1|Page
NUR 2513 MATERNAL CHILD FINAL EXAM NEWEST UPDATE
2026 COMPLETE 200 REAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (GRADED A+) | NEW 2026/27 UPDATE -
RASMUSSEN
51. A nurse is caring for a postoperative patient who suddenly becomes
restless, confused, and short of breath. The pulse oximeter reads 84%
on room air. Which nursing action should be performed first?
A. Notify the provider
B. Apply oxygen and assess airway
C. Document findings
D. Obtain a blood glucose level
Answer: B
Rationale: Airway and oxygenation take priority according to ABCs.
52. A nurse is assessing a patient with a history of heart failure who
reports increasing shortness of breath when lying flat and swelling in
both lower extremities. Which finding would the nurse expect?
A. Weight loss
B. Crackles in lung bases
C. Dry mucous membranes
,2|Page
D. Hypotension
Answer: B
Rationale: Fluid overload commonly causes crackles and edema.
53. A nurse is reviewing laboratory results for a patient receiving
furosemide therapy. Which laboratory value requires immediate follow-
up?
A. Sodium 138 mEq/L
B. Potassium 2.9 mEq/L
C. Glucose 96 mg/dL
D. Hemoglobin 14 g/dL
Answer: B
Rationale: Severe hypokalemia can lead to life-threatening
dysrhythmias.
54. A nurse is preparing to administer a medication and notices that the
prescribed dose is much higher than the recommended dosage range.
What is the nurse's best action?
A. Administer the medication
B. Ask another nurse to give it
C. Clarify the order with the provider
,3|Page
D. Document and continue
Answer: C
Rationale: Unsafe or questionable orders must be verified before
administration.
55. A patient with diabetes becomes pale, diaphoretic, and confused
shortly before lunch. Which action should the nurse take first?
A. Administer insulin
B. Check blood glucose level
C. Call the provider
D. Encourage exercise
Answer: B
Rationale: Symptoms suggest hypoglycemia requiring immediate
assessment.
56. A nurse is caring for an older adult who has been on bed rest for
several days. Which intervention is most effective in preventing
pressure injuries?
A. Restrict fluids
B. Reposition every 2 hours
C. Lower protein intake
, 4|Page
D. Limit mobility
Answer: B
Rationale: Frequent repositioning reduces pressure and tissue damage.
57. A patient receiving warfarin asks why routine blood tests are
necessary. The nurse explains that which laboratory test is used to
monitor the effectiveness of therapy?
A. WBC
B. INR
C. Potassium
D. Troponin
Answer: B
Rationale: INR evaluates anticoagulation status.
58. A nurse is caring for a patient diagnosed with pneumonia. Which
assessment finding indicates that treatment is effective?
A. Increased crackles
B. Oxygen saturation improved to 96%
C. Increased respiratory distress
D. Persistent fever
Answer: B
NUR 2513 MATERNAL CHILD FINAL EXAM NEWEST UPDATE
2026 COMPLETE 200 REAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (GRADED A+) | NEW 2026/27 UPDATE -
RASMUSSEN
51. A nurse is caring for a postoperative patient who suddenly becomes
restless, confused, and short of breath. The pulse oximeter reads 84%
on room air. Which nursing action should be performed first?
A. Notify the provider
B. Apply oxygen and assess airway
C. Document findings
D. Obtain a blood glucose level
Answer: B
Rationale: Airway and oxygenation take priority according to ABCs.
52. A nurse is assessing a patient with a history of heart failure who
reports increasing shortness of breath when lying flat and swelling in
both lower extremities. Which finding would the nurse expect?
A. Weight loss
B. Crackles in lung bases
C. Dry mucous membranes
,2|Page
D. Hypotension
Answer: B
Rationale: Fluid overload commonly causes crackles and edema.
53. A nurse is reviewing laboratory results for a patient receiving
furosemide therapy. Which laboratory value requires immediate follow-
up?
A. Sodium 138 mEq/L
B. Potassium 2.9 mEq/L
C. Glucose 96 mg/dL
D. Hemoglobin 14 g/dL
Answer: B
Rationale: Severe hypokalemia can lead to life-threatening
dysrhythmias.
54. A nurse is preparing to administer a medication and notices that the
prescribed dose is much higher than the recommended dosage range.
What is the nurse's best action?
A. Administer the medication
B. Ask another nurse to give it
C. Clarify the order with the provider
,3|Page
D. Document and continue
Answer: C
Rationale: Unsafe or questionable orders must be verified before
administration.
55. A patient with diabetes becomes pale, diaphoretic, and confused
shortly before lunch. Which action should the nurse take first?
A. Administer insulin
B. Check blood glucose level
C. Call the provider
D. Encourage exercise
Answer: B
Rationale: Symptoms suggest hypoglycemia requiring immediate
assessment.
56. A nurse is caring for an older adult who has been on bed rest for
several days. Which intervention is most effective in preventing
pressure injuries?
A. Restrict fluids
B. Reposition every 2 hours
C. Lower protein intake
, 4|Page
D. Limit mobility
Answer: B
Rationale: Frequent repositioning reduces pressure and tissue damage.
57. A patient receiving warfarin asks why routine blood tests are
necessary. The nurse explains that which laboratory test is used to
monitor the effectiveness of therapy?
A. WBC
B. INR
C. Potassium
D. Troponin
Answer: B
Rationale: INR evaluates anticoagulation status.
58. A nurse is caring for a patient diagnosed with pneumonia. Which
assessment finding indicates that treatment is effective?
A. Increased crackles
B. Oxygen saturation improved to 96%
C. Increased respiratory distress
D. Persistent fever
Answer: B
