NUR 3300
EXAM 2
High-Yield Qs & Verified Answers
with Rationales
Nursing Practice II
William Paterson University
This Exam Features:
This document includes 50 high-yield Exam questions with
verified answers and detailed rationales for Exam 2 of NUR
3300 at the William Paterson University. It is designed to help
students quickly review and reinforce core concepts likely to
appear on assessments. The structured Q&A format supports
focused exam preparation and strengthens clinical reasoning and test-taking
skills.
,2.1 A group of nursing students are preparing a presentation depicting the fetal
circulation. The instructor determines the presentation is successful when the
students correctly illustrate which route for the ductus arteriosus?
A. The pulmonary artery to the aorta
B. The aorta to the pulmonary artery
C. The right atrium to the left atrium
D. The umbilical vein to the liver
Answer: A. The pulmonary artery to the aorta
Expert Rationale: The ductus arteriosus shunts blood from the pulmonary artery to
the descending aorta, bypassing the nonfunctioning fetal lungs and directing blood
to the systemic circulation.
2.2 The nurse is assessing a 24-year-old pregnant client who reports excessive
vaginal discharge that is messy and unpleasant but without a strong odor, itching, or
irritation present. Which response should the nurse prioritiẓe?
A. “You need antifungal cream immediately.”
B. “Use sanitary pads.”
C. “Douche daily to keep clean.”
D. “This is abnormal and requires antibiotics.”
Answer: B. “Use sanitary pads.”
Expert Rationale: In pregnancy, increased leukorrhea that is thin, white, non-
odorous, and non-irritating is normal. Pads can help with comfort and hygiene;
douching or unnecessary medications may disrupt normal flora.
2.3 A client and partner are excited to discover they are expecting twins. The nurse
is prepared to monitor the twins for which potential situation after noting they share
an amniotic sac?
A. Placenta previa
B. Cord entanglement
C. Macrosomia
D. Polyhydramnios
, Answer: B. Cord entanglement
Expert Rationale: Monoamniotic twins share one amniotic sac, increasing the risk
of umbilical cord entanglement and compromised blood flow. These pregnancies
require close fetal surveillance and usually planned early delivery.
2.4 A client at 40 weeks' gestation informs the nurse that she is tired of being
pregnant. What is the best response from the nurse?
A. “You shouldn’t feel that way; be grateful.”
B. “That is a very normal feeling, especially at this point in pregnancy.”
C. “You must be depressed; we need to admit you.”
D. “Labor will definitely start tonight.”
Answer: B. “That is a very normal feeling, especially at this point in pregnancy.”
Expert Rationale: Term clients often feel physically uncomfortable and emotionally
impatient. Validating these feelings and offering support and comfort strategies
reflects therapeutic communication.
2.5 A 25-year-old client at 27 weeks' gestation reports waking up with leg cramps.
Which suggestion should the nurse point out to the client to help relieve this
discomfort?
A. Flex the foot downward and point the toes
B. Massage the calf toward the heart
C. Dorsiflex the foot while extending her leg during the cramp
D. Avoid walking until delivery
Answer: C. Dorsiflex the foot while extending her leg during the cramp
Expert Rationale: Dorsiflexing the foot (toes toward the nose) stretches the calf
muscle and helps relieve pregnancy-related leg cramps. Pointing the toes can
worsen the spasm.
2.6 The nurse discovers a new prescription for Rho(D) immune globulin for a client
who is about to undergo a diagnostic procedure. The nurse will administer the
Rho(D) immune globulin after which procedure?
EXAM 2
High-Yield Qs & Verified Answers
with Rationales
Nursing Practice II
William Paterson University
This Exam Features:
This document includes 50 high-yield Exam questions with
verified answers and detailed rationales for Exam 2 of NUR
3300 at the William Paterson University. It is designed to help
students quickly review and reinforce core concepts likely to
appear on assessments. The structured Q&A format supports
focused exam preparation and strengthens clinical reasoning and test-taking
skills.
,2.1 A group of nursing students are preparing a presentation depicting the fetal
circulation. The instructor determines the presentation is successful when the
students correctly illustrate which route for the ductus arteriosus?
A. The pulmonary artery to the aorta
B. The aorta to the pulmonary artery
C. The right atrium to the left atrium
D. The umbilical vein to the liver
Answer: A. The pulmonary artery to the aorta
Expert Rationale: The ductus arteriosus shunts blood from the pulmonary artery to
the descending aorta, bypassing the nonfunctioning fetal lungs and directing blood
to the systemic circulation.
2.2 The nurse is assessing a 24-year-old pregnant client who reports excessive
vaginal discharge that is messy and unpleasant but without a strong odor, itching, or
irritation present. Which response should the nurse prioritiẓe?
A. “You need antifungal cream immediately.”
B. “Use sanitary pads.”
C. “Douche daily to keep clean.”
D. “This is abnormal and requires antibiotics.”
Answer: B. “Use sanitary pads.”
Expert Rationale: In pregnancy, increased leukorrhea that is thin, white, non-
odorous, and non-irritating is normal. Pads can help with comfort and hygiene;
douching or unnecessary medications may disrupt normal flora.
2.3 A client and partner are excited to discover they are expecting twins. The nurse
is prepared to monitor the twins for which potential situation after noting they share
an amniotic sac?
A. Placenta previa
B. Cord entanglement
C. Macrosomia
D. Polyhydramnios
, Answer: B. Cord entanglement
Expert Rationale: Monoamniotic twins share one amniotic sac, increasing the risk
of umbilical cord entanglement and compromised blood flow. These pregnancies
require close fetal surveillance and usually planned early delivery.
2.4 A client at 40 weeks' gestation informs the nurse that she is tired of being
pregnant. What is the best response from the nurse?
A. “You shouldn’t feel that way; be grateful.”
B. “That is a very normal feeling, especially at this point in pregnancy.”
C. “You must be depressed; we need to admit you.”
D. “Labor will definitely start tonight.”
Answer: B. “That is a very normal feeling, especially at this point in pregnancy.”
Expert Rationale: Term clients often feel physically uncomfortable and emotionally
impatient. Validating these feelings and offering support and comfort strategies
reflects therapeutic communication.
2.5 A 25-year-old client at 27 weeks' gestation reports waking up with leg cramps.
Which suggestion should the nurse point out to the client to help relieve this
discomfort?
A. Flex the foot downward and point the toes
B. Massage the calf toward the heart
C. Dorsiflex the foot while extending her leg during the cramp
D. Avoid walking until delivery
Answer: C. Dorsiflex the foot while extending her leg during the cramp
Expert Rationale: Dorsiflexing the foot (toes toward the nose) stretches the calf
muscle and helps relieve pregnancy-related leg cramps. Pointing the toes can
worsen the spasm.
2.6 The nurse discovers a new prescription for Rho(D) immune globulin for a client
who is about to undergo a diagnostic procedure. The nurse will administer the
Rho(D) immune globulin after which procedure?
