NUR 2513 Latest Update Maternal Child
Nursing Exam 2025 ALL 1-100 Questions and Correct
Answers With Rationale Rated A+
1. A pregnant woman who is at term is admitted to the birthing unit in active labor. The
client has only progressed from 2cm to 3 cm in 8 hours. She is diagnosed with
hypotonic dystocia and the physician ordered Oxytocin (Pitocin) to augment her
contractions. Which of the following is the most important aspect of nursing intervention
at this time?
A. Timing and recording length of contractions.
B. Monitoring.
C. Preparing for an emergency cesarean birth.
D. Checking the perineum for bulging. - ANSWERS-A.
Rationale: The oxytocic effect of Pitocin increases the intensity and durations of
contractions; prolonged contractions will jeopardize the safetyof the fetus and
necessitate discontinuing the drug
2. A client who hallucinates is not in touch with reality. It is important for the nurse to:
A. Isolate the client from other patients.
B. Maintain a safe environment.
C. Orient the client to time, place, and person.
D. Establish a trusting relationship. - ANSWERS-B.
Rationale: It is of paramount importance to prevent the client from hurting himself or
herself or others.
3. The nurse is caring to a child client who has had a tonsillectomy. The child complains
of having dryness of the throat. Which of the following would the nurse give to the child?
,A. Cola with ice
B. Yellow noncitrus Jello
C. Cool cherry Kool-Aid
D. A glass of milk - ANSWERS-B.
Rationale: After tonsillectomy, clear, cool liquids should be given. Citrus, carbonated,
and hot or cold liquids should be avoided because they may irritate the throat. Red
liquids should be avoided because they give the appearance of blood if the child vomits.
Milk and milk products including pudding are avoided because they coat the throat,
cause the child to clear the throat, and increase the risk of bleeding.
4. The physician ordered Phenylephrine (Neo-Synephrine) nasal spray to a 13-year-old
client. The nurse caring to the client provides instructions that the nasal spray must be
used exactly as directed to prevent the development of:
A. Increased nasal congestion.
B. Nasal polyps.
C. Bleeding tendencies.
D. Tinnitus and diplopia. - ANSWERS-A.
Rationale: Phenylephrine, with frequent and continued use, can cause rebound
congestion of mucous membranes.
5. A client with tuberculosis is to be admitted in the hospital. The nurse who will be
assigned to care for the client must institute appropriate precautions. The nurse should:
A. Place the client in a private room.
B. Wear an N 95 respirator when caring for the client.
C. Put on a gown every time when entering the room.
D. Don a surgical mask with a face shield when entering the room. - ANSWERS-B.
Rationale: The N 95 respirator is a high-particulate filtration mask that meets the CDC
performance criteria for a tuberculosis respirator.
6. Which of the following is the most frequent cause of noncompliance to the medical
treatment of open-angle glaucoma?
A. The frequent nausea and vomiting accompanying use of miotic drug.
B. Loss of mobility due to severe driving restrictions.
C. Decreased light and near-vision accommodation due to miotic effects of
pilocarpine. D. The painful and insidious progression of this type of glaucoma. -
ANSWERS-
, 7. In the morning shift, the nurse is making rounds in the nursing care units. The nurse
enters in a client's room and notes that the client's tube has become disconnected from
the Pleurovac. What would be the initial nursing action?
A. Apply pressure directly over the incision site.
B. Clamp the chest tube near the incision site.
C. Clamp the chest tube closer to the drainage system.
D. Reconnect the chest tube to the Pleurovac. - ANSWERS-
8. Which of the following complications during a breech birth the nurse needs to be
alarmed?
A. Abruption placenta.
B. Caput succedaneum.
C. Pathological hyperbilirubinemia.
D. Umbilical cord prolapse. - ANSWERS-
9. The nurse is caring to a client diagnosed with severe depression. Which of the
following nursing approach is important in depression?
A. Protect the client against harm to others.
B. Provide the client with motor outlets for aggressive, hostile feelings.
C. Reduce interpersonal contacts.
D. Deemphasizing preoccupation with elimination, nourishment, and sleep. -
ANSWERS-
10. A 3-month-old client is in the pediatric unit. During assessment, the nurse is
suspecting that the baby may have hypothyroidism when mother states that her baby
does not:
A. Sit up.
B. Pick up and hold a rattle.
C. Roll over.
D. Hold the head up. - ANSWERS-
11. The physician calls the nursing unit to leave an order. The senior nurse had
conversation with the other staff. The newly hired nurse answers the phone so that the
senior nurses may continue their conversation. The new nurse does not knowthe
physician or the client to whom the order pertains. The nurse should:
A. Ask the physician to call back after the nurse has read the hospital policy manual.
B. Take the telephone order.
C. Refuse to take the telephone order.
D. Ask the charge nurse or one of the other senior staff nurses to take the telephone
Nursing Exam 2025 ALL 1-100 Questions and Correct
Answers With Rationale Rated A+
1. A pregnant woman who is at term is admitted to the birthing unit in active labor. The
client has only progressed from 2cm to 3 cm in 8 hours. She is diagnosed with
hypotonic dystocia and the physician ordered Oxytocin (Pitocin) to augment her
contractions. Which of the following is the most important aspect of nursing intervention
at this time?
A. Timing and recording length of contractions.
B. Monitoring.
C. Preparing for an emergency cesarean birth.
D. Checking the perineum for bulging. - ANSWERS-A.
Rationale: The oxytocic effect of Pitocin increases the intensity and durations of
contractions; prolonged contractions will jeopardize the safetyof the fetus and
necessitate discontinuing the drug
2. A client who hallucinates is not in touch with reality. It is important for the nurse to:
A. Isolate the client from other patients.
B. Maintain a safe environment.
C. Orient the client to time, place, and person.
D. Establish a trusting relationship. - ANSWERS-B.
Rationale: It is of paramount importance to prevent the client from hurting himself or
herself or others.
3. The nurse is caring to a child client who has had a tonsillectomy. The child complains
of having dryness of the throat. Which of the following would the nurse give to the child?
,A. Cola with ice
B. Yellow noncitrus Jello
C. Cool cherry Kool-Aid
D. A glass of milk - ANSWERS-B.
Rationale: After tonsillectomy, clear, cool liquids should be given. Citrus, carbonated,
and hot or cold liquids should be avoided because they may irritate the throat. Red
liquids should be avoided because they give the appearance of blood if the child vomits.
Milk and milk products including pudding are avoided because they coat the throat,
cause the child to clear the throat, and increase the risk of bleeding.
4. The physician ordered Phenylephrine (Neo-Synephrine) nasal spray to a 13-year-old
client. The nurse caring to the client provides instructions that the nasal spray must be
used exactly as directed to prevent the development of:
A. Increased nasal congestion.
B. Nasal polyps.
C. Bleeding tendencies.
D. Tinnitus and diplopia. - ANSWERS-A.
Rationale: Phenylephrine, with frequent and continued use, can cause rebound
congestion of mucous membranes.
5. A client with tuberculosis is to be admitted in the hospital. The nurse who will be
assigned to care for the client must institute appropriate precautions. The nurse should:
A. Place the client in a private room.
B. Wear an N 95 respirator when caring for the client.
C. Put on a gown every time when entering the room.
D. Don a surgical mask with a face shield when entering the room. - ANSWERS-B.
Rationale: The N 95 respirator is a high-particulate filtration mask that meets the CDC
performance criteria for a tuberculosis respirator.
6. Which of the following is the most frequent cause of noncompliance to the medical
treatment of open-angle glaucoma?
A. The frequent nausea and vomiting accompanying use of miotic drug.
B. Loss of mobility due to severe driving restrictions.
C. Decreased light and near-vision accommodation due to miotic effects of
pilocarpine. D. The painful and insidious progression of this type of glaucoma. -
ANSWERS-
, 7. In the morning shift, the nurse is making rounds in the nursing care units. The nurse
enters in a client's room and notes that the client's tube has become disconnected from
the Pleurovac. What would be the initial nursing action?
A. Apply pressure directly over the incision site.
B. Clamp the chest tube near the incision site.
C. Clamp the chest tube closer to the drainage system.
D. Reconnect the chest tube to the Pleurovac. - ANSWERS-
8. Which of the following complications during a breech birth the nurse needs to be
alarmed?
A. Abruption placenta.
B. Caput succedaneum.
C. Pathological hyperbilirubinemia.
D. Umbilical cord prolapse. - ANSWERS-
9. The nurse is caring to a client diagnosed with severe depression. Which of the
following nursing approach is important in depression?
A. Protect the client against harm to others.
B. Provide the client with motor outlets for aggressive, hostile feelings.
C. Reduce interpersonal contacts.
D. Deemphasizing preoccupation with elimination, nourishment, and sleep. -
ANSWERS-
10. A 3-month-old client is in the pediatric unit. During assessment, the nurse is
suspecting that the baby may have hypothyroidism when mother states that her baby
does not:
A. Sit up.
B. Pick up and hold a rattle.
C. Roll over.
D. Hold the head up. - ANSWERS-
11. The physician calls the nursing unit to leave an order. The senior nurse had
conversation with the other staff. The newly hired nurse answers the phone so that the
senior nurses may continue their conversation. The new nurse does not knowthe
physician or the client to whom the order pertains. The nurse should:
A. Ask the physician to call back after the nurse has read the hospital policy manual.
B. Take the telephone order.
C. Refuse to take the telephone order.
D. Ask the charge nurse or one of the other senior staff nurses to take the telephone
