NURSING LATEST 2024 RASMUSSEN WITH
200 REAL EXAM PREP QUESTIONS WITH
CORRECT ANSWERS/ NUR 2513 FINAL
EXAM LATEST 2024/2025 RASMUSSEN
A mother is anxious about her ability to breastfeed after her child is born because
of her small breast size. What would be an important point to teach this mother?
a. Milk is produced in ducts and lobules regardless of breast size.
b. Supplementing breastfeeding with formula allows the infant to receive adequate
nutrition.
c. Breast size can be increased with exercise.
d. Drinking extra milk during pregnancy allows breasts to produce adequate
amounts of milk.
ANS: A
Breast size does not influence the ability to secrete milk.
While caring for a laboring woman, the nurse notices a pattern of variable
decelerations in fetal heart rate with uterine contractions. What is the nurse's initial
action?
a. Stop the oxytocin infusion.
b. Increase the intravenous flow rate.
c. Reposition the woman on her side.
d. Start oxygen via nasal cannula.
ANS: C
Repositioning the woman is the first response to a pattern of variable decelerations.
If the decelerations continue, then oxygen should be administered and/or the flow
rate of oxygen should be increased.
What is the best nursing action to implement when late decelerations occur?
pg. 1
,a. Reposition the patient to supine
b. Decrease flow of intravenous (IV) fluids
c. Increase oxygen to 10 L/minute
d. Prepare to increase oxytocin drip
ANS: C
The major objective of care for late decelerations is to increase maternal oxygen.
IV fluids are increased to increase placental perfusion, oxytocin drips are stopped,
and the patient is positioned to prevent supine hypotension.
At 1 and 5 minutes of life, a newborn's Apgar score is 9. What does the nurse
understand that a score of 9 indicates?
a. The newborn will require resuscitation.
b. The newborn may have physical disabilities.
c. The newborn will have above average intelligence.
d. The newborn is in stable condition.
ANS: D
Apgar scoring is a system for evaluating the infant's need for resuscitation at birth.
Five categories are evaluated on a scale from 0 to 2, with the highest score being
10. A score of 9 indicates that the newborn is stable.
The physician performs an amniotomy on a laboring woman. What will be the
nurse's priority assessment immediately following this procedure?
a. Fetal heart rate
b. Fluid amount
c. Maternal blood pressure
d. Deep tendon reflexes
ANS: A
The FHR should be assessed for at least 1 full minute after the membranes rupture
and must be recorded and reported. Marked slowing of the rate or variable
decelerations suggests that the fetal umbilical cord may have descended with the
fluid gush and is being compressed. Fluid amount should be assessed and recorded
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,but is not the top priority. Maternal blood pressure and deep tendon reflexes are not
appropriate assessments following rupture of membranes.
What is the most important nursing intervention during the fourth stage of labor?
a. Monitor the frequency and intensity of contractions.
b. Provide comfort measures.
c. Assess for hemorrhage.
d. Promote bonding.
ANS: C
Immediately after giving birth, every woman is assessed for signs of hemorrhage.
The nurse formulates a nursing diagnosis for a woman in the fourth stage of labor.
What is the most appropriate nursing diagnosis?
a. Pain related to increasing frequency and intensity of contractions.
b. Fear related to the probable need for cesarean delivery.
c. Dysuria related to prolonged labor and decreased intake.
d. Risk for injury related to hemorrhage.
ANS: D
In the fourth stage of labor, a priority nursing action is identifying and preventing
hemorrhage.
A woman who is 6 cm dilated has the urge to push. What will the nurse instruct the
woman to do during the contraction?
a. Use slow-paced breathing.
b. Hold her breath and push.
c. Blow in short breaths.
d. Use rapid-paced breathing.
ANS: C
If a laboring woman feels the urge to push before the cervix is fully dilated, then
she is taught to blow in short breaths to avoid bearing down.
What is the purpose of the White House Conference on Children and Youth?
pg. 3
, a. Set criteria for normal growth patterns.
b. Examine the number of live births in minority populations.
c. Raise money to support well-child clinics in rural areas.
d. Promote comprehensive child welfare.
ANS: D
White House Conferences on Children and Youth are held every 10 years to
promote comprehensive child welfare.
How many hours of hospital stay does legislation currently allow for a postpartum
patient who has delivered vaginally without complications?
a. 24
b. 48
c. 36
d. 72
ANS: B
Postpartum patients who deliver vaginally stay in the hospital for an average of 48
hours; patients who have had a cesarean delivery usually stay 4 days.
How does the clinical pathway or critical pathway improve quality of care?
a. Lists diagnosis-specific implementations
b. Outlines expected progress with stated timelines
c. Prioritizes effective nursing diagnoses
d. Describes common complications
ANS: B
Critical pathways outline expected progress with stated timelines. Any deviation
from those timelines is called a variance
How does electronic charting ensure comprehensive charting more effectively than
handwritten charting?
a. Provides a uniform style of chart
b. Requires certain responses before allowing the user to progress
pg. 4