2026/2027
2026/2027 Galen College of Nursing NUR
254 Maternal Nursing Exam Prep Study
Guide, Practice Questions, and
Comprehensive Review
Question 1:
A 78-year-old male client needs to complete a 24-hour urine specimen. In planning
his care, the nurse realizes that which measure is most important?
A. Instruct the client to empty his bladder and save this voiding to start the collection.
B. Instruct the client to use sterile individual containers to collect the urine.
C. Post a sign stating "Save All Urine" in the bathroom.
D. Keep the urine specimen in the refrigerator.
Correct Answer: C. Post a sign stating "Save All Urine" in the bathroom.
Rationale: This ensures all staff and the client are aware of the 24-hour collection,
preventing missed samples. The first void is discarded, containers are not sterile, and
refrigeration depends on protocol.
Question 2:
The nurse would call the primary care provider immediately for which laboratory
result?
A. Hgb = 16 g/dL for a male client
B. Hct = 22% for a female client
C. WBC = 9 × 10³/mL³
D. Platelets = 300 × 10³/mL³
Correct Answer: B. Hct = 22% for a female client
Rationale: This is critically low and indicates severe anemia, which may compromise
oxygen delivery. Other values are within normal range.
Question 3:
The client has a urinary health problem. Which procedure is performed using indirect
visualization?
A. Intravenous pyelography (IVP)
B. KUB (Kidneys, Ureters, Bladder X-ray)
C. Retrograde pyelography
D. Cystoscopy
,2026/2027
Correct Answer: B. KUB (Kidneys, Ureters, Bladder X-ray)
Rationale: A KUB uses X-ray imaging without direct instrumentation or contrast into
the urinary system.
Question 4:
Which noninvasive procedure provides information about the physiology or function
of an organ?
A. Angiography
B. CT scan
C. MRI
D. PET scan
Correct Answer: D. PET scan
Rationale: PET scans evaluate metabolic activity and organ function rather than
structure.
Question 5:
When assisting with a bone marrow biopsy, the nurse should take which action?
A. Place client in right side-lying position after procedure
B. Observe for dyspnea and coughing
C. Assess for bleeding and hematoma formation for several days
D. Support neck and knees during procedure
Correct Answer: C. Assess for bleeding and hematoma formation for several
days
Rationale: Bone marrow biopsy can cause delayed bleeding due to bone penetration.
Question 6:
Which diagnostic tests might be indicated for a client with liver disease? Select all
that apply.
A. ALT
B. Myoglobin
C. Cholesterol
D. Ammonia
E. BNP
Correct Answer: A and D. ALT and Ammonia
Rationale: ALT indicates liver cell damage; ammonia rises when liver cannot
metabolize protein properly.
Question 7:
, 2026/2027
Which blood test reflects average blood glucose over 3 months?
A. Fasting blood glucose
B. Capillary blood glucose
C. Glycosylated hemoglobin (HbA1c)
D. GGT
Correct Answer: C. Glycosylated hemoglobin (HbA1c)
Rationale: HbA1c reflects long-term glucose control over 2–3 months.
Question 8:
Which actions indicate correct procedure for Hemoccult testing? Select all that apply.
A. Mix reagent with stool sample before applying
B. Collect sample from two areas of stool
C. Observe for blue color change
D. Verify pink color with colleague
E. Ask about vitamin C intake
Correct Answer: B, C, and E
Rationale: Two-site sampling increases accuracy, blue color indicates positive,
vitamin C can affect results.
Question 9:
A primary care provider is performing a thoracentesis. What is the nurse’s role?
A. Place client in Trendelenburg position
B. Position client sitting with elbows on table
C. Instruct UAP to measure vital signs
D. Administer opioid analgesic
Correct Answer: B. Position client sitting with elbows on table
Rationale: This position allows optimal lung access and rib separation.
Question 10:
Which nursing actions are appropriate when collecting a sputum specimen for TB?
Select all that apply.
A. Collect specimen in evening
B. Send specimen immediately to lab
C. Client spits into container
D. Provide oral care before and after
E. Collect for 3 consecutive days
Correct Answer: B, D, and E
Rationale: Early morning sterile collection over 3 days improves
accuracy; oral hygiene reduces contamination.
2026/2027 Galen College of Nursing NUR
254 Maternal Nursing Exam Prep Study
Guide, Practice Questions, and
Comprehensive Review
Question 1:
A 78-year-old male client needs to complete a 24-hour urine specimen. In planning
his care, the nurse realizes that which measure is most important?
A. Instruct the client to empty his bladder and save this voiding to start the collection.
B. Instruct the client to use sterile individual containers to collect the urine.
C. Post a sign stating "Save All Urine" in the bathroom.
D. Keep the urine specimen in the refrigerator.
Correct Answer: C. Post a sign stating "Save All Urine" in the bathroom.
Rationale: This ensures all staff and the client are aware of the 24-hour collection,
preventing missed samples. The first void is discarded, containers are not sterile, and
refrigeration depends on protocol.
Question 2:
The nurse would call the primary care provider immediately for which laboratory
result?
A. Hgb = 16 g/dL for a male client
B. Hct = 22% for a female client
C. WBC = 9 × 10³/mL³
D. Platelets = 300 × 10³/mL³
Correct Answer: B. Hct = 22% for a female client
Rationale: This is critically low and indicates severe anemia, which may compromise
oxygen delivery. Other values are within normal range.
Question 3:
The client has a urinary health problem. Which procedure is performed using indirect
visualization?
A. Intravenous pyelography (IVP)
B. KUB (Kidneys, Ureters, Bladder X-ray)
C. Retrograde pyelography
D. Cystoscopy
,2026/2027
Correct Answer: B. KUB (Kidneys, Ureters, Bladder X-ray)
Rationale: A KUB uses X-ray imaging without direct instrumentation or contrast into
the urinary system.
Question 4:
Which noninvasive procedure provides information about the physiology or function
of an organ?
A. Angiography
B. CT scan
C. MRI
D. PET scan
Correct Answer: D. PET scan
Rationale: PET scans evaluate metabolic activity and organ function rather than
structure.
Question 5:
When assisting with a bone marrow biopsy, the nurse should take which action?
A. Place client in right side-lying position after procedure
B. Observe for dyspnea and coughing
C. Assess for bleeding and hematoma formation for several days
D. Support neck and knees during procedure
Correct Answer: C. Assess for bleeding and hematoma formation for several
days
Rationale: Bone marrow biopsy can cause delayed bleeding due to bone penetration.
Question 6:
Which diagnostic tests might be indicated for a client with liver disease? Select all
that apply.
A. ALT
B. Myoglobin
C. Cholesterol
D. Ammonia
E. BNP
Correct Answer: A and D. ALT and Ammonia
Rationale: ALT indicates liver cell damage; ammonia rises when liver cannot
metabolize protein properly.
Question 7:
, 2026/2027
Which blood test reflects average blood glucose over 3 months?
A. Fasting blood glucose
B. Capillary blood glucose
C. Glycosylated hemoglobin (HbA1c)
D. GGT
Correct Answer: C. Glycosylated hemoglobin (HbA1c)
Rationale: HbA1c reflects long-term glucose control over 2–3 months.
Question 8:
Which actions indicate correct procedure for Hemoccult testing? Select all that apply.
A. Mix reagent with stool sample before applying
B. Collect sample from two areas of stool
C. Observe for blue color change
D. Verify pink color with colleague
E. Ask about vitamin C intake
Correct Answer: B, C, and E
Rationale: Two-site sampling increases accuracy, blue color indicates positive,
vitamin C can affect results.
Question 9:
A primary care provider is performing a thoracentesis. What is the nurse’s role?
A. Place client in Trendelenburg position
B. Position client sitting with elbows on table
C. Instruct UAP to measure vital signs
D. Administer opioid analgesic
Correct Answer: B. Position client sitting with elbows on table
Rationale: This position allows optimal lung access and rib separation.
Question 10:
Which nursing actions are appropriate when collecting a sputum specimen for TB?
Select all that apply.
A. Collect specimen in evening
B. Send specimen immediately to lab
C. Client spits into container
D. Provide oral care before and after
E. Collect for 3 consecutive days
Correct Answer: B, D, and E
Rationale: Early morning sterile collection over 3 days improves
accuracy; oral hygiene reduces contamination.
