetus, which is at risk for severe hypoxia.
N
L9aied
, Test-Taking Strategy: Focus on the subject, nursing care of the client with placenta previa. Use
knowledge of the patho-physiology associated with placenta previa. Note the words question
which prescription in the event query.Also, note that the correct option is the only procedure
that is invasive to the pregnancy and endangers the physiological safety of the client and the
fetus.
26
The nurse administers erythromycin ointment (0.5%) to the eyes of a newborn,and the birthing
parent asks the nurse why this is performed. Which explanation is best for the nurse to provide
20
about neonatal eye prophylaxis?
1. Protects the newborn's eyes from possible infections acquired while hospitalized.
2. Prevents cataracts in the newborn born to a parent who is susceptible to rubella.
3.
ly
Minimizes the spread of microorganisms to the newborn from invasive procedures
during labor.
Ju
4. Prevents an infection called ophthalmia neonatorum from occurring after birth in a newborn
born to a parent with an untreated gonococcal infection. -CORRECT ANSWER-Answer: 4
g
Rationale: Erythromycin ophthalmic ointment 0.5% is used as a prophylactic treatment for
in
ophthalmia neonatorum, which is caused by the bacterium Neisseria gonorrhoeae. Preventive
treatment of gonorrhea is required by law.Options 1, 2, and 3 are not the purposes for
s
administering this medication to a newborn infant.
ur
Test-Taking Strategy: Note the strategic word, best. Use knowledge of the purpose of
N
administering erythromycin ophthalmic ointment to a newborn infant. Remember that
this is done to prevent ophthalmia neonatorum.
89aied
, The nurse analyzes the laboratory results of a child with hemophilia. The nurse understands that
which result will most likely be abnormal in this child?
1. Platelet count
2. Hematocrit level
26
3. Hemoglobin level
4. Partial thromboplastin time - CORRECT ANSWER-Answer:4
20
Rationale: Hemophilia refers to a group of bleeding disorders resulting from a deficiency of
specific coagulation proteins. Results of tests that measure platelet function are normal; results
ly
of tests that measure clottingfactor function may be abnormal. Abnormal laboratory results in
hemophilia indicate a prolonged partial thromboplastin time. The platelet count, hemoglobin
Ju
level, and hematocrit level are normal in hemophilia.
Test-Taking Strategy: Focus on the subject, laboratory tests uused to monitor hemophilia, and
ng
note the strategic words, most likely. Recalling the pathophysiology associated with this
disorder and recalling that it results from a deficiency of specific coagulation proteins will direct
si
you to the correct option.
ur
The nurse analyzes the laboratory values of a child with leukemia who is receiving
chemotherapy. The nurse notes that the platelet count is 19,500 mm3(19.5 x 109/L). On the
basis of this laboratory result, which intervention would the nurse include in the plan of care?
N
1. Initiate bleeding precautions.
2. Monitor closely for signs of infection.
3. Monitor the temperature every 4 hours.
6gaied
