Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
A postpartum patient reports heavy vaginal bleeding and dizziness. What is the nurse’s priority
action?
A. Encourage the patient to rest in bed
✔✔B. Assess vital signs and fundal firmness
C. Document the report and continue routine care
D. Administer pain medication
A newborn has a temperature of 95°F. What is the most appropriate nursing intervention?
A. Bathe the newborn immediately
✔✔B. Place the newborn under a radiant warmer
C. Feed the newborn formula
D. Leave the newborn in the crib
A patient at 32 weeks gestation reports sudden, painless vaginal bleeding. What is the nurse’s
priority action?
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,A. Check fetal heart rate at home
B. Advise bed rest and monitor at home
✔✔C. Notify the provider immediately for assessment
D. Encourage hydration and rest
A nurse is teaching a breastfeeding mother about proper latch techniques. Which statement
indicates correct understanding?
A. “The baby should suck only on the nipple tip”
✔✔B. “The baby should take both the nipple and part of the areola”
C. “Latch is not important if the baby is feeding well”
D. “Feedings should always be timed for 5 minutes”
A newborn’s APGAR score at 1 minute is 6. What is the appropriate nursing action?
A. Document and leave the newborn in the crib
✔✔B. Provide stimulation and oxygen as needed
C. Perform CPR immediately
D. Bathe the newborn
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,A pregnant patient at 28 weeks gestation reports severe right upper quadrant pain, headache, and
blurred vision. What condition is suspected?
A. Hyperemesis gravidarum
✔✔B. Preeclampsia
C. Placenta previa
D. Gestational diabetes
A nurse is caring for a 2-year-old with gastroenteritis. Which intervention is most important?
A. Encourage solid foods immediately
✔✔B. Monitor hydration status and administer oral rehydration solution
C. Restrict fluids to prevent vomiting
D. Limit parental presence
A postpartum patient has a boggy fundus and large clots. What is the priority nursing action?
A. Assess the perineum only
B. Give pain medication
✔✔C. Massage the fundus and monitor vital signs
D. Encourage ambulation
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, A newborn is noted to have nasal flaring, grunting, and intercostal retractions. What is the
nurse’s priority action?
A. Continue routine observation
✔✔B. Notify provider and prepare for oxygen support
C. Encourage swaddling
D. Document and reassess in 2 hours
A mother is concerned about her infant not producing tears at 2 weeks. What is the best nursing
response?
A. Suggest artificial tears immediately
✔✔B. Explain that tear production may not start until 2–3 months of age
C. Recommend ophthalmology referral immediately
D. Advise the mother to use eye drops
A child is receiving IV antibiotics and develops a rash. What is the nurse’s priority action?
A. Continue the infusion and monitor
✔✔B. Stop the infusion and notify the provider
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