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Exam (elaborations)

RN Adult Medical Surgical 2026 Proctored Exam

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RN Adult Medical Surgical 2026 Proctored Exam

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,
,
, Section 1: Antepartum Care (Questions 1–25)

1. A nurse is caring for a client at 10 weeks' gestation who reports nausea and vomiting.
Which of the following instructions should the nurse include?

A. "Eat three large meals per day."
B. "Drink fluids with your meals."
C. "Eat dry crackers before rising in the morning."
D. "Avoid all dairy products."

Correct Answer: C

Rationale: Eating dry crackers before rising helps reduce morning nausea because it
prevents an empty stomach. Small, frequent meals are recommended rather than three large
meals. Fluids should be consumed between meals, not with them. Avoiding all dairy is not
necessary unless lactose intolerance is present.



2. A nurse is teaching a client about fetal development. At which gestational age should the
client expect to first feel fetal movement (quickening)?

A. 8–10 weeks
B. 16–20 weeks
C. 24–28 weeks
D. 30–32 weeks

Correct Answer: B

Rationale: Quickening, the first perception of fetal movement, typically occurs between 16
and 20 weeks' gestation in primigravida clients and may be earlier in multigravida clients. 8–10
weeks is too early. 24–28 weeks and 30–32 weeks are later than the typical first perception.



3. A nurse is reviewing laboratory results for a client at 12 weeks' gestation. Which of the
following findings should the nurse report to the provider?

A. Hemoglobin 11.5 g/dL
B. Hematocrit 34%
C. WBC 15,000/mm³
D. Platelets 90,000/mm³

Correct Answer: D

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