ANSWERS|LATEST!!!!2025/2026|GUARANTEED
1. A primipara has delivered a stillborn fetus at 30-weeks gestation. To assist the parents
with the grieving process, which intervention is most important for the nurse to implement?
a. Provide an opportunity for the parents to hold their infant in privacy.
b. Assist the couple in completing a request for autopsy.
c. Encourage the couple to seek family counseling within the next few weeks.
d. Explain the possible causes of fetal demise. - ANSWER a. Provide an opportunity for
the parents to hold their infant in privacy.
2. What is the priority nursing assessment immediately following the birth of an infant with
esophageal atresia and a tracheoesophageal (TE) fistula?
a. Body temperature.
b. Level of pain.
c. Time of first void.
d. Number of vessels in the cord. - ANSWER a. Body temperature.
3. What is the most important assessment for the nurse to conduct following the
administration of
epidural anesthesia to a client who is at 40-weeks gestation?
a. Maternal blood pressure.
b. Level of pain sensation
c. Station of presenting part.
d. Variability of fetal heart rate - ANSWER a. Maternal blood pressure.
1
,4. A 34-week primigravida woman with preeclampsia is receiving Lactated Ringer's 500ml
with magnesium sulfate 20 grams at the rate of 3g/hr. How many ml/hr should the nurse
program the infusion pump? (Enter numeric value only. - ANSWER 75ml/hr
5. A 6-year-old with heart failure (HF) gained 2 pounds in the last 24 hours. Which
intervention is more important for the nurse to implement?
a. Graph the daily weight for the past week.
b. Decrease IV flow rate.
c. Assess bilateral lung sounds.
d. Restrict intake of oral fluids. - ANSWER c. Assess bilateral lung sounds.
6. A mother of a 3-year-old boy has just given birth to a new baby girl. The little boy asks the
nurse, <Why is my baby sister eating my mommy's breast?= How should the nurse respond?
(Select all that apply.)
a. Explain that newborns get milk from their mothers in this way.
b. Reassure the older brother that is does not hurt his mother.
c. Remind him that his mother breastfed him too.
d. Suggest that the baby can also drink from a bottle.
e. Clarify the breastfeeding is his mother's choice. - ANSWER a. Explain that newborns
get milk from their mothers in this way.
b. Reassure the older brother that is does not hurt his mother.
c. Remind him that his mother breastfed him too.
7. The nurse is examining an infant for possible cryptorchidism. Which exam technique
should be
used?
a. Place the infant in side-lying position to facilitate the exam.
b. Hold the penis and retract the foreskin gently.
c. Cleanse the penis with an antiseptic-soaked pad.
2
, d. Place the infant in a warm room and use a calm approach. - ANSWER d. Place the
infant in a warm room and use a calm approach.
8. The nurse is planning care for a client at 30-weeks gestation who is experiencing preterm
labor.
What maternal prescription is most important in preventing this fetus from developing
respiratory syndrome?
a. Betamethasone (Celestone) 12mg deep IM.
b. Butorphanol 1mg IV push q2h PRN pain.
c. Ampicillin 1g IV push q8h.
d. Terbutaline (Brethine) 0.25mg subcutaneously q15 minutes x3. - ANSWER a.
Betamethasone (Celestone) 12mg deep IM
9. Insulin therapy is initiated for a 12-year-old child who is admitted with diabetic
ketoacidosis
(DKA). Which action is most important for the nurse it include in the child's plan of care?
a. Monitor serum glucose for adjustment in infusion rate of regular insulin (Novolin R).
b. Determine the child's compliance schedule for subcutaneous NPH insulin (Humulin N).
c. Demonstrate to parents how to program an insulin pen for daily glucose regulation.
d. Consult with healthcare provider about use of insulin detemir (Levemir Flex Pen). -
ANSWER a. Monitor serum glucose for adjustment in infusion rate of regular insulin
(Novolin R).
10. A 3-month-old with myelomeningocele and atonic bladder is catheterized every 4hrs to
prevent
urinary retention. The home health nurse notes that the child has developed episodes of
sneezing, urticarial, watery eyes, and a rash in the diaper area. What action is most
important
for the nurse to take?
a. Auscultate the lungs for respiratory pneumonia.
3
1. A primipara has delivered a stillborn fetus at 30-weeks gestation. To assist the parents
with the grieving process, which intervention is most important for the nurse to implement?
a. Provide an opportunity for the parents to hold their infant in privacy.
b. Assist the couple in completing a request for autopsy.
c. Encourage the couple to seek family counseling within the next few weeks.
d. Explain the possible causes of fetal demise. - ANSWER a. Provide an opportunity for
the parents to hold their infant in privacy.
2. What is the priority nursing assessment immediately following the birth of an infant with
esophageal atresia and a tracheoesophageal (TE) fistula?
a. Body temperature.
b. Level of pain.
c. Time of first void.
d. Number of vessels in the cord. - ANSWER a. Body temperature.
3. What is the most important assessment for the nurse to conduct following the
administration of
epidural anesthesia to a client who is at 40-weeks gestation?
a. Maternal blood pressure.
b. Level of pain sensation
c. Station of presenting part.
d. Variability of fetal heart rate - ANSWER a. Maternal blood pressure.
1
,4. A 34-week primigravida woman with preeclampsia is receiving Lactated Ringer's 500ml
with magnesium sulfate 20 grams at the rate of 3g/hr. How many ml/hr should the nurse
program the infusion pump? (Enter numeric value only. - ANSWER 75ml/hr
5. A 6-year-old with heart failure (HF) gained 2 pounds in the last 24 hours. Which
intervention is more important for the nurse to implement?
a. Graph the daily weight for the past week.
b. Decrease IV flow rate.
c. Assess bilateral lung sounds.
d. Restrict intake of oral fluids. - ANSWER c. Assess bilateral lung sounds.
6. A mother of a 3-year-old boy has just given birth to a new baby girl. The little boy asks the
nurse, <Why is my baby sister eating my mommy's breast?= How should the nurse respond?
(Select all that apply.)
a. Explain that newborns get milk from their mothers in this way.
b. Reassure the older brother that is does not hurt his mother.
c. Remind him that his mother breastfed him too.
d. Suggest that the baby can also drink from a bottle.
e. Clarify the breastfeeding is his mother's choice. - ANSWER a. Explain that newborns
get milk from their mothers in this way.
b. Reassure the older brother that is does not hurt his mother.
c. Remind him that his mother breastfed him too.
7. The nurse is examining an infant for possible cryptorchidism. Which exam technique
should be
used?
a. Place the infant in side-lying position to facilitate the exam.
b. Hold the penis and retract the foreskin gently.
c. Cleanse the penis with an antiseptic-soaked pad.
2
, d. Place the infant in a warm room and use a calm approach. - ANSWER d. Place the
infant in a warm room and use a calm approach.
8. The nurse is planning care for a client at 30-weeks gestation who is experiencing preterm
labor.
What maternal prescription is most important in preventing this fetus from developing
respiratory syndrome?
a. Betamethasone (Celestone) 12mg deep IM.
b. Butorphanol 1mg IV push q2h PRN pain.
c. Ampicillin 1g IV push q8h.
d. Terbutaline (Brethine) 0.25mg subcutaneously q15 minutes x3. - ANSWER a.
Betamethasone (Celestone) 12mg deep IM
9. Insulin therapy is initiated for a 12-year-old child who is admitted with diabetic
ketoacidosis
(DKA). Which action is most important for the nurse it include in the child's plan of care?
a. Monitor serum glucose for adjustment in infusion rate of regular insulin (Novolin R).
b. Determine the child's compliance schedule for subcutaneous NPH insulin (Humulin N).
c. Demonstrate to parents how to program an insulin pen for daily glucose regulation.
d. Consult with healthcare provider about use of insulin detemir (Levemir Flex Pen). -
ANSWER a. Monitor serum glucose for adjustment in infusion rate of regular insulin
(Novolin R).
10. A 3-month-old with myelomeningocele and atonic bladder is catheterized every 4hrs to
prevent
urinary retention. The home health nurse notes that the child has developed episodes of
sneezing, urticarial, watery eyes, and a rash in the diaper area. What action is most
important
for the nurse to take?
a. Auscultate the lungs for respiratory pneumonia.
3
