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NU 335 Exam 2 Practice Questions
2025/2026 Exam Questions and Verified
Answers | Already Graded A+
The nurse is reviewing the lab tests of four prenatal clients. Which lab finding
would support the diagnosis of hyperemesis gravidarum?
a. Hypercalcemia.
b. Hypokalemia.
c. Hyperkalemia.
d. Hypocalcemia. - 🧠ANSWER ✔✔b. Hypokalemia.
Rationale: In severe cases, hyperemesis causes dehydration, which leads to fluid-
electrolyte imbalance. Severe potassium loss can disrupt cardiac functioning.
Potassium loss (hypokalemia), not hyperkalemia, is characteristic of hyperemesis
gravidarum. Neither hypercalcemia nor hypocalcemia (low calcium) is
characteristic of hyperemesis gravidarum.
If a client does not respond to standard home treatment for severe hyperemesis
gravidarum, the nurse will anticipate adding which therapy on an outpatient basis?
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a. Low-fat soft diet.
b. Complex carbohydrates with limited liquids.
c. IV fluids.
d. Total parenteral nutrition. - 🧠ANSWER ✔✔c. IV fluids.
Rationale: If the woman does not respond to standard approaches to the control of
nausea and vomiting in pregnancy, she might require intravenous (IV) fluids on an
outpatient basis. Total parenteral nutrition would be started only if the client were
unresponsive to IV hydration. Lowfat soft diet and complex carbohydrates with
limited liquids are progressive diets after the client is stabilized for hyperemesis
gravidarum.
A client at 30 weeks' gestation is admitted to the maternity unit with vaginal
bleeding. What should be the nurse's initial nursing action?
a. Count and weigh peripads.
b. Start an intravenous infusion drip.
c. Assess blood pressure and pulse.
d. Observe for pallor, clammy skin, and perspiration. - 🧠ANSWER ✔✔c. Assess
blood pressure and pulse.
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STATEMENT. ALL RIGHTS RESERVED
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Rationale: The nurse's initial action for a client with vaginal bleeding at 30 weeks
would be to assess blood pressure and pulse. Counting and weighing peripads;
observing for pallor, clammy skin, and perspiration; and starting an intravenous
infusion drip are all important actions for this client; they are just not the initial
action.
A prenatal client at 16 weeks' gestation presents to the clinic with unexplained
bright red bleeding, cramping, and backache, which she has had for the past two
days. A pelvic exam reveals a closed cervix. What type of abortion does this
indicate?
a. Threatened.
b. Incomplete.
c. Missed.
d. Imminent. - 🧠ANSWER ✔✔a. Threatened.
Rationale: A threatened abortion (miscarriage) has symptoms of vaginal bleeding
and backache without cervical dilation. In an imminent abortion, the internal
cervical os is dilated. Although the cervix is closed in a missed abortion, other
symptoms would include a regression in breast changes and a brownish vaginal
discharge. Diagnosis is made based on history, pelvic exam, and a negative
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY 3
STATEMENT. ALL RIGHTS RESERVED
, 4
pregnancy test. With an incomplete abortion, the embryo has passed out of the
uterus, but the placenta remains, and the internal os is slightly dilated.
The client asks for information about ectopic pregnancy. The nurse correctly
responds by saying ectopic pregnancy is caused by: (Select all that apply.)
a. Pelvic inflammatory disease (PID).
b. Presence of an IUD.
c. In utero exposure to diethylstilbestrol (DES).
d. Endometriosis. - 🧠ANSWER ✔✔a. Pelvic inflammatory disease (PID).
d. Endometriosis.
b. Presence of an IUD.
c. In utero exposure to diethylstilbestrol (DES).
Rationale: Ectopic pregnancy can be caused by tubal damage from pelvic
inflammatory disease (PID), previous tubal surgery, congenital anomalies of the
tube, endometriosis, previous ectopic pregnancy, presence of an IUD, and in utero
exposure to diethylstilbestrol (DES).
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY 4
STATEMENT. ALL RIGHTS RESERVED
NU 335 Exam 2 Practice Questions
2025/2026 Exam Questions and Verified
Answers | Already Graded A+
The nurse is reviewing the lab tests of four prenatal clients. Which lab finding
would support the diagnosis of hyperemesis gravidarum?
a. Hypercalcemia.
b. Hypokalemia.
c. Hyperkalemia.
d. Hypocalcemia. - 🧠ANSWER ✔✔b. Hypokalemia.
Rationale: In severe cases, hyperemesis causes dehydration, which leads to fluid-
electrolyte imbalance. Severe potassium loss can disrupt cardiac functioning.
Potassium loss (hypokalemia), not hyperkalemia, is characteristic of hyperemesis
gravidarum. Neither hypercalcemia nor hypocalcemia (low calcium) is
characteristic of hyperemesis gravidarum.
If a client does not respond to standard home treatment for severe hyperemesis
gravidarum, the nurse will anticipate adding which therapy on an outpatient basis?
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY 1
STATEMENT. ALL RIGHTS RESERVED
, 2
a. Low-fat soft diet.
b. Complex carbohydrates with limited liquids.
c. IV fluids.
d. Total parenteral nutrition. - 🧠ANSWER ✔✔c. IV fluids.
Rationale: If the woman does not respond to standard approaches to the control of
nausea and vomiting in pregnancy, she might require intravenous (IV) fluids on an
outpatient basis. Total parenteral nutrition would be started only if the client were
unresponsive to IV hydration. Lowfat soft diet and complex carbohydrates with
limited liquids are progressive diets after the client is stabilized for hyperemesis
gravidarum.
A client at 30 weeks' gestation is admitted to the maternity unit with vaginal
bleeding. What should be the nurse's initial nursing action?
a. Count and weigh peripads.
b. Start an intravenous infusion drip.
c. Assess blood pressure and pulse.
d. Observe for pallor, clammy skin, and perspiration. - 🧠ANSWER ✔✔c. Assess
blood pressure and pulse.
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY 2
STATEMENT. ALL RIGHTS RESERVED
, 3
Rationale: The nurse's initial action for a client with vaginal bleeding at 30 weeks
would be to assess blood pressure and pulse. Counting and weighing peripads;
observing for pallor, clammy skin, and perspiration; and starting an intravenous
infusion drip are all important actions for this client; they are just not the initial
action.
A prenatal client at 16 weeks' gestation presents to the clinic with unexplained
bright red bleeding, cramping, and backache, which she has had for the past two
days. A pelvic exam reveals a closed cervix. What type of abortion does this
indicate?
a. Threatened.
b. Incomplete.
c. Missed.
d. Imminent. - 🧠ANSWER ✔✔a. Threatened.
Rationale: A threatened abortion (miscarriage) has symptoms of vaginal bleeding
and backache without cervical dilation. In an imminent abortion, the internal
cervical os is dilated. Although the cervix is closed in a missed abortion, other
symptoms would include a regression in breast changes and a brownish vaginal
discharge. Diagnosis is made based on history, pelvic exam, and a negative
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY 3
STATEMENT. ALL RIGHTS RESERVED
, 4
pregnancy test. With an incomplete abortion, the embryo has passed out of the
uterus, but the placenta remains, and the internal os is slightly dilated.
The client asks for information about ectopic pregnancy. The nurse correctly
responds by saying ectopic pregnancy is caused by: (Select all that apply.)
a. Pelvic inflammatory disease (PID).
b. Presence of an IUD.
c. In utero exposure to diethylstilbestrol (DES).
d. Endometriosis. - 🧠ANSWER ✔✔a. Pelvic inflammatory disease (PID).
d. Endometriosis.
b. Presence of an IUD.
c. In utero exposure to diethylstilbestrol (DES).
Rationale: Ectopic pregnancy can be caused by tubal damage from pelvic
inflammatory disease (PID), previous tubal surgery, congenital anomalies of the
tube, endometriosis, previous ectopic pregnancy, presence of an IUD, and in utero
exposure to diethylstilbestrol (DES).
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY 4
STATEMENT. ALL RIGHTS RESERVED
