Nurs 206 Final Questions With Complete Solutions
"During an annual checkup a client tells the nurse that she and
her partner have decided to start a family. Ideally, when should
the nurse plan for childbirth education to begin and end?
Correct Answers It should begin before conception and end 3
months after childbirth.
A 10-week pregnant client tells the nurse she is worried about
the fatigue that is causing difficulty with functioning at work.
How can the nurse best instruct this client about the relief of
fatigue? Correct Answers Instruct the client to take at least two
rest breaks during the workday.
A 29-week gestation client arrives in the labor and birth suite for
an emergency cesarean section. The neonate is born and
artificial surfactant is administered. Which action best explains
the main function and goal of surfactant use? Correct Answers
helps lungs remain expanded after the initiation of breathing
improving oxygenation
A 37-year-old client of Native American/First
Nations/Aboriginal descent visits the clinic for the first time.
She is about 12 weeks pregnant and this is her first pregnancy.
Which test does the nurse anticipate will be prescribed? Correct
Answers glycosylated hemoglobin
A client asks the nurse if it is safe to have sex during the third
trimester. How should the nurse respond? Correct Answers
"Sex is safe in any trimester."
,A client at 36 weeks gestation has been admitted to the hospital
for gestational hypertension. The client's blood pressure is
188/98 mm Hg and the client has no proteinuria. What is the
priority nursing action at this time? Correct Answers Notify the
physician immediately.
A client at 37 weeks' gestation is scheduled for an ultrasound.
What should the nurse instruct the client to do before the test?
Correct Answers Drink 1 to 2 L of fluid.
A client comes to the office for a routine prenatal visit at 26
weeks gestation The urine dipstick is negative for protein but 2+
for glucose The nurse would teach the client about what testing
that needs to be performed? Correct Answers 1-hour glucose
tolerance test
A client had a cystoscopy to remove a renal stone. Which
laboratory data warrants immediate intervention by the nurse
Correct Answers a white blood cell count of 14,000 mm/dL
(14.00 x 109/L)
A client has had a cerebrovascular accident which has affected
the left side of the client's brain. The nurse should assess the
client for which symptom? Correct Answers aphasia
A client has partial-thickness burns on both lower extremities
and portions of the trunk. Which I.V. fluid does the nurse plan to
administer first? Correct Answers Lactated ringers solution
, A client has stress incontinence. Which data from the client's
history contributes to the client's incontinence? Correct
Answers the client's history of three full-term pregnancies
A client is 41 weeks gestation and is admitted to the hospital in
true labor. She has an external fetal monitor in place. What does
the nurse recognize as a reassuring fetal heart rate (FHR)
pattern? Correct Answers spontaneous accelerations; FHR
increases by 15 beats per minute (bpm) lasting at least 15
seconds
A client is admitted to an acute care facility with a suspected
dysfunction of the lower brain stem. The nurse should monitor
this client closely for Correct Answers Hypoxia
A client is admitted with a diagnosis of chronic hydronephrosis.
Which assessment finding requires immediate action or will
assist the nurse in planning care? Correct Answers Client's
blood urea nitrogen (BUN) is 32 mg/dL.
A client is at risk for increased intracranial pressure (ICP).
Which finding is the priority for the nurse to monitor? Correct
Answers unequal pupil size
A client is being admitted to the labor and childbirth unit. Her
GTPAL classification is 5-2-1-1-2. When providing shift report
which information would the nurse include? Select all that
apply. Correct Answers The client has had four previous
pregnancies The client has had two full-term children, one
premature child, and one abortion The client has two living
children and is pregnant again.
"During an annual checkup a client tells the nurse that she and
her partner have decided to start a family. Ideally, when should
the nurse plan for childbirth education to begin and end?
Correct Answers It should begin before conception and end 3
months after childbirth.
A 10-week pregnant client tells the nurse she is worried about
the fatigue that is causing difficulty with functioning at work.
How can the nurse best instruct this client about the relief of
fatigue? Correct Answers Instruct the client to take at least two
rest breaks during the workday.
A 29-week gestation client arrives in the labor and birth suite for
an emergency cesarean section. The neonate is born and
artificial surfactant is administered. Which action best explains
the main function and goal of surfactant use? Correct Answers
helps lungs remain expanded after the initiation of breathing
improving oxygenation
A 37-year-old client of Native American/First
Nations/Aboriginal descent visits the clinic for the first time.
She is about 12 weeks pregnant and this is her first pregnancy.
Which test does the nurse anticipate will be prescribed? Correct
Answers glycosylated hemoglobin
A client asks the nurse if it is safe to have sex during the third
trimester. How should the nurse respond? Correct Answers
"Sex is safe in any trimester."
,A client at 36 weeks gestation has been admitted to the hospital
for gestational hypertension. The client's blood pressure is
188/98 mm Hg and the client has no proteinuria. What is the
priority nursing action at this time? Correct Answers Notify the
physician immediately.
A client at 37 weeks' gestation is scheduled for an ultrasound.
What should the nurse instruct the client to do before the test?
Correct Answers Drink 1 to 2 L of fluid.
A client comes to the office for a routine prenatal visit at 26
weeks gestation The urine dipstick is negative for protein but 2+
for glucose The nurse would teach the client about what testing
that needs to be performed? Correct Answers 1-hour glucose
tolerance test
A client had a cystoscopy to remove a renal stone. Which
laboratory data warrants immediate intervention by the nurse
Correct Answers a white blood cell count of 14,000 mm/dL
(14.00 x 109/L)
A client has had a cerebrovascular accident which has affected
the left side of the client's brain. The nurse should assess the
client for which symptom? Correct Answers aphasia
A client has partial-thickness burns on both lower extremities
and portions of the trunk. Which I.V. fluid does the nurse plan to
administer first? Correct Answers Lactated ringers solution
, A client has stress incontinence. Which data from the client's
history contributes to the client's incontinence? Correct
Answers the client's history of three full-term pregnancies
A client is 41 weeks gestation and is admitted to the hospital in
true labor. She has an external fetal monitor in place. What does
the nurse recognize as a reassuring fetal heart rate (FHR)
pattern? Correct Answers spontaneous accelerations; FHR
increases by 15 beats per minute (bpm) lasting at least 15
seconds
A client is admitted to an acute care facility with a suspected
dysfunction of the lower brain stem. The nurse should monitor
this client closely for Correct Answers Hypoxia
A client is admitted with a diagnosis of chronic hydronephrosis.
Which assessment finding requires immediate action or will
assist the nurse in planning care? Correct Answers Client's
blood urea nitrogen (BUN) is 32 mg/dL.
A client is at risk for increased intracranial pressure (ICP).
Which finding is the priority for the nurse to monitor? Correct
Answers unequal pupil size
A client is being admitted to the labor and childbirth unit. Her
GTPAL classification is 5-2-1-1-2. When providing shift report
which information would the nurse include? Select all that
apply. Correct Answers The client has had four previous
pregnancies The client has had two full-term children, one
premature child, and one abortion The client has two living
children and is pregnant again.
