EXAM 2025 MARCH LASTEST
UPDATED WITH QUESTION AND
VERIFIED ANSWERS
,A nurse is caring for a client who is receiving oxytocin IV for augmentation of labor. The client
contractions are occurring every 45 seconds with a nine seconds duration in the fetal heart rate
is 170 to
180/minute. Which of the following actions should nurse take?
a) Discontinue oxytocin infusion
b) Increased oxytocin infusion
c) Decreased oxytocin infusion
d) Maintain oxytocin infusion - correct answer-a) Discontinue oxytocin infusion
A nurse is admitting a client who is in labor and at 38 wks of gestation to the maternal newborn
unit. The client has a history of herpes simplex virus 2. Which of the following questions is most
appropriate for the nurse to ask the client?
a) Have your membranes ruptured?
b) How far apart are your contractions?
c) Do you have any active lesions?
d) Are you positive for beta strap? - correct answer-c) Do you have any active lesions?
Nurse is providing teaching for child prescribed ferrous sulfate. Which of the following
instructions should
the nurse include?
a) Take with meals
b) Take at bedtime
c) Take with a glass of milk
d) Take with a glass of orange juice - correct answer-d) Take with a glass of orange juice
,A nurse is caring for client who is taking levothyroxin. Which of the following findings should
indicate that the medication is effective?
a) Weight loss
b) Decreased blood pressure
c) Absence of seizures
d) Decrease inflammation - correct answer-a) Weight loss
A nurse is planning discharge teaching for cord care for the parent of a newborn. Which
instructions would you include in the teaching?
a) Contact provider if the cord still turns black
b) Clean the base of the cord with hydrogen peroxide daily
c) Keep the cord dry until it falls off
d) The cord stump will fall off in five days - correct answer-c) Keep the cord dry until it falls off
A nurse is assessing a client in the PACU. Which of the following findings indicates decreased
cardiac output?
a) Shivering
b) Oliguria
c) Bradypnea
d) Constricted pupils - correct answer-b) Oliguria
A nurse is assisting with mass casualty triage: explosion at a local factory. Which of the following
client should the nurse identify as the priority?
a) A client that has massive head trauma
b) A client has full thickness burns to face and trunk
c) A client with indications of hypovolemic shock
, d) A client with open fracture of the lower extremity - correct answer-c) A client with indications
of hypovolemic shock
A nurse is a receiving report on four clients. Which of the following clients should the nurse
assess first?
a) A client who has illeal conduit and mucus in the pouch
b) Client pleasant arteriovenous additional vibration palpated
c) A client whose chronic kidney disease with cloudy diasylate outflow
d) A client was transurethral resection of the prostate with a red tinged urine in the bag -
correct answer-c) A client whose chronic kidney disease with cloudy diasylate outflow
A nurse is caring for a client just received the first dose of lisinopril. The following is an
appropriate nursing intervention?
a) Place's cardiac monitoring
b) Monitor the clients oxygen saturation level
c) Provide standby assist with the client from bed
d) Encourage foods high in potassium - correct answer-c) Provide standby assist with the client
from bed
A nurse is caring for a client who is in labor and his seat is receiving electronic fetal monitoring.
The nurse is reviewing the monitor tracing and notes early decelerations. Which the following
should the nurse expect?
a) Feta hypoxia
b) Abrupto placentae
c) Post maturity
d) Head Compression - correct answer-d) Head Compression