NU 335 Exam 2 Practice Questions 2025|Actual Exam Test(MULTIPLE
NU 335 Exam 2 Practice Questions
CHOICES) and (RATIONALES) questions and verified answers |GET I
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1. The nurse is reviewing the lab tests of b. Hypokalemia.
four prenatal clients. Which lab find- Rationale: In severe cases, hyperemesis causes de-
ing would support the diagnosis of hy- hydration, which leads to fluid-electrolyte imbal-
peremesis gravidarum? ance. Severe potassium loss can disrupt cardiac
a. Hypercalcemia. functioning. Potassium loss (hypokalemia), not hy-
b. Hypokalemia. perkalemia, is characteristic of hyperemesis gravi-
c. Hyperkalemia. darum. Neither hypercalcemia nor hypocalcemia
d. Hypocalcemia. (low calcium) is characteristic of hyperemesis gravi-
darum.
2. If a client does not respond to stan- c. IV fluids.
dard home treatment for severe hy- Rationale: If the woman does not respond to stan-
peremesis gravidarum, the nurse will dard approaches to the control of nausea and
anticipate adding which therapy on an vomiting in pregnancy, she might require intra-
outpatient basis? venous (IV) fluids on an outpatient basis. Total par-
a. Low-fat soft diet. enteral nutrition would be started only if the client
b. Complex carbohydrates with limit- were unresponsive to IV hydration. Lowfat soft diet
ed liquids. and complex carbohydrates with limited liquids are
c. IV fluids. progressive diets after the client is stabilized for
d. Total parenteral nutrition. hyperemesis gravidarum.
3. A client at 30 weeks' gestation is c. Assess blood pressure and pulse.
admitted to the maternity unit with Rationale: The nurse's initial action for a client with
vaginal bleeding. What should be the vaginal bleeding at 30 weeks would be to assess
nurse's initial nursing action? blood pressure and pulse. Counting and weighing
a. Count and weigh peripads. peripads; observing for pallor, clammy skin, and
b. Start an intravenous infusion drip. perspiration; and starting an intravenous infusion
c. Assess blood pressure and pulse. drip are all important actions for this client; they are
d. Observe for pallor, clammy skin, and just not the initial action.
perspiration.
4.
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A prenatal client at 16 weeks' gesta- a. Threatened.
tion presents to the clinic with unex- Rationale: A threatened abortion (miscarriage) has
plained bright red bleeding, cramp- symptoms of vaginal bleeding and backache with-
ing, and backache, which she has had out cervical dilation. In an imminent abortion, the
for the past two days. A pelvic exam internal cervical os is dilated. Although the cervix
reveals a closed cervix. What type of is closed in a missed abortion, other symptoms
abortion does this indicate? would include a regression in breast changes and
a. Threatened. a brownish vaginal discharge. Diagnosis is made
b. Incomplete. based on history, pelvic exam, and a negative preg-
c. Missed. nancy test. With an incomplete abortion, the em-
d. Imminent. bryo has passed out of the uterus, but the placenta
remains, and the internal os is slightly dilated.
5. The client asks for information about a. Pelvic inflammatory disease (PID).
ectopic pregnancy. The nurse correct- d. Endometriosis.
ly responds by saying ectopic preg- b. Presence of an IUD.
nancy is caused by: (Select all that ap- c. In utero exposure to diethylstilbestrol (DES).
ply.) Rationale: Ectopic pregnancy can be caused by
a. Pelvic inflammatory disease (PID). tubal damage from pelvic inflammatory disease
b. Presence of an IUD. (PID), previous tubal surgery, congenital anomalies
c. In utero exposure to diethylstilbe- of the tube, endometriosis, previous ectopic preg-
strol (DES). nancy, presence of an IUD, and in utero exposure
d. Endometriosis. to diethylstilbestrol (DES).
6. A client presents to the physician's of- d. Ectopic pregnancy.
fice with complaints of right-sided ab- Rationale: A client with an ectopic pregnancy would
dominal pain, dizziness, and vaginal present to the physician's office with complaints
bleeding. A pelvic exam determines of one-sided abdominal pain, dizziness, and vagi-
adnexal tenderness. What diagnosis nal bleeding, and would have adnexal tender-
should the nurse suspect? ness on exam. Clients with a threatened abor-
a. Cholelithiasis. tion would have complaints of unexplained bleed-
b. Appendicitis. ing, cramping, or backache. A pelvic exam would
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c. Threatened abortion. reveal a closed cervix. Clients with appendicitis
d. Ectopic pregnancy. would have complaints of lower right-sided tender-
ness, low-grade fever, nausea, and often vomiting.
Clients with cholelithiasis would have complaints
of epigastric distress, such as fullness, distention,
and vague pain in the right upper quadrant of the
abdomen.
7. A client at 15 weeks' gestation pre- b. Hydatidiform mole.
sents to the prenatal clinic with "prune Rationale: In hydatidiform mole, vaginal bleed-
juice"-like vaginal bleeding. Other as- ing occurs almost universally. It is often brownish
sessment data include a hematocrit of due to liquefaction of the uterine clot. In addi-
10 and complaints of severe nausea tion, because serum hCG levels are higher with
and vomiting. What diagnosis should molar pregnancy than with normal pregnancy,
the nurse suspect? the woman might experience hyperemesis gravi-
a. Prolapsed cord. darum. Anemia occurs frequently due to blood
b. Hydatidiform mole. loss and poor nutrition secondary to hyperemesis.
c. Placenta previa. Placenta previa symptoms include painless bright
d. Abruptio placentae. red vaginal bleeding, usually in the third trimester
of pregnancy. Prolapsed cord symptoms include a
trickle of bright red vaginal blood and possibly a
visible cord at the vaginal opening. Abruptio pla-
centae symptoms include vaginal bleeding (bright
red or dark red), abdominal pain, and uterine ten-
derness.
8. A client is being maintained at home a. Headache.
with a diagnosis of mild pre-eclamp- d. Blurred vision.
sia. Which of the following complaints Rationale: Answers (a) and (d) are correct;
require further evaluation? Select all headache and blurred vision are symptoms asso-
that apply. ciated with worsening preeclampsia. Answer (c)
a. Headache. is incorrect; heartburn is a familiar sensation and
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b. Anxiety. is less intense than the epigastric pain associated
c. Heartburn. with severe preeclampsia. Answer (b) is incorrect;
d. Blurred vision. anxiety is a normal response to a complicated preg-
nancy.
9. During a prenatal visit, a client states, b. Determine the client's immediate safety.
"Sometimes my boyfriend hits me, but Rationale: Answer (b) is correct; when working with
it is just when he is stressed at work. clients who are victims of physical abuse, the pri-
I know he loves the baby and me; it's ority is always to determine the client's immediate
just hard right now. He wouldn't really safety. Answer (a) is incorrect; notifying a social
hurt me." The nurse's first priority is worker is an appropriate action but it is not the
to: immediate priority. Answer (c) is incorrect; giving
a. Notify the social worker immediate- information to victims of abuse must be discreet; if
ly. the abuser feels the client may leave, the violence
b. Determine the client's immediate may escalate. Answer (d) is incorrect; there are
safety. numerous factors associated with deciding to leave
c. Encourage the client to leave her an abusive relationship; it is seldom a rapid or easy
partner as soon as possible for the process. The nurse's role is to support the client in
sake of the baby. developing the best safety plan.
d. Give the client pamphlets with the
contact information for local shelters.
10. Which of the following client state- a. "If I have beta strep in labor, I will most likely need
ments indicate a need for addition- a C-section."
al education regarding avoidance of d. "I will not let the cat sleep in our bed now that I
perinatal infection? Select all that ap- am pregnant."
ply. Rationale: GBS requires antibiotic prophylaxis dur-
a. "If I have beta strep in labor, I will ing labor, but a vaginal delivery is not contraindi-
most likely need a C-section." cated. Toxoplasmosis can be transferred in cat fe-
b. "I need to buy a good pair of gloves ces; clients should be instructed to avoid handling
for when I am working in the garden." litter boxes. The client should avoid pregnancy for 1
c. "After receiving my rubella immu- month after receiving the rubella immunization and
NU 335 Exam 2 Practice Questions
CHOICES) and (RATIONALES) questions and verified answers |GET I
Study online at https://quizlet.com/_6eq2gv
100% ACCURATE!!
1. The nurse is reviewing the lab tests of b. Hypokalemia.
four prenatal clients. Which lab find- Rationale: In severe cases, hyperemesis causes de-
ing would support the diagnosis of hy- hydration, which leads to fluid-electrolyte imbal-
peremesis gravidarum? ance. Severe potassium loss can disrupt cardiac
a. Hypercalcemia. functioning. Potassium loss (hypokalemia), not hy-
b. Hypokalemia. perkalemia, is characteristic of hyperemesis gravi-
c. Hyperkalemia. darum. Neither hypercalcemia nor hypocalcemia
d. Hypocalcemia. (low calcium) is characteristic of hyperemesis gravi-
darum.
2. If a client does not respond to stan- c. IV fluids.
dard home treatment for severe hy- Rationale: If the woman does not respond to stan-
peremesis gravidarum, the nurse will dard approaches to the control of nausea and
anticipate adding which therapy on an vomiting in pregnancy, she might require intra-
outpatient basis? venous (IV) fluids on an outpatient basis. Total par-
a. Low-fat soft diet. enteral nutrition would be started only if the client
b. Complex carbohydrates with limit- were unresponsive to IV hydration. Lowfat soft diet
ed liquids. and complex carbohydrates with limited liquids are
c. IV fluids. progressive diets after the client is stabilized for
d. Total parenteral nutrition. hyperemesis gravidarum.
3. A client at 30 weeks' gestation is c. Assess blood pressure and pulse.
admitted to the maternity unit with Rationale: The nurse's initial action for a client with
vaginal bleeding. What should be the vaginal bleeding at 30 weeks would be to assess
nurse's initial nursing action? blood pressure and pulse. Counting and weighing
a. Count and weigh peripads. peripads; observing for pallor, clammy skin, and
b. Start an intravenous infusion drip. perspiration; and starting an intravenous infusion
c. Assess blood pressure and pulse. drip are all important actions for this client; they are
d. Observe for pallor, clammy skin, and just not the initial action.
perspiration.
4.
, NU 335 Exam 2 Practice Questions
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A prenatal client at 16 weeks' gesta- a. Threatened.
tion presents to the clinic with unex- Rationale: A threatened abortion (miscarriage) has
plained bright red bleeding, cramp- symptoms of vaginal bleeding and backache with-
ing, and backache, which she has had out cervical dilation. In an imminent abortion, the
for the past two days. A pelvic exam internal cervical os is dilated. Although the cervix
reveals a closed cervix. What type of is closed in a missed abortion, other symptoms
abortion does this indicate? would include a regression in breast changes and
a. Threatened. a brownish vaginal discharge. Diagnosis is made
b. Incomplete. based on history, pelvic exam, and a negative preg-
c. Missed. nancy test. With an incomplete abortion, the em-
d. Imminent. bryo has passed out of the uterus, but the placenta
remains, and the internal os is slightly dilated.
5. The client asks for information about a. Pelvic inflammatory disease (PID).
ectopic pregnancy. The nurse correct- d. Endometriosis.
ly responds by saying ectopic preg- b. Presence of an IUD.
nancy is caused by: (Select all that ap- c. In utero exposure to diethylstilbestrol (DES).
ply.) Rationale: Ectopic pregnancy can be caused by
a. Pelvic inflammatory disease (PID). tubal damage from pelvic inflammatory disease
b. Presence of an IUD. (PID), previous tubal surgery, congenital anomalies
c. In utero exposure to diethylstilbe- of the tube, endometriosis, previous ectopic preg-
strol (DES). nancy, presence of an IUD, and in utero exposure
d. Endometriosis. to diethylstilbestrol (DES).
6. A client presents to the physician's of- d. Ectopic pregnancy.
fice with complaints of right-sided ab- Rationale: A client with an ectopic pregnancy would
dominal pain, dizziness, and vaginal present to the physician's office with complaints
bleeding. A pelvic exam determines of one-sided abdominal pain, dizziness, and vagi-
adnexal tenderness. What diagnosis nal bleeding, and would have adnexal tender-
should the nurse suspect? ness on exam. Clients with a threatened abor-
a. Cholelithiasis. tion would have complaints of unexplained bleed-
b. Appendicitis. ing, cramping, or backache. A pelvic exam would
, NU 335 Exam 2 Practice Questions
Study online at https://quizlet.com/_6eq2gv
c. Threatened abortion. reveal a closed cervix. Clients with appendicitis
d. Ectopic pregnancy. would have complaints of lower right-sided tender-
ness, low-grade fever, nausea, and often vomiting.
Clients with cholelithiasis would have complaints
of epigastric distress, such as fullness, distention,
and vague pain in the right upper quadrant of the
abdomen.
7. A client at 15 weeks' gestation pre- b. Hydatidiform mole.
sents to the prenatal clinic with "prune Rationale: In hydatidiform mole, vaginal bleed-
juice"-like vaginal bleeding. Other as- ing occurs almost universally. It is often brownish
sessment data include a hematocrit of due to liquefaction of the uterine clot. In addi-
10 and complaints of severe nausea tion, because serum hCG levels are higher with
and vomiting. What diagnosis should molar pregnancy than with normal pregnancy,
the nurse suspect? the woman might experience hyperemesis gravi-
a. Prolapsed cord. darum. Anemia occurs frequently due to blood
b. Hydatidiform mole. loss and poor nutrition secondary to hyperemesis.
c. Placenta previa. Placenta previa symptoms include painless bright
d. Abruptio placentae. red vaginal bleeding, usually in the third trimester
of pregnancy. Prolapsed cord symptoms include a
trickle of bright red vaginal blood and possibly a
visible cord at the vaginal opening. Abruptio pla-
centae symptoms include vaginal bleeding (bright
red or dark red), abdominal pain, and uterine ten-
derness.
8. A client is being maintained at home a. Headache.
with a diagnosis of mild pre-eclamp- d. Blurred vision.
sia. Which of the following complaints Rationale: Answers (a) and (d) are correct;
require further evaluation? Select all headache and blurred vision are symptoms asso-
that apply. ciated with worsening preeclampsia. Answer (c)
a. Headache. is incorrect; heartburn is a familiar sensation and
, NU 335 Exam 2 Practice Questions
Study online at https://quizlet.com/_6eq2gv
b. Anxiety. is less intense than the epigastric pain associated
c. Heartburn. with severe preeclampsia. Answer (b) is incorrect;
d. Blurred vision. anxiety is a normal response to a complicated preg-
nancy.
9. During a prenatal visit, a client states, b. Determine the client's immediate safety.
"Sometimes my boyfriend hits me, but Rationale: Answer (b) is correct; when working with
it is just when he is stressed at work. clients who are victims of physical abuse, the pri-
I know he loves the baby and me; it's ority is always to determine the client's immediate
just hard right now. He wouldn't really safety. Answer (a) is incorrect; notifying a social
hurt me." The nurse's first priority is worker is an appropriate action but it is not the
to: immediate priority. Answer (c) is incorrect; giving
a. Notify the social worker immediate- information to victims of abuse must be discreet; if
ly. the abuser feels the client may leave, the violence
b. Determine the client's immediate may escalate. Answer (d) is incorrect; there are
safety. numerous factors associated with deciding to leave
c. Encourage the client to leave her an abusive relationship; it is seldom a rapid or easy
partner as soon as possible for the process. The nurse's role is to support the client in
sake of the baby. developing the best safety plan.
d. Give the client pamphlets with the
contact information for local shelters.
10. Which of the following client state- a. "If I have beta strep in labor, I will most likely need
ments indicate a need for addition- a C-section."
al education regarding avoidance of d. "I will not let the cat sleep in our bed now that I
perinatal infection? Select all that ap- am pregnant."
ply. Rationale: GBS requires antibiotic prophylaxis dur-
a. "If I have beta strep in labor, I will ing labor, but a vaginal delivery is not contraindi-
most likely need a C-section." cated. Toxoplasmosis can be transferred in cat fe-
b. "I need to buy a good pair of gloves ces; clients should be instructed to avoid handling
for when I am working in the garden." litter boxes. The client should avoid pregnancy for 1
c. "After receiving my rubella immu- month after receiving the rubella immunization and
