EXAM | NEWEST ACTUAL EXAM
COMPREHENSIVE QUESTIONS AND
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A nurse is assessing a full-term newborn. Which of the following
findings should the nurse report to the provider?
A) Temperature 36.5 degrees C (97.7 degrees F)
B) Blood pressure 80/50 mm Hg
C) Respiratory rate 55/min
D) Heart rate 72/min
D
A nurse is planning care for a newborn who has necrotizing abstinence
syndrome. Which of the following interventions should the nurse
include in the plan of care?
A.Increase the newborn visual stimulation
B. Weigh the newborn everyday
C. Discourage parental interaction after a social evaluation
,D. Swaddle the newborn in a flexed position
D
A nurse is performing an assessment for a newborn and notes breast
tissue that has a flat areola with no bud. The nurse should identify that
this finding indicates which of the following?
A) Decreased maternal hormones during pregnancy
B) Congenital anomaly
C) Preterm gestational age
D) Ambiguous secondary sex characteristics
C
A nurse is reviewing the medical records of a client who had a vaginal
delivery 3 hours ago. Which of the following findings place the client at
risk for post-partum hemorrhage? SATA
A) History of uterine atony
B) Vacuum assisted birth
C) Labor induction with oxytocin
D) Normal weight
E) History of HPV
AC
,A nurse is caring for a client who has maternal hypotension following
the placement of an epidural. Which of the following actions should the
nurse take?
A) Position the client in a knee-chest position
B) Give terbutaline subcutaneously
C) Apply oxygen via nonrebreather face mask
D) Administer a bolus infusion of lactated Ringer's
D
A nurse is assisting the provider to administer dinoprostone insert to
induce labor. Which of the following actions should the nurse take?
A) Verify informed consent is obtained
B) Place the client in a semi-fowlers position
C) Instruct the client to avoid urinary elimination until after
administration
D) Allow the medication to reach room temperature prior to
administration
D
, A nurse is performing an initial assessment of a newborn who was
delivered with a nuchal cord. Which of the
following should the nurse expect?
A) Facial petechiae
B) Telangiectatic nevi
C) Erythema toxicum
D) Periauricular papilloma's
A
A nurse is caring for a client who is experiencing uterine atony
immediately following delivery. The client fails to respond to oxytocin.
The nurse should anticipate the use of which of the following
medications?
A) Hydralazine
B) Methylergonovine
C) Terbutaline
D) Betamethasone
B
A nurse is caring for a client who has preeclampsia and is receiving
magnesium sulfate. Which of the following clinical findings should the
nurse instruct the client to report?