ACTUAL EXAM 70 QUESTIONS WITH
100% CORRECT ANSWERS /A+ GRADE ASSURED
,Question 15: A nurse is assessing the fetal heart rate for a client who is at 38 weeks of gestation. When
using an ultrasound device, the nurse hears blood rushing through the umbilical vessels in
synchronization with the fetal heart beat. Which of the following terms should the nurse use to
document this finding?
,A: Goodell’s sign
B:
Funic souffle C:
Quickening
D: Hegar’s sign
Answer: B: Funic souffle
Question 16: A nurse manager in a newborn nursery is reviewing infection control procedures with a
group of newly hired nurses. Which of the following instructions should the nurse manager include
in the teaching? A: Allow parents to enter the nursery if they are wearing a mask. B: Place newborn
bassinets at least 3 feet apart.
C: Place the newborn’s foot on a sterile field during a heelstick. D:
Maintain airborne precautions in the nursery.
Answer: B: Place newborn bassinets at least 3 feet apart.
Question 17: A nurse is caring for a client who is receiving magnesium sulfate by continuous IV infusion.
The nurse notes a respiratory rate of 8/min and absent deep-tendon reflexes. Which of the following
medications should the nurse administer?
a. Phytonadione
b. Acetylcysteine
c. Protamine sulfate
d. Calcium gluconate Answer: d. Calcium gluconate
Question 18: A nurse is caring for a client who is 8 hr postpartum following vaginal delivery and is
unable to void. Which of the following interventions should the nurse use to promote voiding? a.
Apply suprapubic pressure.
b. Administer a diuretic to the client.
, c. Insert an indwelling urinary catheter.
d. Encourage the client to void in the shower.
Answer: d. Encourage the client to void in the shower.